WO2017166818A1 - Wearable 12-lead remote electrocardiogram monitoring device, and system and method for applying same - Google Patents

Wearable 12-lead remote electrocardiogram monitoring device, and system and method for applying same Download PDF

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Publication number
WO2017166818A1
WO2017166818A1 PCT/CN2016/105118 CN2016105118W WO2017166818A1 WO 2017166818 A1 WO2017166818 A1 WO 2017166818A1 CN 2016105118 W CN2016105118 W CN 2016105118W WO 2017166818 A1 WO2017166818 A1 WO 2017166818A1
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WO
WIPO (PCT)
Prior art keywords
wearable
ecg
lead
electrocardiogram
abnormal
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PCT/CN2016/105118
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French (fr)
Chinese (zh)
Inventor
张贯京
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深圳市前海安测信息技术有限公司
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Publication of WO2017166818A1 publication Critical patent/WO2017166818A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006ECG or EEG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366Detecting abnormal QRS complex, e.g. widening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal

Definitions

  • the present invention relates to the field of electrocardiogram monitoring, and in particular, to a wearable 12-lead remote ECG monitoring device and an application system and method thereof.
  • Heart disease is one of the major diseases that seriously threaten human health, and ECG signals contain important physiological parameters of the human body. Therefore, electrocardiogram (ECG) is an important basis for diagnosis.
  • ECG electrocardiogram
  • Heart disease has a sudden nature. The most ideal situation is the actual signal acquisition and analysis of patients with heart disease.
  • the diagnosis and treatment of the disease is extremely unfavorable. Therefore, there is an urgent need for an inexpensive and practical ECG detection instrument to reduce medical expenses and strengthen the monitoring work during the patient's illness.
  • the familyization of portable medical devices has become a development trend of medical electronics.
  • Existing devices for detecting human electrocardiogram include electrocardiographs such as electrocardiographs and dynamic electrocardiographs.
  • ECG testing instruments are commonly used in hospitals or other medical research institutions, ECG testing instruments currently have the following disadvantages: large size, large workload, complicated operation, long consumption, and high cost.
  • the ECG data collected by the existing ECG detection system is mostly stored locally, and the ECG data cannot be connected to the medical center, and the remote synchronization monitoring of the patient's ECG cannot be realized. Therefore, at present, ECG testing equipment can not continuously monitor the electrocardiogram of patients with heart disease continuously for 24 hours a day, so that doctors can remotely track the ECG data of heart patients, this is for doctors and heart disease. Patients are very inconvenient in daily ECG detection and tracking.
  • the main objective of the present invention is to provide a wearable 12-lead remote ECG monitoring device and an application system and method thereof, aiming at solving the problem that the ECG detection system cannot remotely and dynamically monitor the patient's ECG information. And can not filter out the problem of abnormal ECG.
  • the present invention provides a wearable 12-lead remote ECG monitoring device, including a wearable body, an electrode interface, twelve cardiac electrodes, lead wires, and an electrocardiogram analysis unit.
  • One of the core electrode sheets is disposed on the back surface of the wearable body, and the other eleven core electrode sheets are connected together through the lead wire and connected to the electrode interface, and the electrode interface is connected to the core On the electrical analysis unit, where:
  • each of the core electrodes is used to collect the ECG signal of the subject, and the collected ECG signals are sent to the electrode interface through the lead wires;
  • the electrocardiogram analyzing unit is configured to acquire an electrocardiogram signal of the subject from the electrode interface, obtain an electrocardiogram waveform by using signal sampling analysis, and filter out an abnormal ECG waveform segment of the detected object, and The abnormal ECG waveform segment is converted into an abnormal electrocardiogram of the subject.
  • the wearable 12-lead remote ECG monitoring device further includes a display screen connected to the electrocardiographic analysis unit, the display screen is disposed on a front surface of the wearable body, The ECG waveform and abnormal ECG of the subject are displayed.
  • the wearable 12-lead remote ECG monitoring device further comprises a wireless communication interface connected to the ECG analysis unit, the wireless communication interface is a Bluetooth or/and WiFi wireless transmission network. Communication port.
  • the twelve cardiac electrode sheets comprise three limb lead electrodes, three pressurized lead electrodes and six chest lead electrodes.
  • the electrode interface is a USB data interface or a serial data interface.
  • the edge of the wearable body is symmetrically disposed with two straps, and the adhesive surface of the strap is provided with a medical adhesive.
  • the present invention further provides an application system for applying a wearable 12-lead remote ECG monitoring device, the application system further comprising the mobile communication terminal and a medical monitoring platform, the wearable a 12-lead remote ECG monitoring device connected to the mobile communication terminal via a wireless network, the mobile communication terminal being connected to the medical monitoring platform via a remote communication network, the wearable 12-lead remote ECG
  • the monitoring device transmits an abnormal electrocardiogram of the subject to the medical monitoring platform through the mobile communication terminal.
  • the present invention further provides a wearable 12-lead remote ECG monitoring method, which is applied to a wearable 12-lead remote ECG monitoring device, the device comprising a wearable body, An electrode interface, twelve core electrode sheets, lead wires, and an electrocardiogram analyzing unit, wherein one core electrode sheet is disposed on a back surface of the wearable body, and another eleven core electrode sheets are connected through the lead wires And connected to the electrode interface, the electrode interface is connected to the ECG analyzing unit, and the wearable 12-lead remote ECG monitoring method comprises the steps of:
  • each cardiac electrode sheet collects the ECG signal of the subject, and sends the collected ECG signal to the electrode interface through the lead line;
  • the electrocardiogram analyzing unit acquires an electrocardiogram signal of the subject from the electrode interface, and obtains an electrocardiogram waveform by using signal sampling analysis processing;
  • the electrocardiographic analysis unit screens out an abnormal ECG waveform segment of the subject, and converts the abnormal ECG waveform segment into an abnormal electrocardiogram of the subject;
  • the ECG analyzing unit transmits the abnormal electrocardiogram of the subject to the mobile communication terminal of the guardian through the wireless communication interface.
  • the electrocardiographic analysis unit filters out the abnormal ECG waveform segment of the detected object, including the following steps: preprocessing the electrocardiographic waveform to eliminate part of noise and interference; using differential threshold method for pre-processing The waveform performs R point detection and stores detection information; the Toskins difference method is used to detect and store the width of the QRS complex; and the branch logic method is used to perform an arrhythmia event to determine an abnormal ECG waveform segment.
  • the wearable 12-lead remote ECG monitoring method further comprises the steps of: the mobile communication terminal transmitting the abnormal electrocardiogram of the detected person to the medical monitoring set in the remote medical center through the remote communication network; on the platform.
  • the wearable 12-lead remote ECG monitoring device and the application system and method thereof can dynamically monitor the heart of a patient 24 hours a day, 24 hours a day. Electrical information and abnormal electrocardiogram, for the doctor to remotely track the patient's ECG information and ECG abnormalities, providing great convenience for doctors to remotely monitor the patient's ECG.
  • FIG. 1 is a schematic front view showing a preferred embodiment of a wearable 12-lead remote ECG monitoring device of the present invention
  • FIG. 2 is a schematic view showing the back structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device of the present invention
  • FIG. 3 is a schematic diagram showing the circuit structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device of the present invention.
  • FIG. 4 is a system architecture diagram of a preferred embodiment of an application system of the wearable 12-lead remote ECG monitoring device of the present invention
  • FIG. 5 is a flow chart of a preferred embodiment of the wearable 12-lead remote ECG monitoring method of the present invention.
  • FIG. 1 is a front elevational view showing a preferred embodiment of a wearable 12-lead remote ECG monitoring device of the present invention.
  • Fig. 2 is a schematic view showing the back structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device of the present invention.
  • the wearable 12-lead remote ECG monitoring device 10 includes a wearable body 1 and two straps 2 disposed on the edge of the wearable body 1, the strap 2 They are symmetrically disposed on opposite sides of the wearable body 1, respectively.
  • the wearable body 1 is made of a lightweight metal material or a hard rubber.
  • the shape of the wearable body 1 may be, but not limited to, a rectangular shape, a square shape, a circular shape or the like.
  • the shape of the wearable body 1 in the present embodiment is a rectangle.
  • the adhesive surface of the strap 2 is provided with a medical adhesive so that the strap 2 can be attached to the skin of the human chest without falling off.
  • the wearable 12-lead remote ECG monitoring device 10 further includes an electrode interface 3, a plurality of core electrode sheets 4, and a lead wire 5.
  • the electrode interface 3 can be a USB interface or a serial port receiving unit .
  • the core electrode sheet 4 includes three limb lead electrodes, three pressurized lead electrodes, and six chest lead electrodes for acquiring an electrocardiographic signal of the subject.
  • one of the core electrode sheets 4 is disposed on the back surface of the wearable body 1 (refer to FIG. 2), and the remaining eleven core electrode sheets 4 (only seven are shown in FIG. 1) are passed through the lead. Lines 5 are connected together and connected to electrode interface 3 (refer to Figure 1).
  • the core electrode sheet 4 disposed on the back of the wearable body 1 is used for directly collecting the ECG signals of the human chest, and is connected by the lead wires 5 together.
  • the core electrode sheets 4 can be respectively adsorbed on the parts of the human body to be detected, such as the underarm, the neck, the abdomen, etc., for collecting the electrocardiographic signals of the parts to be detected.
  • the wearable 12-lead remote ECG monitoring device 10 of the present invention has a small volume, and after the subject performs an electrocardiographic test, the wearable body 1 is pasted to the chest position by the strap 2, The core electrode sheets 4 connected together by the lead wires 5 are respectively adsorbed on the parts to be detected by the human body, so that the testees can be conveniently carried around with them, and the operation is simple, thereby facilitating the operation of the test subject. .
  • twelve ECG sheets 4 are used to collect ECG signals of different body parts of the subject, and one of the core electrode sheets 4 is disposed on the back surface of the wearable body 1, it can be directly adsorbed together with the wearable body.
  • the chest of the subject can accurately collect the ECG signal of the chest of the subject, thereby improving the accuracy of the ECG detection result.
  • FIG. 3 is a schematic diagram showing the circuit structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device 10 of the present invention.
  • the wearable 12-lead remote ECG monitoring device 10 further includes a power switch 11, a display screen 12, an electrocardiogram analyzing unit 13, and a micro battery 14.
  • a power supply switch 11 and a display screen 12 are disposed on the front surface of the wearable body 1, and are electrically connected to the electrocardiographic analysis unit 13.
  • the electrocardiographic analysis unit 13 and the microbattery 14 are disposed inside the wearable body 1 , and the micro battery 14 is electrically connected to the electrocardiographic analysis unit 13 for the wearable twelve guide
  • the remote telecardiograph 10 provides operational power.
  • the core electrode sheet 4 is connected to the electrode interface 3 via a lead wire 5, which is electrically connected to the electrocardiographic analysis unit 13.
  • the core electrode sheet 4 is configured to collect various ECG signals of different parts of the body of the subject, and send the collected ECG signals to the electrode interface 3 through the lead wire 5.
  • the ECG analyzing unit 13 is configured to acquire each ECG signal of the detected object from the electrode interface 3, and obtain an ECG waveform by using signal sampling analysis processing.
  • the abnormal electrocardiographic waveform segment of the subject is screened, and the abnormal ECG waveform segment is converted into an abnormal electrocardiogram of the subject.
  • the electrocardiogram analyzing unit 13 samples the respective electrocardiographic signals of the electrode interface 3 to obtain a lead electrocardiographic waveform by sampling a chirp and converting a chirp.
  • the electrocardiogram analyzing unit 13 can control the sampling rate by changing the sampling clock. For example, if the ECG analyzing unit 13 samples once every 0.5 ms or 1 ms or 2 ms, the sampling rates of the corresponding ECG signals are 2 KSps, IKsps, and 500 Sps, respectively.
  • the power switch 11 is configured to activate or disable the wearable 12-lead remote ECG monitoring device 10 for ECG detection.
  • the display screen 12 is an LCD or LED display unit for displaying the electrocardiogram waveform and the abnormal electrocardiogram of the subject.
  • the wearable 12-lead remote ECG monitoring device 10 further includes a wireless communication interface 6 disposed on the wearable body 1.
  • the wireless communication interface 6 is a communication interface supporting a Bluetooth, WiFi, GSM, GPRS. 3G or 4G wireless transmission network, and is used for transmitting the ECG signal of the detected person to the mobile communication terminal of the guardian or the doctor (for example, monitoring On the mobile phone of the doctor or the doctor, for the guardian to dynamically understand the electrocardiogram of the subject.
  • the micro battery 14 is used for providing the working power supply to the wearable 12-lead remote ECG monitoring device 10, which is a low-radiation, low-power rechargeable lithium battery or button battery. , it will not affect the health of users.
  • the charging port 7 is also connected to the wearable body 1.
  • the charging port 7 can be a USB charging interface, and the charging port can be a USB interface or the like.
  • a standard battery charging interface that can be directly plugged into an external power source (such as a computer USB interface or a low voltage regulator, etc.) to charge the miniature battery 14.
  • the power of the microbattery 14 When the power of the microbattery 14 is used up, the user can charge the microbattery 14 through the charging port, thereby extending the life cycle of the wearable 12-lead remote ECG monitoring device 10.
  • FIG. 4 is a structural diagram of an application system of a preferred embodiment of a system for a wearable 12-lead remote ECG monitoring device of the present invention.
  • the application system includes a wearable 12-lead remote ECG monitoring device 10, a mobile communication terminal 20, and a medical monitoring platform 30.
  • the wearable 12-lead telecardiograph 10 is connected to the mobile communication terminal 20 via a wireless network 40, which is connected to the medical monitoring platform 30 via a remote communication network 50.
  • the wireless network 40 includes, but is not limited to, a wireless transmission network such as Bluetooth, WiFi, etc.
  • the remote communication network 50 includes but not It is limited to wireless transmission networks such as GSM network, GPRS network, and CDMA.
  • the wearable 12-lead telecardiograph 10 is a chest position worn by a subject (eg, a heart patient).
  • the mobile communication terminal 20 includes, but is not limited to, a wireless communication device such as a mobile phone, a personal digital assistant (PDA), a palmtop computer, or the like.
  • the medical monitoring platform 30 is a remote monitoring device or server or the like disposed at the medical monitoring center.
  • the wearable 12-lead remote ECG monitoring device 10 is configured to dynamically collect the ECG signal of the subject and form an electrocardiogram 24 hours a day.
  • the electrocardiogram of the examiner is transmitted to the mobile communication terminal 20 via the wireless network 40 for display, so that the guardian can dynamically understand the electrocardiogram of the subject.
  • the mobile communication terminal 20 transmits the electrocardiogram of the subject to the medical monitoring platform 30 disposed at the medical monitoring center via the remote communication network 50, so that the doctor can remotely track the electrocardiogram of the subject remotely.
  • the wearable 12-lead remote ECG monitoring device 10 of the present invention transmits the collected ECG data to the external mobile communication terminal 20, and then is sent by the external mobile communication terminal 20 to the remote medical monitoring platform. 30 0 is stored, thereby realizing the connection between the ECG data and the medical center, and realizing the remote synchronous monitoring of the patient's electrocardiogram by the doctor. This allows doctors to monitor the electrocardiogram of heart disease patients 24 hours a day, 24 hours a day, and it is convenient for doctors to remotely track cardiac data of heart patients in daily ECG testing. In addition, since the external mobile communication terminal 20 is used as the transmitting ECG data to the remote medical monitoring platform 30, the hardware configuration requirements of the wearable 12-lead remote ECG monitoring device 10 of the present invention are reduced. It saves costs and realizes remote synchronous monitoring of ECG data.
  • the present invention also provides a wearable 12-lead remote ECG monitoring method, which is applied to the wearable 12-lead remote ECG monitoring device 10, and can accurately screen out the detected object.
  • the abnormal electrocardiogram is sent to the external mobile communication terminal 20 and the remote medical monitoring platform 30 for the doctor to remotely track the patient's ECG condition in the daily ECG detection.
  • FIG. 5 is a flow chart of a preferred embodiment of the wearable 12-lead remote ECG monitoring method of the present invention.
  • the wearable 12-lead remote ECG monitoring method includes the following steps:
  • each ECG sheet 4 collects an ECG signal of the subject, and sends the collected ECG signal to the electrode interface 3 through the lead wire 5.
  • the electrocardiogram analyzing unit 13 acquires the ECG signal of the subject from the electrode interface 3, and obtains an electrocardiogram waveform by the signal sampling analysis process.
  • the electrocardiographic analysis unit 13 samples the electrocardiographic signals of the electrode interfaces 3 by sampling the chirp clock and converting the chirp clock to obtain a lead electrocardiogram waveform.
  • the electrocardiogram analyzing unit 13 can control the sampling rate by changing the sampling clock. For example, if the ECG analysis unit 13 samples every 0.5 ms or 1 ms or 2 ms, the sampling rates of the corresponding ECG signals are 2 KSps, IKsps, and 500 Sps, respectively.
  • Step S53 the electrocardiogram analyzing unit 13 filters out the abnormal ECG waveform segment of the subject, and converts the abnormal ECG waveform segment into an abnormal electrocardiogram of the subject.
  • the electrocardiographic analysis unit 13 can automatically identify patients with abnormal ECG information by screening abnormal ECG waveform segments, thereby improving the efficiency and accuracy of the doctor in screening patients with abnormal electrocardiogram.
  • the step of filtering the abnormal ECG waveform segment of the detected object by the electrocardiogram analyzing unit 13 comprises the following steps: preprocessing the electrocardiographic waveform to eliminate part of noise and interference; using differential threshold method for preprocessing The waveform after the R point is detected and the detection information is stored; the width of the Q RS group is detected and stored by Tompkins; and the arrhythmia event is determined by the branch logic method to determine the abnormal ECG waveform segment.
  • the conventional ECG waveform is QRS complex, which reflects the depolarization process of the left and right ventricles in a certain order, with a history of 0.06 ⁇ 0.10s.
  • the first downward wave in the QRS complex is called the Q wave
  • the first upward wave is called the R wave
  • the downward wave after the R wave is called the S wave.
  • the differential threshold method is to realize the QRS complex positioning by detecting the derivative of the ECG signal sequence, that is, the change of the slope.
  • the Tompkins difference method is to use the forward difference to find the absolute value of the first-order differential, and the backward difference to find the absolute value of the second-order differential, and then use five-point average filtering to smooth-rect them separately. The results are directly added to obtain a waveform with a double peak.
  • the branch logic method is based on the experience of doctors and experts, based on the extracted ECG feature values and the doctor's expert experience threshold for logical relationship calculation.
  • Step S54 the electrocardiogram analyzing unit 13 sends the abnormal electrocardiogram of the detected person to the mobile communication terminal 20 of the guardian through the wireless communication interface 6, so that the guardian can perform emergency ambulance measures on the detected subject, for example, dial 120. Inform medical personnel for emergency care.
  • Step S55 the mobile communication terminal 20 transmits the abnormal electrocardiogram of the detected person to the medical monitoring platform 30 disposed at the remote medical center through the remote communication network 50, so that the doctor can remotely track the heart of the detected subject.
  • the situation is urgently ambulanced for patients with abnormal ECG.
  • the wearable 12-lead remote ECG monitoring device and the application system and method thereof can dynamically monitor the heart of a patient 24 hours a day, 24 hours a day. Electrical information and abnormal electrocardiogram, for the doctor to remotely track the patient's ECG information and ECG abnormalities, providing great convenience for doctors to remotely monitor the patient's ECG.

Abstract

A wearable 12-lead remote electrocardiogram monitoring device (10), and a system and method for applying same. The device (10) comprises: a wearable body (1), an electrode interface (3), twelve electrocardio pole pieces (4), lead wires (5) and an electrocardio analysis unit (13), wherein one electrocardio pole piece (4) is arranged on the back of the wearable body (1), and the other eleven electrocardio pole pieces (4) are connected together via the lead wires (5) and are connected to the electrode interface (3); and the electrode interface (3) is connected to the electrocardio analysis unit (13). Each electrocardio pole piece (4) is used for collecting an electrocardio signal of a subject; and the electrocardio analysis unit (13) acquires the electrocardio signal of the subject from the electrode interface (3), obtains an electrocardio waveform by means of signal sampling and analysis processing, filters out an abnormal electrocardio waveform segment of the subject, and converts the abnormal electrocardio waveform segment into an abnormal electrocardiogram of the subject. The device can dynamically monitor the electrocardio condition of a patient for a whole day without interruption, thereby providing convenience for a doctor in remotely monitoring the electrocardio condition of the patient.

Description

说明书  Instruction manual
发明名称:可穿戴式十二导联远程心电监护装置及其应用系统和方 法  Title of Invention: Wearable 12-lead remote ECG monitoring device and its application system and method
技术领域  Technical field
[0001] 本发明涉及心电监测领域, 尤其涉及一种可穿戴式十二导联远程心电监护装置 及其应用系统和方法。  [0001] The present invention relates to the field of electrocardiogram monitoring, and in particular, to a wearable 12-lead remote ECG monitoring device and an application system and method thereof.
背景技术  Background technique
[0002] 心脏病是严重威胁人类健康的主要疾病之一, 而心电信号中包含着人体重要的 基本生理参数, 因此心电图 (ECG) 是其诊断的重要依据。 心脏病具有突发性 的特点, 最理想情况是对心脏病患者进行实吋信号采集分析, 但是由于目前心 电图机应用场合的限制以及昂贵的价格, 使得患者得不到实吋监控, 这对患者 的病情诊断和治疗是极为不利的。 所以急需一种廉价、 实用的心电检测仪器, 来降低医疗费用、 加强患者患病期间的监护工作。 随着移动医疗技术的发展, 便携式医疗设备家庭化已成为医疗电子的一种发展趋势。  [0002] Heart disease is one of the major diseases that seriously threaten human health, and ECG signals contain important physiological parameters of the human body. Therefore, electrocardiogram (ECG) is an important basis for diagnosis. Heart disease has a sudden nature. The most ideal situation is the actual signal acquisition and analysis of patients with heart disease. However, due to the limitations of current ECG applications and the high price, patients are not monitored. The diagnosis and treatment of the disease is extremely unfavorable. Therefore, there is an urgent need for an inexpensive and practical ECG detection instrument to reduce medical expenses and strengthen the monitoring work during the patient's illness. With the development of mobile medical technology, the familyization of portable medical devices has become a development trend of medical electronics.
[0003] 现有对人体心电图检测的装置有心电图机、 动态心电记录仪等心电检测仪器。  [0003] Existing devices for detecting human electrocardiogram include electrocardiographs such as electrocardiographs and dynamic electrocardiographs.
虽然心电检测仪器在医院或其它医学研究机构中普遍使用, 但目前心电检测仪 器存在以下缺点: 体积大、 工作量大、 操作复杂、 耗吋长、 成本高。 此外, 现 有心电检测系统采集的心电数据多为本地存储, 无法实现心电数据与医疗中心 对接, 无法实现医生对患者心电图的远程同步监护。 因此, 目前心电检测仪器 不能够实现全天二十四小吋不间断动态地监测心脏病患者的心电图, 以供医生 实吋地远程跟踪心脏病患者的心电数据, 这对医生和心脏病患者在日常心电检 测与跟踪中非常不方便。  Although ECG testing instruments are commonly used in hospitals or other medical research institutions, ECG testing instruments currently have the following disadvantages: large size, large workload, complicated operation, long consumption, and high cost. In addition, the ECG data collected by the existing ECG detection system is mostly stored locally, and the ECG data cannot be connected to the medical center, and the remote synchronization monitoring of the patient's ECG cannot be realized. Therefore, at present, ECG testing equipment can not continuously monitor the electrocardiogram of patients with heart disease continuously for 24 hours a day, so that doctors can remotely track the ECG data of heart patients, this is for doctors and heart disease. Patients are very inconvenient in daily ECG detection and tracking.
技术问题  technical problem
[0004] 本发明的主要目的在于提供一种可穿戴式十二导联远程心电监护装置及其应用 系统和方法, 旨在解决心电检测系统无法实现远程实吋动态地监测患者心电信 息及不能筛选出异常心电图的问题。  [0004] The main objective of the present invention is to provide a wearable 12-lead remote ECG monitoring device and an application system and method thereof, aiming at solving the problem that the ECG detection system cannot remotely and dynamically monitor the patient's ECG information. And can not filter out the problem of abnormal ECG.
问题的解决方案 技术解决方案 Problem solution Technical solution
[0005] 为实现上述目的, 本发明提供了一种可穿戴式十二导联远程心电监护装置, 包 括可穿戴本体、 电极接口、 十二个心电极片、 导联线和心电分析单元, 其中一 个心电极片设置在所述可穿戴本体的背面, 另外十一个心电极片通过所述导联 线连接在一起并连接至所述电极接口上, 所述电极接口连接至所述心电分析单 元上, 其中:  [0005] In order to achieve the above object, the present invention provides a wearable 12-lead remote ECG monitoring device, including a wearable body, an electrode interface, twelve cardiac electrodes, lead wires, and an electrocardiogram analysis unit. One of the core electrode sheets is disposed on the back surface of the wearable body, and the other eleven core electrode sheets are connected together through the lead wire and connected to the electrode interface, and the electrode interface is connected to the core On the electrical analysis unit, where:
[0006] 每一个心电极片用于采集被检测者的心电信号, 并将采集到的心电信号通过所 述导联线发送至所述电极接口上;  [0006] each of the core electrodes is used to collect the ECG signal of the subject, and the collected ECG signals are sent to the electrode interface through the lead wires;
[0007] 所述心电分析单元用于从所述电极接口获取被检测者的心电信号, 通过信号采 样分析处理得到心电波形, 筛选出被检测者的异常心电波形片段, 并将所述异 常心电波形片段转化为被检测者的异常心电图。 [0007] The electrocardiogram analyzing unit is configured to acquire an electrocardiogram signal of the subject from the electrode interface, obtain an electrocardiogram waveform by using signal sampling analysis, and filter out an abnormal ECG waveform segment of the detected object, and The abnormal ECG waveform segment is converted into an abnormal electrocardiogram of the subject.
[0008] 优选的, 所述可穿戴式十二导联远程心电监护装置还包括连接至所述心电分析 单元上的显示屏, 该显示屏设置在所述可穿戴本体的正面, 用于显示被检测者 的心电波形及异常心电图。 [0008] Preferably, the wearable 12-lead remote ECG monitoring device further includes a display screen connected to the electrocardiographic analysis unit, the display screen is disposed on a front surface of the wearable body, The ECG waveform and abnormal ECG of the subject are displayed.
[0009] 优选的, 所述可穿戴式十二导联远程心电监护装置还包括连接至所述心电分析 单元上的无线通信接口, 该无线通信接口是支持蓝牙或 /及 WiFi无线传输网络的 通讯端口。 [0009] Preferably, the wearable 12-lead remote ECG monitoring device further comprises a wireless communication interface connected to the ECG analysis unit, the wireless communication interface is a Bluetooth or/and WiFi wireless transmission network. Communication port.
[0010] 优选的, 所述十二个心电极片包括三个肢体导联电极, 三个加压导联电极和六 个胸导联电极。  [0010] Preferably, the twelve cardiac electrode sheets comprise three limb lead electrodes, three pressurized lead electrodes and six chest lead electrodes.
[0011] 优选的, 所述电极接口是 USB数据接口或者串联数据接口。  [0011] Preferably, the electrode interface is a USB data interface or a serial data interface.
[0012] 优选的, 所述可穿戴本体的边缘对称设置有两条绑带, 该绑带的粘贴面设置有 医用粘胶。  [0012] Preferably, the edge of the wearable body is symmetrically disposed with two straps, and the adhesive surface of the strap is provided with a medical adhesive.
[0013] 另一方面, 本发明还提供了一种应用可穿戴式十二导联远程心电监护装置的应 用系统, 该应用系统还包括所述移动通信终端以及医疗监护平台, 所述可穿戴 式十二导联远程心电监护装置通过无线网络连接至所述移动通信终端, 所述移 动通信终端通过远程通信网络连接至所述医疗监护平台, 所述可穿戴式十二导 联远程心电监护装置将被检测者的异常心电图通过所述移动通信终端发送至所 述医疗监护平台。 [0014] 另一方面, 本发明还提供了一种可穿戴式十二导联远程心电监护方法, 应用于 可穿戴式十二导联远程心电监护装置中, 该装置包括可穿戴本体、 电极接口、 十二个心电极片、 导联线和心电分析单元, 其中一个心电极片设置在所述可穿 戴本体的背面, 另外十一个心电极片通过所述导联线连接在一起并连接至所述 电极接口上, 所述电极接口连接至所述心电分析单元上, 所述可穿戴式十二导 联远程心电监护方法包括步骤: [0013] In another aspect, the present invention further provides an application system for applying a wearable 12-lead remote ECG monitoring device, the application system further comprising the mobile communication terminal and a medical monitoring platform, the wearable a 12-lead remote ECG monitoring device connected to the mobile communication terminal via a wireless network, the mobile communication terminal being connected to the medical monitoring platform via a remote communication network, the wearable 12-lead remote ECG The monitoring device transmits an abnormal electrocardiogram of the subject to the medical monitoring platform through the mobile communication terminal. [0014] In another aspect, the present invention further provides a wearable 12-lead remote ECG monitoring method, which is applied to a wearable 12-lead remote ECG monitoring device, the device comprising a wearable body, An electrode interface, twelve core electrode sheets, lead wires, and an electrocardiogram analyzing unit, wherein one core electrode sheet is disposed on a back surface of the wearable body, and another eleven core electrode sheets are connected through the lead wires And connected to the electrode interface, the electrode interface is connected to the ECG analyzing unit, and the wearable 12-lead remote ECG monitoring method comprises the steps of:
[0015] 每一个心电极片采集被检测者的心电信号, 并将采集到的心电信号通过所述导 联线发送至所述电极接口上;  [0015] each cardiac electrode sheet collects the ECG signal of the subject, and sends the collected ECG signal to the electrode interface through the lead line;
[0016] 所述心电分析单元从所述电极接口获取被检测者的心电信号, 并通过信号采样 分析处理得到心电波形;  [0016] the electrocardiogram analyzing unit acquires an electrocardiogram signal of the subject from the electrode interface, and obtains an electrocardiogram waveform by using signal sampling analysis processing;
[0017] 所述心电分析单元筛选出被检测者的异常心电波形片段, 并将所述异常心电波 形片段转化为被检测者的异常心电图;  [0017] the electrocardiographic analysis unit screens out an abnormal ECG waveform segment of the subject, and converts the abnormal ECG waveform segment into an abnormal electrocardiogram of the subject;
[0018] 所述心电分析单元将被检测者的异常心电图通过无线通信接口发送至监护者的 移动通信终端上。  [0018] The ECG analyzing unit transmits the abnormal electrocardiogram of the subject to the mobile communication terminal of the guardian through the wireless communication interface.
[0019] 优选的, 所述心电分析单元筛选出被检测者的异常心电波形片段包括如下步骤 : 对心电波形进行预处理来消除部分噪声和干扰; 利用差分阈值法对预处理后 的波形进行 R点检测并存储检测信息; 利用托普金斯差分法进行 QRS波群的宽度 检测并存储; 利用分支逻辑法进行心律失常事件判断出异常的心电波形片段。  [0019] Preferably, the electrocardiographic analysis unit filters out the abnormal ECG waveform segment of the detected object, including the following steps: preprocessing the electrocardiographic waveform to eliminate part of noise and interference; using differential threshold method for pre-processing The waveform performs R point detection and stores detection information; the Toskins difference method is used to detect and store the width of the QRS complex; and the branch logic method is used to perform an arrhythmia event to determine an abnormal ECG waveform segment.
[0020] 优选的, 所述可穿戴式十二导联远程心电监护方法还包括步骤: 所述移动通信 终端通过远程通信网络将被检测者的异常心电图发送至设置在远程医疗中心的 医疗监护平台上。  [0020] Preferably, the wearable 12-lead remote ECG monitoring method further comprises the steps of: the mobile communication terminal transmitting the abnormal electrocardiogram of the detected person to the medical monitoring set in the remote medical center through the remote communication network; on the platform.
发明的有益效果  Advantageous effects of the invention
有益效果  Beneficial effect
[0021] 相较于现有技术, 本发明所述可穿戴式十二导联远程心电监护装置及其应用系 统和方法, 能够实现全天二十四小吋不间断动态地监测患者的心电信息及异常 心电图, 以供医生实吋地远程跟踪患者的心电信息及心电异常情况, 为医生远 程监测患者的心电情况提供了极大的方便。  [0021] Compared with the prior art, the wearable 12-lead remote ECG monitoring device and the application system and method thereof can dynamically monitor the heart of a patient 24 hours a day, 24 hours a day. Electrical information and abnormal electrocardiogram, for the doctor to remotely track the patient's ECG information and ECG abnormalities, providing great convenience for doctors to remotely monitor the patient's ECG.
对附图的简要说明 附图说明 Brief description of the drawing DRAWINGS
[0022] 图 1是本发明可穿戴式十二导联远程心电监护装置优选实施例的正面结构示意 图;  1 is a schematic front view showing a preferred embodiment of a wearable 12-lead remote ECG monitoring device of the present invention;
[0023] 图 2是本发明可穿戴式十二导联远程心电监护装置优选实施例的背面结构示意 图;  2 is a schematic view showing the back structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device of the present invention;
[0024] 图 3是本发明可穿戴式十二导联远程心电监护装置优选实施例的电路结构示意 图;  3 is a schematic diagram showing the circuit structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device of the present invention;
[0025] 图 4是本发明可穿戴式十二导联远程心电监护装置的应用系统优选实施例的系 统架构图;  4 is a system architecture diagram of a preferred embodiment of an application system of the wearable 12-lead remote ECG monitoring device of the present invention;
[0026] 图 5是本发明可穿戴式十二导联远程心电监护方法优选实施例的流程图。  5 is a flow chart of a preferred embodiment of the wearable 12-lead remote ECG monitoring method of the present invention.
[0027] 本发明目的实现、 功能特点及优点将结合实施例, 参照附图做进一步说明。 [0027] The objects, features, and advantages of the present invention will be further described in conjunction with the embodiments.
实施该发明的最佳实施例  BEST MODE FOR CARRYING OUT THE INVENTION
本发明的最佳实施方式  BEST MODE FOR CARRYING OUT THE INVENTION
[0028] 为更进一步阐述本发明为达成上述目的所采取的技术手段及功效, 以下结合附 图及较佳实施例, 对本发明的具体实施方式、 结构、 特征及其功效进行详细说 明。 应当理解, 此处所描述的具体实施例仅仅用以解释本发明, 并不用于限定 本发明。 The specific embodiments, structures, features and functions of the present invention are described in detail below with reference to the accompanying drawings and preferred embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
[0029] 如图 1所示, 图 1是本发明可穿戴式十二导联远程心电监护装置优选实施例的正 面结构示意图。 如图 2所示, 图 2是本发明可穿戴式十二导联远程心电监护装置 优选实施例的背面结构示意图。  1 is a front elevational view showing a preferred embodiment of a wearable 12-lead remote ECG monitoring device of the present invention. As shown in Fig. 2, Fig. 2 is a schematic view showing the back structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device of the present invention.
[0030] 在本实施例中, 所述可穿戴式十二导联远程心电监护装置 10包括可穿戴本体 1 以及设置在可穿戴本体 1边缘上的两条绑带 2, 所述绑带 2分别对称设置在可穿戴 本体 1的对边。 所述可穿戴本体 1采用轻质金属材料或者硬质橡胶制成, 所述可 穿戴本体 1的形状可以是, 但不限于, 长方形、 正方形、 圆形或其它形状。 优选 的, 本实施中的可穿戴本体 1的形状为长方形。 所述绑带 2的粘贴面设置有医用 粘胶使得所述绑带 2能够粘贴于人体胸部的皮肤而不脱落。  [0030] In the embodiment, the wearable 12-lead remote ECG monitoring device 10 includes a wearable body 1 and two straps 2 disposed on the edge of the wearable body 1, the strap 2 They are symmetrically disposed on opposite sides of the wearable body 1, respectively. The wearable body 1 is made of a lightweight metal material or a hard rubber. The shape of the wearable body 1 may be, but not limited to, a rectangular shape, a square shape, a circular shape or the like. Preferably, the shape of the wearable body 1 in the present embodiment is a rectangle. The adhesive surface of the strap 2 is provided with a medical adhesive so that the strap 2 can be attached to the skin of the human chest without falling off.
[0031] 在本实施例中, 所述可穿戴式十二导联远程心电监护装置 10还包括电极接口 3 、 多个心电极片 4和导联线 5。 所述电极接口 3可以是 USB接口或者串口接收单元 。 所述心电极片 4包括三个肢体导联电极, 三个加压导联电极和六个胸导联电极 , 用于获取的被检测者的心电信号。 在本实施例中, 其中一个心电极片 4设置在 可穿戴本体 1的背面 (参考图 2所示) , 其余十一个的心电极片 4 (图 1中仅画出 七个) 通过导联线 5连接在一起并连接至电极接口 3 (参考图 1所示) 。 当可穿戴 本体 1通过两条绑带 2粘贴于人体胸部吋, 设置在可穿戴本体 1背面的心电极片 4 用于直接采集人体胸部的心电信号, 而通过导联线 5连接在一起的心电极片 4可 以分别吸附在人体所需检测的部位, 例如腋下、 颈部、 腹部等, 用于采集所需 检测的部位的心电信号。 [0031] In the embodiment, the wearable 12-lead remote ECG monitoring device 10 further includes an electrode interface 3, a plurality of core electrode sheets 4, and a lead wire 5. The electrode interface 3 can be a USB interface or a serial port receiving unit . The core electrode sheet 4 includes three limb lead electrodes, three pressurized lead electrodes, and six chest lead electrodes for acquiring an electrocardiographic signal of the subject. In this embodiment, one of the core electrode sheets 4 is disposed on the back surface of the wearable body 1 (refer to FIG. 2), and the remaining eleven core electrode sheets 4 (only seven are shown in FIG. 1) are passed through the lead. Lines 5 are connected together and connected to electrode interface 3 (refer to Figure 1). When the wearable body 1 is attached to the chest of the human body through the two straps 2, the core electrode sheet 4 disposed on the back of the wearable body 1 is used for directly collecting the ECG signals of the human chest, and is connected by the lead wires 5 together. The core electrode sheets 4 can be respectively adsorbed on the parts of the human body to be detected, such as the underarm, the neck, the abdomen, etc., for collecting the electrocardiographic signals of the parts to be detected.
[0032] 本发明可穿戴式十二导联远程心电监护装置 10的体积小, 在被检测者进行心电 检测吋, 即需通过绑带 2将所述可穿戴本体 1粘贴于胸部位置, 并将通过导联线 5 连接在一起的心电极片 4分别吸附在人体所需检测的部位即可使用, 从而方便被 检测者随吋随地携带使用, 且操作简单, 从而方便被检测者操作使用。 此外, 由于采用十二个心电极片 4采集被检测者不同身体部位的心电信号, 且其中一个 心电极片 4设置在可穿戴本体 1的背面上, 因此可以与可穿戴本体一起直接吸附 在被检测者的胸部, 能够准确地采集到被检测者胸部的心电信号, 从而提高了 心电检测结果的准确性。 [0032] The wearable 12-lead remote ECG monitoring device 10 of the present invention has a small volume, and after the subject performs an electrocardiographic test, the wearable body 1 is pasted to the chest position by the strap 2, The core electrode sheets 4 connected together by the lead wires 5 are respectively adsorbed on the parts to be detected by the human body, so that the testees can be conveniently carried around with them, and the operation is simple, thereby facilitating the operation of the test subject. . In addition, since twelve ECG sheets 4 are used to collect ECG signals of different body parts of the subject, and one of the core electrode sheets 4 is disposed on the back surface of the wearable body 1, it can be directly adsorbed together with the wearable body. The chest of the subject can accurately collect the ECG signal of the chest of the subject, thereby improving the accuracy of the ECG detection result.
[0033]  [0033]
[0034] 如图 3所示, 图 3是本发明可穿戴式十二导联远程心电监护装置 10优选实施例的 电路结构示意图。 在本实施例中, 所述可穿戴式十二导联远程心电监护装置 10 还包括电源幵关 11、 显示屏 12、 心电分析单元 13以及微型电池 14。 参考图 1所示 , 电源幵关 11和显示屏 12设置在所述可穿戴本体 1的正面, 均电连接至所述心电 分析单元 13上。 所述心电分析单元 13以及微型电池 14设置在所述可穿戴本体 1的 内部, 所述微型电池 14电连接至所述心电分析单元 13上, 用于为所述可穿戴式 十二导联远程心电监护装置 10提供工作电源。 所述心电极片 4通过导联线 5连接 至所述电极接口 3上, 该电极接口 3电连接至所述心电分析单元 13上。  As shown in FIG. 3, FIG. 3 is a schematic diagram showing the circuit structure of a preferred embodiment of the wearable 12-lead remote ECG monitoring device 10 of the present invention. In the embodiment, the wearable 12-lead remote ECG monitoring device 10 further includes a power switch 11, a display screen 12, an electrocardiogram analyzing unit 13, and a micro battery 14. Referring to Fig. 1, a power supply switch 11 and a display screen 12 are disposed on the front surface of the wearable body 1, and are electrically connected to the electrocardiographic analysis unit 13. The electrocardiographic analysis unit 13 and the microbattery 14 are disposed inside the wearable body 1 , and the micro battery 14 is electrically connected to the electrocardiographic analysis unit 13 for the wearable twelve guide The remote telecardiograph 10 provides operational power. The core electrode sheet 4 is connected to the electrode interface 3 via a lead wire 5, which is electrically connected to the electrocardiographic analysis unit 13.
[0035] 所述心电极片 4用于采集被检测者身体不同部位的各路心电信号, 并将采集的 心电信号通过导联线 5发送至所述电极接口 3上。 所述心电分析单元 13用于从电 极接口 3获取被检测者的各路心电信号, 通过信号采样分析处理得到心电波形, 筛选出被检测者的异常心电波形片段, 并将所述异常心电波形片段转化为被检 测者的异常心电图。 具体地, 心电分析单元 13将电极接口 3的各路心电信号进行 采样吋钟和转换吋钟获得导联心电波形。 心电分析单元 13可以通过改变采样吋 钟来控制采样速率。 例如, 所述心电分析单元 13每 0.5ms或者 lms或者 2ms采样一 次, 则对应的心电信号的采样率分别为 2KSps、 IKsps和 500Sps。 [0035] The core electrode sheet 4 is configured to collect various ECG signals of different parts of the body of the subject, and send the collected ECG signals to the electrode interface 3 through the lead wire 5. The ECG analyzing unit 13 is configured to acquire each ECG signal of the detected object from the electrode interface 3, and obtain an ECG waveform by using signal sampling analysis processing. The abnormal electrocardiographic waveform segment of the subject is screened, and the abnormal ECG waveform segment is converted into an abnormal electrocardiogram of the subject. Specifically, the electrocardiogram analyzing unit 13 samples the respective electrocardiographic signals of the electrode interface 3 to obtain a lead electrocardiographic waveform by sampling a chirp and converting a chirp. The electrocardiogram analyzing unit 13 can control the sampling rate by changing the sampling clock. For example, if the ECG analyzing unit 13 samples once every 0.5 ms or 1 ms or 2 ms, the sampling rates of the corresponding ECG signals are 2 KSps, IKsps, and 500 Sps, respectively.
[0036] 所述电源幵关 11用于幵启或关闭所述可穿戴式十二导联远程心电监护装置 10进 行心电检测。 所述显示屏 12为一种 LCD或 LED显示单元, 用于实吋显示被检测者 的心电波形及异常心电图。  [0036] The power switch 11 is configured to activate or disable the wearable 12-lead remote ECG monitoring device 10 for ECG detection. The display screen 12 is an LCD or LED display unit for displaying the electrocardiogram waveform and the abnormal electrocardiogram of the subject.
[0037] 在本实施例中, 所述可穿戴式十二导联远程心电监护装置 10还包括设置在所述 可穿戴本体 1上的无线通信接口 6。 所述无线通信接口 6为一种支持蓝牙、 WiFi、 GSM、 GPRS. 3G或 4G无线传输网络的通讯接口, 用于将被检测者的心电图信 号发送至监护者或医生的移动通信终端 (例如监护者或医生的手机) 上, 以供 监护者实吋地动态了解被检测者的心电图。  [0037] In the embodiment, the wearable 12-lead remote ECG monitoring device 10 further includes a wireless communication interface 6 disposed on the wearable body 1. The wireless communication interface 6 is a communication interface supporting a Bluetooth, WiFi, GSM, GPRS. 3G or 4G wireless transmission network, and is used for transmitting the ECG signal of the detected person to the mobile communication terminal of the guardian or the doctor (for example, monitoring On the mobile phone of the doctor or the doctor, for the guardian to dynamically understand the electrocardiogram of the subject.
[0038] 所述微型电池 14用于所述可穿戴式十二导联远程心电监护装置 10提供工作电源 , 该微型电池 14是一种低辐射、 低功耗的可充电锂电池或者纽扣电池, 其不会 对使用者的健康带来影响。 所述微型电池 105还连接有一个充电端口 7, 该充电 端口 7设置在所述可穿戴本体 1上, 该充电端口 7可以为一种 USB充电接口, 该充 电端口可以为一种 USB接口或其它标准的电池充电接口, 该充电端口 7可以直接 插入外部电源 (例如电脑 USB接口或者低压稳压器等) 上对所述微型电池 14进行 充电。 当所述微型电池 14的电量用完吋, 使用者可通过所述充电端口对微型电 池 14进行充电, 从而延长可穿戴式十二导联远程心电监护装置 10的使用周期。  [0038] The micro battery 14 is used for providing the working power supply to the wearable 12-lead remote ECG monitoring device 10, which is a low-radiation, low-power rechargeable lithium battery or button battery. , it will not affect the health of users. The charging port 7 is also connected to the wearable body 1. The charging port 7 can be a USB charging interface, and the charging port can be a USB interface or the like. A standard battery charging interface that can be directly plugged into an external power source (such as a computer USB interface or a low voltage regulator, etc.) to charge the miniature battery 14. When the power of the microbattery 14 is used up, the user can charge the microbattery 14 through the charging port, thereby extending the life cycle of the wearable 12-lead remote ECG monitoring device 10.
[0039]  [0039]
[0040] 如图 4所示, 图 4是本发明可穿戴式十二导联远程心电监护装置的系统优选实施 例的应用系统架构图。 在本实施例中, 所述应用系统包括可穿戴式十二导联远 程心电监护装置 10、 移动通信终端 20以及医疗监护平台 30。 所述可穿戴式十二 导联远程心电监护装置 10通过无线网络 40连接至所述移动通信终端 20, 该移动 通信终端 20通过远程通信网络 50连接至所述医疗监护平台 30。 所述无线网络 40 包括但不仅限于, 蓝牙、 WiFi等无线传输网络, 所述远程通信网络 50包括但不 仅限于, GSM网络、 GPRS网络、 CDMA等无线传输网络。 所述可穿戴式十二导 联远程心电监护装置 10为一种佩戴在被检测者 (例如心脏病患者) 胸部位置。 所述移动通信终端 20包括, 但不仅限于, 手机、 个人数字辅助设备 (PDA) , 掌上电脑等无线通讯设备。 所述医疗监护平台 30为一种设置在医疗监测中心的 远程监控设备或服务器等。 [0040] As shown in FIG. 4, FIG. 4 is a structural diagram of an application system of a preferred embodiment of a system for a wearable 12-lead remote ECG monitoring device of the present invention. In this embodiment, the application system includes a wearable 12-lead remote ECG monitoring device 10, a mobile communication terminal 20, and a medical monitoring platform 30. The wearable 12-lead telecardiograph 10 is connected to the mobile communication terminal 20 via a wireless network 40, which is connected to the medical monitoring platform 30 via a remote communication network 50. The wireless network 40 includes, but is not limited to, a wireless transmission network such as Bluetooth, WiFi, etc., the remote communication network 50 includes but not It is limited to wireless transmission networks such as GSM network, GPRS network, and CDMA. The wearable 12-lead telecardiograph 10 is a chest position worn by a subject (eg, a heart patient). The mobile communication terminal 20 includes, but is not limited to, a wireless communication device such as a mobile phone, a personal digital assistant (PDA), a palmtop computer, or the like. The medical monitoring platform 30 is a remote monitoring device or server or the like disposed at the medical monitoring center.
[0041] 在本实施例中, 所述可穿戴式十二导联远程心电监护装置 10用于全天 24小吋实 吋动态地采集被检测者的心电信号并形成心电图, 并将所述检测者的心电图通 过无线网络 40发送至所述移动通信终端 20上进行显示, 以供监护者实吋地动态 了解被检测者的心电图。 所述移动通信终端 20通过远程通信网络 50将所述被检 测者的心电图传输到设置在医疗监测中心的医疗监护平台 30上, 以供医生实吋 地远程跟踪被检测者的心电情况。  [0041] In this embodiment, the wearable 12-lead remote ECG monitoring device 10 is configured to dynamically collect the ECG signal of the subject and form an electrocardiogram 24 hours a day. The electrocardiogram of the examiner is transmitted to the mobile communication terminal 20 via the wireless network 40 for display, so that the guardian can dynamically understand the electrocardiogram of the subject. The mobile communication terminal 20 transmits the electrocardiogram of the subject to the medical monitoring platform 30 disposed at the medical monitoring center via the remote communication network 50, so that the doctor can remotely track the electrocardiogram of the subject remotely.
[0042] 本发明所述可穿戴式十二导联远程心电监护装置 10将采集的心电数据发送至外 部的移动通信终端 20, 再由外部的移动通信终端 20发送至远程的医疗监护平台 3 0进行存储, 从而实现了心电数据与医疗中心对接, 实现了医生对患者心电图的 远程同步监护。 因此使得医生能够全天二十四小吋不间断动态地监测心脏病患 者的心电图, 方便了医生在日常心电检测中远程跟踪心脏病患者的心电数据。 此外, 由于采用了外部的移动通信终端 20作为传送心电数据到远程的医疗监护 平台 30上, 从而降低了本发明所述可穿戴式十二导联远程心电监护装置 10的硬 件配置需求, 既节省了成本又实现心电数据的远程同步监护。  [0042] The wearable 12-lead remote ECG monitoring device 10 of the present invention transmits the collected ECG data to the external mobile communication terminal 20, and then is sent by the external mobile communication terminal 20 to the remote medical monitoring platform. 30 0 is stored, thereby realizing the connection between the ECG data and the medical center, and realizing the remote synchronous monitoring of the patient's electrocardiogram by the doctor. This allows doctors to monitor the electrocardiogram of heart disease patients 24 hours a day, 24 hours a day, and it is convenient for doctors to remotely track cardiac data of heart patients in daily ECG testing. In addition, since the external mobile communication terminal 20 is used as the transmitting ECG data to the remote medical monitoring platform 30, the hardware configuration requirements of the wearable 12-lead remote ECG monitoring device 10 of the present invention are reduced. It saves costs and realizes remote synchronous monitoring of ECG data.
[0043]  [0043]
[0044] 此外, 本发明还提供了一种可穿戴式十二导联远程心电监护方法, 应用于可穿 戴式十二导联远程心电监护装置 10中, 能够准确筛选出被检测者的异常心电图 并发送至外部的移动通信终端 20和远程的医疗监护平台 30, 以供医生在日常心 电检测中远程跟踪患者的心电情况。  [0044] In addition, the present invention also provides a wearable 12-lead remote ECG monitoring method, which is applied to the wearable 12-lead remote ECG monitoring device 10, and can accurately screen out the detected object. The abnormal electrocardiogram is sent to the external mobile communication terminal 20 and the remote medical monitoring platform 30 for the doctor to remotely track the patient's ECG condition in the daily ECG detection.
[0045] 如图 5所示, 图 5是本发明可穿戴式十二导联远程心电监护方法优选实施例的流 程图。 在本实施例中, 所述可穿戴式十二导联远程心电监护方法包括步骤: [0045] As shown in FIG. 5, FIG. 5 is a flow chart of a preferred embodiment of the wearable 12-lead remote ECG monitoring method of the present invention. In this embodiment, the wearable 12-lead remote ECG monitoring method includes the following steps:
[0046] 步骤 S51, 每一个心电极片 4采集被检测者的心电信号, 并将采集到的心电信号 通过导联线 5发送至电极接口 3上。 [0047] 步骤 S52, 心电分析单元 13从所述电极接口 3获取被检测者的心电信号, 并通过 信号采样分析处理得到心电波形。 在本实施例中, 所述心电分析单元 13将电极 接口 3的各路心电信号进行采样吋钟和转换吋钟获得导联心电波形。 心电分析单 元 13可以通过改变采样吋钟来控制采样速率。 例如, 所述心电分析单元 13每 0.5 ms或者 lms或者 2ms采样一次, 则对应的心电信号的采样率分别为 2KSps、 IKsps 和 500Sps。 [0046] Step S51, each ECG sheet 4 collects an ECG signal of the subject, and sends the collected ECG signal to the electrode interface 3 through the lead wire 5. [0047] Step S52, the electrocardiogram analyzing unit 13 acquires the ECG signal of the subject from the electrode interface 3, and obtains an electrocardiogram waveform by the signal sampling analysis process. In the present embodiment, the electrocardiographic analysis unit 13 samples the electrocardiographic signals of the electrode interfaces 3 by sampling the chirp clock and converting the chirp clock to obtain a lead electrocardiogram waveform. The electrocardiogram analyzing unit 13 can control the sampling rate by changing the sampling clock. For example, if the ECG analysis unit 13 samples every 0.5 ms or 1 ms or 2 ms, the sampling rates of the corresponding ECG signals are 2 KSps, IKsps, and 500 Sps, respectively.
[0048] 步骤 S53, 心电分析单元 13筛选出被检测者的异常心电波形片段, 并将所述异 常心电波形片段转化为被检测者的异常心电图。 在本实施中, 心电分析单元 13 通过筛选异常心电波形片段能够自动找出具有异常心电信息的患者, 从而提高 了医生筛査具有心电异常患者的效率及准确性。  [0048] Step S53, the electrocardiogram analyzing unit 13 filters out the abnormal ECG waveform segment of the subject, and converts the abnormal ECG waveform segment into an abnormal electrocardiogram of the subject. In the present embodiment, the electrocardiographic analysis unit 13 can automatically identify patients with abnormal ECG information by screening abnormal ECG waveform segments, thereby improving the efficiency and accuracy of the doctor in screening patients with abnormal electrocardiogram.
[0049] 其中, 所述心电分析单元 13筛选出被检测者的异常心电波形片段的步骤包括如 下步骤: 对心电波形进行预处理来消除部分噪声和干扰; 利用差分阈值法对预 处理后的波形进行 R点检测并存储检测信息; 利用 Tompkins (托普金斯) 进行 Q RS波群的宽度检测并存储; 利用分支逻辑法进行心律失常事件判断出异常的心 电波形片段。 其中, 常规的心电波形为 QRS波群, 它反映左、 右心室按一定顺序 的去极化过程, 历吋 0.06〜0.10s。 QRS波群中第一个向下的波称为 Q波, 第一个 向上的波称为 R波, 在 R波后面向下的波称为 S波。 差分阈值法就是通过检测心电 信号序列对吋间的导数, 即斜率的变化来实现 QRS波群定位。 Tompkins (托普 金斯) 差分法为采用前向差分求一阶微分的绝对值, 采用后向差分求二阶微分 的绝对值, 再采用五点平均滤波分别对其进行平滑整流, 把两者的结果直接相 加得到具有双峰的波形曲线。 分支逻辑法就是结合医生专家经验, 依据所提取 的心电特征值和医生专家经验阈值作逻辑关系运算。  [0049] wherein, the step of filtering the abnormal ECG waveform segment of the detected object by the electrocardiogram analyzing unit 13 comprises the following steps: preprocessing the electrocardiographic waveform to eliminate part of noise and interference; using differential threshold method for preprocessing The waveform after the R point is detected and the detection information is stored; the width of the Q RS group is detected and stored by Tompkins; and the arrhythmia event is determined by the branch logic method to determine the abnormal ECG waveform segment. Among them, the conventional ECG waveform is QRS complex, which reflects the depolarization process of the left and right ventricles in a certain order, with a history of 0.06~0.10s. The first downward wave in the QRS complex is called the Q wave, the first upward wave is called the R wave, and the downward wave after the R wave is called the S wave. The differential threshold method is to realize the QRS complex positioning by detecting the derivative of the ECG signal sequence, that is, the change of the slope. The Tompkins difference method is to use the forward difference to find the absolute value of the first-order differential, and the backward difference to find the absolute value of the second-order differential, and then use five-point average filtering to smooth-rect them separately. The results are directly added to obtain a waveform with a double peak. The branch logic method is based on the experience of doctors and experts, based on the extracted ECG feature values and the doctor's expert experience threshold for logical relationship calculation.
[0050] 步骤 S54, 心电分析单元 13将被检测者的异常心电图通过无线通信接口 6发送至 监护者的移动通信终端 20上, 以供监护者对被检测者进行紧急救护措施, 例如 拨打 120通知医疗人员进行紧急救护。 [0050] Step S54, the electrocardiogram analyzing unit 13 sends the abnormal electrocardiogram of the detected person to the mobile communication terminal 20 of the guardian through the wireless communication interface 6, so that the guardian can perform emergency ambulance measures on the detected subject, for example, dial 120. Inform medical personnel for emergency care.
[0051] 步骤 S55, 移动通信终端 20通过远程通信网络 50将被检测者的异常心电图发送 至设置在远程医疗中心的医疗监护平台 30上, 以供医生实吋地远程跟踪被检测 者的心电情况并对异常心电的患者进行紧急救护。 [0052] [0051] Step S55, the mobile communication terminal 20 transmits the abnormal electrocardiogram of the detected person to the medical monitoring platform 30 disposed at the remote medical center through the remote communication network 50, so that the doctor can remotely track the heart of the detected subject. The situation is urgently ambulanced for patients with abnormal ECG. [0052]
[0053] 以上仅为本发明的优选实施例, 并非因此限制本发明的专利范围, 凡是利用本 发明说明书及附图内容所作的等效结构或等效功能变换, 或直接或间接运用在 其他相关的技术领域, 均同理包括在本发明的专利保护范围内。  The above are only the preferred embodiments of the present invention, and are not intended to limit the scope of the invention, and the equivalent structure or equivalent function transformations made by the description of the invention and the drawings are directly or indirectly applied to other related The technical field is equally included in the scope of patent protection of the present invention.
工业实用性  Industrial applicability
[0054] 相较于现有技术, 本发明所述可穿戴式十二导联远程心电监护装置及其应用系 统和方法, 能够实现全天二十四小吋不间断动态地监测患者的心电信息及异常 心电图, 以供医生实吋地远程跟踪患者的心电信息及心电异常情况, 为医生远 程监测患者的心电情况提供了极大的方便。  Compared with the prior art, the wearable 12-lead remote ECG monitoring device and the application system and method thereof can dynamically monitor the heart of a patient 24 hours a day, 24 hours a day. Electrical information and abnormal electrocardiogram, for the doctor to remotely track the patient's ECG information and ECG abnormalities, providing great convenience for doctors to remotely monitor the patient's ECG.

Claims

权利要求书 Claim
[权利要求 1] 一种可穿戴式十二导联远程心电监护装置, 包括可穿戴本体, 其特征 在于, 该装置还包括电极接口、 十二个心电极片、 导联线和心电分析 单元, 其中一个心电极片设置在所述可穿戴本体的背面, 另外十一个 心电极片通过所述导联线连接在一起并连接至所述电极接口上, 所述 电极接口连接至所述心电分析单元上, 其中: 每一个心电极片用于采 集被检测者的心电信号, 并将采集到的心电信号通过所述导联线发送 至所述电极接口上; 所述心电分析单元用于从所述电极接口获取被检 测者的心电信号, 通过信号采样分析处理得到心电波形, 筛选出被检 测者的异常心电波形片段, 并将所述异常心电波形片段转化为被检测 者的异常心电图。  [Claim 1] A wearable 12-lead remote ECG monitoring device, comprising a wearable body, wherein the device further comprises an electrode interface, twelve cardiac electrodes, lead wires, and electrocardiogram analysis a unit, one of the core electrode sheets is disposed on a back surface of the wearable body, and the other eleven core electrode sheets are connected together through the lead wire and connected to the electrode interface, and the electrode interface is connected to the On the electrocardiogram analyzing unit, wherein: each of the core electrode sheets is configured to collect an electrocardiographic signal of the subject, and send the collected electrocardiographic signal to the electrode interface through the lead wire; The analyzing unit is configured to obtain an electrocardiogram signal of the subject from the electrode interface, obtain an electrocardiogram waveform by signal sampling analysis, filter out an abnormal ECG waveform segment of the detected object, and convert the abnormal ECG waveform segment into An abnormal electrocardiogram for the subject.
[权利要求 2] 如权利要求 1所述的可穿戴式十二导联远程心电监护装置, 其特征在 于, 该装置还包括连接至所述心电分析单元上的显示屏, 该显示屏设 置在所述可穿戴本体的正面, 用于显示被检测者的心电波形及异常心 电图。  [Claim 2] The wearable 12-lead remote ECG monitoring device according to claim 1, further comprising a display screen connected to the electrocardiographic analysis unit, the display screen setting On the front side of the wearable body, the electrocardiogram waveform and the abnormal electrocardiogram of the subject are displayed.
[权利要求 3] 如权利要求 1所述的可穿戴式十二导联远程心电监护装置, 其特征在 于, 该装置还包括连接至所述心电分析单元上的无线通信接口, 该无 线通信接口是支持蓝牙或 /及 WiFi无线传输网络的通讯端口。  [Claim 3] The wearable 12-lead remote ECG monitoring device according to claim 1, further comprising a wireless communication interface connected to the electrocardiographic analysis unit, the wireless communication The interface is a communication port that supports Bluetooth or/and WiFi wireless transmission networks.
[权利要求 4] 如权利要求 1所述的可穿戴式十二导联远程心电监护装置, 其特征在 于, 所述十二个心电极片包括三个肢体导联电极, 三个加压导联电极 和六个胸导联电极。  [Claim 4] The wearable 12-lead remote ECG monitoring device according to claim 1, wherein the twelve core electrode sheets comprise three limb lead electrodes, and three pressurization guides A joint electrode and six chest lead electrodes.
[权利要求 5] 如权利要求 1所述的可穿戴式十二导联远程心电监护装置, 其特征在 于, 所述电极接口是 USB数据接口或者串联数据接口。  [Claim 5] The wearable 12-lead remote ECG monitoring device according to claim 1, wherein the electrode interface is a USB data interface or a serial data interface.
[权利要求 6] 如权利要求 1所述的可穿戴式十二导联远程心电监护装置, 其特征在 于, 所述可穿戴本体的边缘对称设置有两条绑带, 该绑带的粘贴面设 置有医用粘胶。  [Claim 6] The wearable 12-lead remote ECG monitoring device according to claim 1, wherein the wearable body has symmetrically disposed two straps, and the adhesive surface of the strap Set with medical adhesive.
[权利要求 7] —种包含如权利要求 1至 6任一项所述的可穿戴式十二导联远程心电监 护装置的应用系统, 其特征在于, 该应用系统还包括所述移动通信终 端以及医疗监护平台, 所述可穿戴式十二导联远程心电监护装置通过 无线网络连接至所述移动通信终端, 所述移动通信终端通过远程通信 网络连接至所述医疗监护平台, 所述可穿戴式十二导联远程心电监护 装置将被检测者的异常心电图通过所述移动通信终端发送至所述医疗 监护平台。 [Attachment 7] An application system comprising the wearable 12-lead remote ECG monitoring device according to any one of claims 1 to 6, wherein the application system further comprises the mobile communication terminal And the medical monitoring platform, the wearable 12-lead remote ECG monitoring device is connected to the mobile communication terminal via a wireless network, and the mobile communication terminal is connected to the medical monitoring platform via a remote communication network, The wearable 12-lead remote ECG monitoring device transmits an abnormal electrocardiogram of the subject to the medical monitoring platform through the mobile communication terminal.
[权利要求 8] 一种可穿戴式十二导联远程心电监护方法, 应用于可穿戴式十二导联 远程心电监护装置中, 该装置包括可穿戴本体, 其特征在于, 该装置 还包括电极接口、 十二个心电极片、 导联线和心电分析单元, 其中一 个心电极片设置在所述可穿戴本体的背面, 另外十一个心电极片通过 所述导联线连接在一起并连接至所述电极接口上, 所述电极接口连接 至所述心电分析单元上, 所述可穿戴式十二导联远程心电监护方法包 括步骤: 每一个心电极片采集被检测者的心电信号, 并将采集到的心 电信号通过所述导联线发送至所述电极接口上; 所述心电分析单元从 所述电极接口获取被检测者的心电信号, 并通过信号采样分析处理得 到心电波形; 所述心电分析单元筛选出被检测者的异常心电波形片段 , 并将所述异常心电波形片段转化为被检测者的异常心电图; 所述心 电分析单元将被检测者的异常心电图通过无线通信接口发送至监护者 的移动通信终端上。  [Claim 8] A wearable 12-lead remote ECG monitoring method for use in a wearable 12-lead remote ECG monitoring device, the device comprising a wearable body, wherein the device further The utility model comprises an electrode interface, twelve core electrode sheets, a lead wire and an electrocardiogram analyzing unit, wherein one core electrode sheet is disposed on a back surface of the wearable body, and another eleven core electrode sheets are connected through the lead wire Connected to the electrode interface together, the electrode interface is connected to the electrocardiographic analysis unit, and the wearable 12-lead remote ECG monitoring method comprises the steps of: collecting the detected object for each cardiac electrode piece An ECG signal, and the collected ECG signal is sent to the electrode interface through the lead wire; the ECG analyzing unit acquires an ECG signal of the detected object from the electrode interface, and passes the signal The sampling analysis process obtains an electrocardiogram waveform; the ECG analysis unit filters out an abnormal ECG waveform segment of the detected object, and converts the abnormal ECG waveform segment into a detected An abnormal electrocardiogram; the electrocardiographic analysis unit transmits the abnormal electrocardiogram of the subject to the mobile communication terminal of the guardian through the wireless communication interface.
[权利要求 9] 如权利要求 8所述的可穿戴式十二导联远程心电监护方法, 其特征在 于, 所述心电分析单元筛选出被检测者的异常心电波形片段包括如下 步骤: 对心电波形进行预处理来消除部分噪声和干扰; 利用差分阈值 法对预处理后的波形进行 R点检测并存储检测信息; 利用托普金斯差 分法进行 QRS波群的宽度检测并存储; 利用分支逻辑法进行心律失常 事件判断出异常的心电波形片段。  [Claim 9] The wearable 12-lead remote ECG monitoring method according to claim 8, wherein the electrocardiographic analysis unit screens out the abnormal ECG waveform segment of the subject, and includes the following steps: Pre-processing the ECG waveform to eliminate some noise and interference; Using the differential threshold method to perform R-point detection on the pre-processed waveform and storing the detection information; Using the Topkins difference method to detect and store the width of the QRS complex; A branching logic method is used to perform an arrhythmia event to determine an abnormal ECG waveform segment.
[权利要求 10] 如权利要求 8所述的可穿戴式十二导联远程心电监护方法, 其特征在 于, 该方法还包括步骤: 所述移动通信终端通过远程通信网络将被检 测者的异常心电图发送至设置在远程医疗中心的医疗监护平台上。  [Attachment 10] The wearable 12-lead remote ECG monitoring method according to claim 8, wherein the method further comprises the step of: the mobile communication terminal is abnormal of the detected object through the remote communication network The ECG is sent to the medical monitoring platform set up at the telemedicine center.
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