WO2023236705A1 - Wearable defibrillation system - Google Patents

Wearable defibrillation system Download PDF

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Publication number
WO2023236705A1
WO2023236705A1 PCT/CN2023/092898 CN2023092898W WO2023236705A1 WO 2023236705 A1 WO2023236705 A1 WO 2023236705A1 CN 2023092898 W CN2023092898 W CN 2023092898W WO 2023236705 A1 WO2023236705 A1 WO 2023236705A1
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WO
WIPO (PCT)
Prior art keywords
patch
module
segment
block
ecg
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PCT/CN2023/092898
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French (fr)
Chinese (zh)
Inventor
张建锋
于鹏
Original Assignee
创领心律管理医疗器械(上海)有限公司
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Publication of WO2023236705A1 publication Critical patent/WO2023236705A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • 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
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators

Definitions

  • the present invention relates to the technical field of medical devices, and in particular to a wearable defibrillation system.
  • AEDs portable automated external defibrillators
  • AEDs are usually used as public facilities and generally include a host (including ECG monitoring module, defibrillation module, sound, indication or display, battery, etc.), defibrillation electrode patches, several cables, and storage bags.
  • ECG monitoring module including ECG monitoring module, defibrillation module, sound, indication or display, battery, etc.
  • defibrillation electrode patches including ECG monitoring module, defibrillation module, sound, indication or display, battery, etc.
  • the third party completes a series of operations such as assisting patching, turning on the device, and defibrillation according to the prompts.
  • the AED is relatively portable and can automatically deliver defibrillation pulses. However, it is usually still necessary to have additional personnel assist to complete the defibrillation treatment when the patient becomes ill.
  • AEDs are relatively expensive, cannot monitor the patient's heart activity for a long time, and are inconvenient for individuals to carry for a long time. Therefore, a device that can monitor arrhythmia for a long time and automatically deliver defibrillation pulses on demand is very urgent and important.
  • the purpose of the present invention is to provide a wearable defibrillation system to solve the problem that the existing AED cannot monitor the patient's cardiac electrical activity for a long time and still requires a third party to participate in the defibrillation process.
  • the present invention provides a wearable defibrillation system, which includes: an upper patch assembly and a lower patch assembly;
  • the upper patch component and the lower patch component are connected through cables; the upper patch component is used to collect ECG signals and deliver defibrillation pulses;
  • the lower patch component includes an ECG monitoring module, a high voltage module and a control module.
  • the ECG monitoring module is used to obtain the ECG signals collected by the upper patch component; the control module is based on the ECG monitoring The ECG signal acquired by the module controls the high-voltage module to transmit defibrillation pulses to the upper patch component.
  • the upper patch assembly includes a first patch segment and a second patch segment, the first patch segment and the second patch segment are insulated from each other; the first patch segment is used to collect electrocardiogram signals, The mentioned The two patch segments are used to deliver defibrillation pulses; wherein the first patch segment and the second patch segment are configured to selectively turn on one of them and turn off the other.
  • the upper patch assembly further includes a third patch segment, which is insulated from the first patch segment and the second patch segment; the third patch segment is used to collect heartbeats. electrical signal; wherein, the first patching segment serves as the main collection end, and the third patching segment serves as an auxiliary collection end; the ECG monitoring module is used to collect data based on the first patching segment and the third patching segment. Collected ECG signals to confirm ECG events.
  • the second sticker segment when the second sticker segment is configured to be on, the first sticker segment and the third sticker segment are turned off; the first sticker segment and the third sticker segment are configured to be on. , the second posted fragment is closed.
  • the lower patch assembly also includes an impedance measurement module and at least two loop patch segments, all of the loop patch segments are insulated from each other; the impedance measurement module is used to detect at least two of the loop patch segments respectively.
  • the impedance of the segment and the upper patch component; the control module selects one of the loop patch segments as the main loop end, and the remaining loop patch segments as auxiliary loop ends based on the impedance detected by the impedance measurement module.
  • At least one of the loop patch segments is configured to be conductive.
  • the lower patch assembly includes a flexible substrate and at least two independent blocks, all of the blocks are connected to the same side of the flexible substrate, and the other side of the flexible substrate is used to fit on the On a predetermined part of the human body; wherein, the ECG monitoring module and the control module are located in the same block, and the high-voltage module is located in another block.
  • all the blocks are arranged along an extension direction of the flexible substrate and have gaps between each other to allow the flexible substrate to bend along the extension direction.
  • the lower patch assembly includes three blocks, and also includes a battery module and an impedance measurement module.
  • the battery module is located in the first block; the control module, the ECG monitoring module The module and the impedance measurement module are located in the second block; the high voltage module is located in the third block.
  • the battery module includes a plurality of cylindrical batteries, the plurality of batteries are arranged along the extending direction, and the first block where the battery module is located is located on the second block. block and the third block, and the first block where the battery module is located can be bent along the extending direction.
  • the two blocks of the second block and the third block are configured to be rigid and inflexible.
  • the lower patch assembly also includes a filter module, a wireless communication module, a wireless charging module, a storage module, a sensor module and a human-computer interaction module located in the second block.
  • the lower patch assembly also includes a high-voltage circuit monitoring module and a switch array module located in the third block.
  • the wearable defibrillation system includes an upper patch assembly and a lower patch assembly; the upper patch assembly and the lower patch assembly are connected through cables; the upper patch assembly Used to collect ECG signals and deliver defibrillation pulses; the lower patch component includes an ECG monitoring module, a high voltage module and a control module, and the ECG monitoring module is used to acquire the ECG signals collected by the upper patch component; The control module transmits defibrillation pulses to the upper patch assembly based on the ECG signal acquired by the ECG monitoring module.
  • the upper patch component can be attached to the area close to the heart, and the lower patch component can be attached using cable extensions at a location that does not affect daily life.
  • the entire wearable defibrillation system can fit the skin, avoiding the attachment of larger devices near the heart. It has the functions of long-term monitoring and automatic defibrillation, and is very convenient to use.
  • the entire wearable defibrillation system can be used for both ECG sensing and defibrillation pulse delivery, effectively avoiding unintentional false discharges.
  • Figure 1 is a schematic diagram of an application scenario of a wearable defibrillation system according to an embodiment of the present invention
  • Figure 2 is a module schematic diagram of a wearable defibrillation system according to an embodiment of the present invention
  • Figure 3 is a schematic view of the front of the lower patch assembly according to the embodiment of the present invention.
  • FIG. 4 is a schematic view of the back side of the lower patch assembly according to the embodiment of the present invention.
  • first”, “second” and “third” may explicitly or implicitly include one or at least two of these features, “one end” and “other end” and “proximal end” and “Remote” usually refers to the two corresponding parts, which includes not only the endpoint.
  • “mounted”, “connected”, “connected”, one element is “disposed” on another element should be interpreted broadly, and usually only mean that there is a connection, coupling, or connection between the two elements.
  • the purpose of the present invention is to provide a wearable defibrillation system to solve the problem that the existing AED cannot monitor the patient's cardiac electrical activity for a long time and still requires a third party to participate in the defibrillation process.
  • An embodiment of the present invention provides a wearable defibrillation system, which includes an upper patch component 1 and a lower patch component 2; the upper patch component 1 and the lower patch component 2 Connected by cable 3; the upper patch component 1 is used to collect ECG signals and deliver defibrillation pulses; the lower patch component 2 includes an ECG monitoring module 21, a high voltage module 22 and a control module 23.
  • the electrical monitoring module 21 is used to obtain the ECG signal collected by the upper patch assembly 1; the control module 23 controls the high voltage module 22 to apply the ECG signal to the upper patch based on the ECG signal acquired by the ECG monitoring module 21.
  • Chip assembly 1 delivers defibrillation pulses.
  • the attachment position of the upper patch component 1 should ensure that good ECG signals can be collected.
  • the entire wearable defibrillation system includes two main functions, one is the ECG detection function, and the other is the defibrillation function.
  • the ECG detection function is mainly realized through the upper patch component 1, the ECG monitoring module 21 and the control module 23.
  • the upper patch component 1 is used to collect ECG signals and transmit them to the ECG monitoring module 21.
  • the ECG monitoring module 21 can monitor whether the ECG signals contain abnormal heart rhythm events.
  • the defibrillation function is mainly realized through the upper patch assembly 1, the control module 23 and the high-voltage module 22.
  • the control module 23 controls the high-voltage module 22 to generate a high-energy defibrillation pulse.
  • the high-energy defibrillation pulse is transmitted to the upper patch assembly 1 through the cable, and the defibrillation pulse is sent to the human body.
  • the defibrillation pulse and the defibrillation pulse flow through the heart and form a circuit to the lower patch component 2 to achieve the defibrillation effect.
  • the upper patch component 1 can be attached to the area close to the heart, and the lower patch component 2 can be extended and attached with the cable 3 without affecting the heart.
  • the entire wearable defibrillation system can fit the skin, avoiding the attachment of larger devices near the heart, and realizing long-term monitoring and automatic defibrillation functions.
  • the entire wearable defibrillation system can be used for both ECG sensing and defibrillation pulse delivery, effectively avoiding unintentional false discharges.
  • the upper patch assembly 1 includes a first patch segment 11 and a second patch segment 12.
  • the first patch segment 11 and the second patch segment 12 are insulated from each other; the first patch segment 11 is To collect ECG signals, the second patch segment 12 is used to deliver defibrillation pulses; wherein, the first patch segment 11 and the second patch segment 12 are configured to selectively conduct one of the first patch segment 11 and the other patch segment 12 to turn off.
  • First post clips 11 and 1 The two patch segments 12 can be coupled and connected to the lower patch assembly 2 through cables respectively. It can be understood that both the first patch segment 11 and the second patch segment 12 have good conductivity and adhesion, and can be adhered to human skin, for example.
  • the first patch segment 11 and the second patch segment 12 are set up separately and have different functions.
  • the first patch segment 11 is used to collect ECG signals, while the second patch segment 12 is used to deliver defibrillation pulses. They do not lead at the same time.
  • the second patch segment 12 is closed, and when the defibrillation pulse is sent, the first patch segment 11 is closed.
  • the upper patch component 1 further includes a third patch segment 13, which is insulated from the first patch segment 11 and the second patch segment 12; the third patch segment 13 is insulated from each other. 13 is used to collect ECG signals; wherein, the first patch segment 11 serves as the main collection end, and the third patch segment 13 serves as an auxiliary collection end; the ECG monitoring module 21 is used to monitor the electrocardiogram according to the first patch segment. 11 and the ECG signal collected by the third patch segment 13 to confirm the ECG event.
  • the third patch segment 13 is mainly a set of redundant patches, which can prevent the first patch segment 11 from falling off or being loosely attached, resulting in failure to collect ECG signals.
  • the ECG monitoring module 21 when it detects certain ECG events, it can simultaneously collect the signals of the first patch segment 11 and the third patch segment 13 and confirm the ECG event based on the two signals. This can effectively avoid measurement deviations caused by interference in a certain patch segment.
  • the second patch segment 12 when configured to be turned on, the first patch segment 11 and the third patch segment 13 are turned off; the first patch segment 11 and the third patch segment 13 are closed. When configured to conduct, the second sticker segment 12 is closed.
  • the first sticker segment 11 , the second sticker segment 12 and the third sticker segment 13 are arranged vertically.
  • the second sticker segment 12 is longer and is located in the middle, while the first sticker segment 12 is longer and located in the middle.
  • Fragment 11 is at the bottom, and the third post, fragment 13, is at the top.
  • the first sticker segment 11 may also be arranged above and the third sticker segment 13 may be arranged below, and the present invention is not limited to this.
  • the lower patch assembly 2 also includes an impedance measurement module 24 and at least two loop patch segments 25. All the loop patch segments 25 are interconnected. Insulation; the impedance measurement module 24 is used to detect the impedances of at least two circuit patch segments 25 and the upper patch component 1 respectively; the control module 23 selects based on the impedance detected by the impedance measurement module 24 One of the loop patch segments 25 serves as the main loop terminal, and the remaining loop patch segments 25 serve as auxiliary loop ends.
  • the upper patch component 1 and the lower patch component 2 need to form a loop.
  • the arrangement of at least two loop patch segments 25 is essentially redundant to each other.
  • the impedance measurement module 24 can be used to regularly measure the impedance of each loop path to detect whether the fit degree of each patch segment meets the requirements.
  • the impedance measurement module 24 can measure different values in the upper and lower patch components.
  • the combined paths are individually measured for impedance.
  • the impedances between the first patch segment 11 and the three loop patch segments 25 are detected, and according to a certain algorithm, the loop patch segment 25 that fits better among the three loop patch segments 25 is selected as the main path.
  • Perform an ECG test . Table 1 below shows the path screening situation during ECG detection:
  • Three of the loop patch segments 25 can be respectively determined as the main loop end and the auxiliary loop end according to the impedance with the first patch segment 11 .
  • At least one of the loop patch segments 25 is configured to be conductive.
  • the second patch segment 12 may be connected to one, two, or all three of the three circuit patch segments 25 .
  • both the first post segment 11 and the third post segment 13 remain closed. Table 2 below shows the situation of each patch during defibrillation:
  • loop patch segments 25 are only an example and do not limit the number of loop patch segments 25 . Those skilled in the art can choose a greater or lesser number of loop stickers based on actual conditions. Fragment 25.
  • the lower patch assembly 2 includes a flexible substrate 26 and at least two mutually independent blocks 27. All of the blocks 27 are in contact with the flexible The same side of the flexible substrate 26 (shown in Figure 3, called the front) is connected, and the other side of the flexible substrate 26 (shown in Figure 4, called the back) is used to fit on a predetermined part of the human body; wherein, The ECG monitoring module 21 and the control module 23 are located in the same block 27 , and the high-voltage module 22 is located in another block 27 . Separating the high-voltage module 22 from the control module 23 and the ECG monitoring module 21 in different blocks 27 is beneficial to reducing mutual interference. Preferably, different blocks 27 can be connected through a flexible bus 4 to realize communication and information exchange between the separate blocks 27 .
  • the lower patch assembly 2 includes three blocks 27 , which are generally arranged in the direction from left to right. It can be understood that due to the gap 28 between the three blocks 27, the flexible substrate 26 can be bent in the direction from left to right, so that it can fit more compliantly on a predetermined part of the human body. It should be noted that the above three blocks 27 are only an example and do not limit the number of blocks 27 . Those skilled in the art can select a greater or lesser number of blocks 27 based on actual conditions.
  • the battery module 29 includes a plurality of cylindrical batteries, and the plurality of batteries are arranged along the extension direction (meaning that the axial direction of the cylindrical batteries is perpendicular to the extension direction).
  • the battery module 29 The block 27 is located in the middle of the three blocks 27 , and the block 27 where the battery module 29 is located can be bent along the extending direction.
  • the battery can be a rechargeable battery, for example, it can be in the shape of a cylinder.
  • the outer contour of the middle block 27 can be set in a wavy shape according to the outer contour shape of the battery and wrapped with a flexible material.
  • the block where the battery module 29 is located can The body 27 can be bent along the extending direction, further improving the fit compliance of the lower patch component 2 and making it easier to attach to the human body.
  • the two blocks 27 located on both sides can be configured to be rigid and inflexible due to the circuit boards provided inside them. It can be understood that the positions of the three blocks 27 are not limited to the arrangement shown in the above example. Skills in the art The technician can adjust the arrangement position of each block 27 according to actual conditions.
  • the second block 27 also includes a filtering module, a wireless communication module, a wireless charging module, a storage module, a sensor module and a human-computer interaction module. wait.
  • the ECG monitoring module 21 is mainly used for ECG measurement and recording;
  • the filtering module is used for filtering ECG signals;
  • the control module 23 may include a low-power microcontroller (MCU), which is responsible for the entire download The control and logic processing of chip component 2;
  • the wireless communication module is mainly used to transmit the collected ECG signals and related diagnostic signals to the external program control system.
  • the external program control system can also transmit the corresponding configuration information to the wearable defibrillation system.
  • the wireless charging module includes a power management chip and a charging coupling coil, which is used to charge the battery module 29;
  • the storage module is mainly used to store configuration, corresponding ECG information and diagnostic information;
  • the sensor module includes a multi-axis accelerometer, which is used to Record the patient's physical characteristics or patient posture;
  • the impedance measurement module 24 is mainly used for low-voltage impedance measurement, which can be used to measure the impedance between different patch segments to check whether the patch segments fit well;
  • the human-computer interaction module includes But not limited to buttons, LEDs, screens, vibrators, speakers, etc.
  • the second block 27 mainly contains ECG monitoring circuits, low-voltage circuits and logic control circuits, and these circuits can be integrated on the circuit board.
  • the third block 27 also includes a high-voltage circuit monitoring module and a switch array module.
  • the high-voltage module 22 includes a high-voltage capacitor, a capacitor charging circuit, a defibrillation waveform distribution circuit, etc.; the high-voltage circuit monitoring module mainly It is used for circuit monitoring of the high-voltage part and the monitoring of defibrillation pulse delivery; the switch array module is used for switching and routing of each line.
  • the third block 27 mainly contains high-voltage circuits and logic control circuits, which can be integrated on the circuit board. Those skilled in the art can understand the structure and principles of each module included in the third block 27 based on the existing technology, and the present invention will not be further described.
  • the wearable defibrillation system includes an upper patch assembly and a lower patch assembly; the upper patch assembly and the lower patch assembly are connected through cables; the upper patch assembly Used to collect ECG signals and deliver defibrillation pulses; the lower patch component includes an ECG monitoring module, a high voltage module and a control module, and the ECG monitoring module is used to acquire the ECG signals collected by the upper patch component; The control module transmits defibrillation pulses to the upper patch assembly based on the ECG signal acquired by the ECG monitoring module.
  • the upper and lower chip components are The patch component can be attached to the area close to the heart, and the lower patch component can be extended with cables and attached to a position that does not affect daily life, so that the entire wearable defibrillation system can fit the skin and avoid the need to attach to the area close to the heart.
  • the larger device attached to the area has the functions of long-term monitoring and automatic defibrillation and is very convenient to use.
  • the entire wearable defibrillation system can be used for both ECG sensing and defibrillation pulse delivery, effectively avoiding unintentional false discharges.

Abstract

The present invention provides a wearable defibrillation system comprising an upper patch assembly and a lower patch assembly. The upper patch assembly is connected with the lower patch assembly via a cable. The upper patch assembly is configured for collecting electrocardiosignals and releasing defibrillation pulses. The lower patch assembly comprises an electrocardiographic monitoring module, a high-voltage module, and a control module. The electrocardiographic monitoring module is configured for acquiring the electrocardiosignals collected by the upper patch assembly. The control module transmits the defibrillation pulses to the upper patch assembly on the basis of the electrocardiosignals acquired by the electrocardiographic monitoring module. According to the configuration, due to the separate arrangement of the upper patch assembly and the lower patch assembly, the whole wearable defibrillation system can be attached to the skin, avoiding the arrangement of an incompact device close to the heart while achieving the functionality of long-term monitoring and automatic defibrillation. In addition, the whole wearable defibrillation system can be used for electrocardiographic sensing and releasing the defibrillation pulses, effectively avoiding mistaken electric discharges.

Description

穿戴式除颤系统Wearable defibrillation system 技术领域Technical field
本发明涉及医疗器械技术领域,特别涉及一种穿戴式除颤系统。The present invention relates to the technical field of medical devices, and in particular to a wearable defibrillation system.
背景技术Background technique
便携式自动体外除颤器(AED)的相对普及使得致命性心律失常患者能够得到及时救治。AED通常作为公共设施,一般包括主机(包含心电监测模块,除颤模块,声音,指示或显示,电池等)、除颤电极贴片、若干线缆以及收纳包等。在使用时,一般是病人出现症状,第三方根据提示完成辅助贴片、开机、除颤等一系列操作。虽然AED相对便携,能够自动发放除颤脉冲。但通常仍需要在病人发病时,有额外的人员辅助才能完成除颤治疗。AED的价格较为昂贵,无法长期监测病人心脏活动,个人长期携带也较为不便。因此,一种可满足病患长期监测心律失常,自动按需发放除颤脉冲的设备就显得非常迫切和重要。The relative popularity of portable automated external defibrillators (AEDs) allows patients with fatal arrhythmias to receive timely treatment. AEDs are usually used as public facilities and generally include a host (including ECG monitoring module, defibrillation module, sound, indication or display, battery, etc.), defibrillation electrode patches, several cables, and storage bags. When in use, the patient usually develops symptoms, and the third party completes a series of operations such as assisting patching, turning on the device, and defibrillation according to the prompts. Although the AED is relatively portable and can automatically deliver defibrillation pulses. However, it is usually still necessary to have additional personnel assist to complete the defibrillation treatment when the patient becomes ill. AEDs are relatively expensive, cannot monitor the patient's heart activity for a long time, and are inconvenient for individuals to carry for a long time. Therefore, a device that can monitor arrhythmia for a long time and automatically deliver defibrillation pulses on demand is very urgent and important.
发明内容Contents of the invention
本发明的目的在于提供一种穿戴式除颤系统,以解决现有的AED无法长期监测病患心电活动,仍需第三方参与到除颤过程的问题。The purpose of the present invention is to provide a wearable defibrillation system to solve the problem that the existing AED cannot monitor the patient's cardiac electrical activity for a long time and still requires a third party to participate in the defibrillation process.
为解决上述技术问题,本发明提供一种穿戴式除颤系统,其包括:上贴片组件和下贴片组件;In order to solve the above technical problems, the present invention provides a wearable defibrillation system, which includes: an upper patch assembly and a lower patch assembly;
所述上贴片组件与所述下贴片组件通过线缆连接;所述上贴片组件用于采集心电信号以及发放除颤脉冲;The upper patch component and the lower patch component are connected through cables; the upper patch component is used to collect ECG signals and deliver defibrillation pulses;
所述下贴片组件包括心电监测模块、高压模块及控制模块,所述心电监测模块用于获取所述上贴片组件所采集的心电信号;所述控制模块基于所述心电监测模块所获取的心电信号,控制所述高压模块向所述上贴片组件传输除颤脉冲。The lower patch component includes an ECG monitoring module, a high voltage module and a control module. The ECG monitoring module is used to obtain the ECG signals collected by the upper patch component; the control module is based on the ECG monitoring The ECG signal acquired by the module controls the high-voltage module to transmit defibrillation pulses to the upper patch component.
可选的,所述上贴片组件包括第一贴片段和第二贴片段,所述第一贴片段和所述第二贴片段相互绝缘;所述第一贴片段用于采集心电信号,所述第 二贴片段用于发放除颤脉冲;其中,所述第一贴片段和所述第二贴片段被配置为择一导通,另一者关闭。Optionally, the upper patch assembly includes a first patch segment and a second patch segment, the first patch segment and the second patch segment are insulated from each other; the first patch segment is used to collect electrocardiogram signals, The mentioned The two patch segments are used to deliver defibrillation pulses; wherein the first patch segment and the second patch segment are configured to selectively turn on one of them and turn off the other.
可选的,所述上贴片组件还包括第三贴片段,所述第三贴片段与所述第一贴片段和所述第二贴片段相互绝缘;所述第三贴片段用于采集心电信号;其中,所述第一贴片段作为主要采集端,所述第三贴片段作为辅助采集端;所述心电监测模块用于根据所述第一贴片段和所述第三贴片段所采集的心电信号,对心电事件进行确认。Optionally, the upper patch assembly further includes a third patch segment, which is insulated from the first patch segment and the second patch segment; the third patch segment is used to collect heartbeats. electrical signal; wherein, the first patching segment serves as the main collection end, and the third patching segment serves as an auxiliary collection end; the ECG monitoring module is used to collect data based on the first patching segment and the third patching segment. Collected ECG signals to confirm ECG events.
可选的,所述第二贴片段被配置为导通时,所述第一贴片段和所述第三贴片段关闭;所述第一贴片段和所述第三贴片段被配置为导通时,所述第二贴片段关闭。Optionally, when the second sticker segment is configured to be on, the first sticker segment and the third sticker segment are turned off; the first sticker segment and the third sticker segment are configured to be on. , the second posted fragment is closed.
可选的,所述下贴片组件还包括阻抗测量模块和至少两个回路贴片段,所有所述回路贴片段之间相互绝缘;所述阻抗测量模块用于分别检测至少两个所述回路贴片段与所述上贴片组件的阻抗;所述控制模块基于所述阻抗测量模块所检测的阻抗,选择其中一个所述回路贴片段作为主要回路端,其余的所述回路贴片段作为辅助回路端。Optionally, the lower patch assembly also includes an impedance measurement module and at least two loop patch segments, all of the loop patch segments are insulated from each other; the impedance measurement module is used to detect at least two of the loop patch segments respectively. The impedance of the segment and the upper patch component; the control module selects one of the loop patch segments as the main loop end, and the remaining loop patch segments as auxiliary loop ends based on the impedance detected by the impedance measurement module. .
可选的,所述上贴片组件用于发放除颤脉冲时,至少一个所述回路贴片段被配置为导通。Optionally, when the upper patch assembly is used to deliver defibrillation pulses, at least one of the loop patch segments is configured to be conductive.
可选的,所述下贴片组件包括柔性基板和至少两个相互独立的块体,所有所述块体与所述柔性基板的同一面连接,所述柔性基板的另一面用于贴合在人体预定部位上;其中,所述心电监测模块与所述控制模块位于同一所述块体内,所述高压模块位于另一所述块体内。Optionally, the lower patch assembly includes a flexible substrate and at least two independent blocks, all of the blocks are connected to the same side of the flexible substrate, and the other side of the flexible substrate is used to fit on the On a predetermined part of the human body; wherein, the ECG monitoring module and the control module are located in the same block, and the high-voltage module is located in another block.
可选的,所有所述块体沿所述柔性基板的一延伸方向排布,且相互之间具有间隙,以允许所述柔性基板沿所述延伸方向弯曲。Optionally, all the blocks are arranged along an extension direction of the flexible substrate and have gaps between each other to allow the flexible substrate to bend along the extension direction.
可选的,所述下贴片组件包括三个所述块体,还包括电池模块和阻抗测量模块,所述电池模块位于第一个所述块体内;所述控制模块、所述心电监测模块和所述阻抗测量模块位于第二个所述块体内;所述高压模块位于第三个所述块体内。Optionally, the lower patch assembly includes three blocks, and also includes a battery module and an impedance measurement module. The battery module is located in the first block; the control module, the ECG monitoring module The module and the impedance measurement module are located in the second block; the high voltage module is located in the third block.
可选的,所述电池模块包括多个柱体形的电池,多个所述电池的沿着所述延伸方向排布,所述电池模块所在的第一个所述块体位于第二个所述块体 与第三个所述块体之间,且所述电池模块所在的所述第一个块体能够沿所述延伸方向弯曲。Optionally, the battery module includes a plurality of cylindrical batteries, the plurality of batteries are arranged along the extending direction, and the first block where the battery module is located is located on the second block. block and the third block, and the first block where the battery module is located can be bent along the extending direction.
可选的,第二个所述块体与第三个所述块体的两个块体配置为硬质不可弯曲。Optionally, the two blocks of the second block and the third block are configured to be rigid and inflexible.
可选的,所述下贴片组件还包括位于第二个所述块体内的滤波模块、无线通讯模块、无线充电模块、存储模块、传感器模块以及人机交互模块。Optionally, the lower patch assembly also includes a filter module, a wireless communication module, a wireless charging module, a storage module, a sensor module and a human-computer interaction module located in the second block.
可选的,所述下贴片组件还包括位于第三个所述块体内的高压电路监测模块以及开关阵列模块。Optionally, the lower patch assembly also includes a high-voltage circuit monitoring module and a switch array module located in the third block.
综上所述,在本发明提供的穿戴式除颤系统包括上贴片组件和下贴片组件;所述上贴片组件与所述下贴片组件通过线缆连接;所述上贴片组件用于采集心电信号以及发放除颤脉冲;所述下贴片组件包括心电监测模块、高压模块及控制模块,所述心电监测模块用于获取上贴片组件所采集的心电信号;所述控制模块基于所述心电监测模块所获取的心电信号,向所述上贴片组件传输除颤脉冲。To sum up, the wearable defibrillation system provided by the present invention includes an upper patch assembly and a lower patch assembly; the upper patch assembly and the lower patch assembly are connected through cables; the upper patch assembly Used to collect ECG signals and deliver defibrillation pulses; the lower patch component includes an ECG monitoring module, a high voltage module and a control module, and the ECG monitoring module is used to acquire the ECG signals collected by the upper patch component; The control module transmits defibrillation pulses to the upper patch assembly based on the ECG signal acquired by the ECG monitoring module.
如此配置,由于分离设置的上贴片组件和下贴片组件,上贴片组件可贴附在靠近心脏的区域,下贴片组件则可利用线缆延伸贴附在不影响日常生活的位置上,使得整个穿戴式除颤系统可贴合皮肤,避免了在靠近心脏的区域贴附体积较大的装置,具备实现长期监测和自动除颤功能的同时,使用非常方便。此外,整个穿戴式除颤系统既可用于心电感测,又能用于发放除颤脉冲,有效避免了无感知误放电的情况。In this configuration, due to the separate upper and lower patch components, the upper patch component can be attached to the area close to the heart, and the lower patch component can be attached using cable extensions at a location that does not affect daily life. , so that the entire wearable defibrillation system can fit the skin, avoiding the attachment of larger devices near the heart. It has the functions of long-term monitoring and automatic defibrillation, and is very convenient to use. In addition, the entire wearable defibrillation system can be used for both ECG sensing and defibrillation pulse delivery, effectively avoiding unintentional false discharges.
附图说明Description of drawings
本领域的普通技术人员将会理解,提供的附图用于更好地理解本发明,而不对本发明的范围构成任何限定。其中:Those of ordinary skill in the art will understand that the drawings are provided for a better understanding of the invention and do not constitute any limitation on the scope of the invention. in:
图1是本发明实施例的穿戴式除颤系统的应用场景的示意图;Figure 1 is a schematic diagram of an application scenario of a wearable defibrillation system according to an embodiment of the present invention;
图2是本发明实施例的穿戴式除颤系统的模块示意图;Figure 2 is a module schematic diagram of a wearable defibrillation system according to an embodiment of the present invention;
图3是本发明实施例的下贴片组件的正面的示意图;Figure 3 is a schematic view of the front of the lower patch assembly according to the embodiment of the present invention;
图4是本发明实施例的下贴片组件的背面的示意图。FIG. 4 is a schematic view of the back side of the lower patch assembly according to the embodiment of the present invention.
附图中: In the attached picture:
1-上贴片组件;11-第一贴片段;12-第二贴片段;13-第三贴片段;2-下贴片组件;21-心电监测模块;22-高压模块;23-控制模块;24-阻抗测量模块;25-回路贴片段;26-柔性基板;27-块体;28-间隙;29-电池模块;3-线缆;4-总线。1-upper patch component; 11-first patch fragment; 12-second patch fragment; 13-third patch fragment; 2-lower patch component; 21-ECG monitoring module; 22-high voltage module; 23-control Module; 24-impedance measurement module; 25-loop patch fragment; 26-flexible substrate; 27-block; 28-gap; 29-battery module; 3-cable; 4-bus.
具体实施方式Detailed ways
为使本发明的目的、优点和特征更加清楚,以下结合附图和具体实施例对本发明作进一步详细说明。需说明的是,附图均采用非常简化的形式且未按比例绘制,仅用以方便、明晰地辅助说明本发明实施例的目的。此外,附图所展示的结构往往是实际结构的一部分。特别的,各附图需要展示的侧重点不同,有时会采用不同的比例。In order to make the purpose, advantages and features of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments. It should be noted that the drawings are in a very simplified form and are not drawn to scale, and are only used to conveniently and clearly assist in explaining the embodiments of the present invention. In addition, the structures shown in the drawings are often part of the actual structure. In particular, each drawing needs to display different emphasis, and sometimes uses different proportions.
如在本发明中所使用的,单数形式“一”、“一个”以及“该”包括复数对象,术语“或”通常是以包括“和/或”的含义而进行使用的,术语“若干”通常是以包括“至少一个”的含义而进行使用的,术语“至少两个”通常是以包括“两个或两个以上”的含义而进行使用的,此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”、“第三”的特征可以明示或者隐含地包括一个或者至少两个该特征,“一端”与“另一端”以及“近端”与“远端”通常是指相对应的两部分,其不仅包括端点。此外,如在本发明中所使用的,“安装”、“相连”、“连接”,一元件“设置”于另一元件,应做广义理解,通常仅表示两元件之间存在连接、耦合、配合或传动关系,且两元件之间可以是直接的或通过中间元件间接的连接、耦合、配合或传动,而不能理解为指示或暗示两元件之间的空间位置关系,即一元件可以在另一元件的内部、外部、上方、下方或一侧等任意方位,除非内容另外明确指出外。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。此外,诸如上方、下方、上、下、向上、向下、左、右等的方向术语相对于示例性实施方案如它们在图中所示进行使用,向上或上方向朝向对应附图的顶部,向下或下方向朝向对应附图的底部。 As used in this invention, the singular forms "a", "an" and "the" include plural referents, the term "or" is generally used in its sense including "and/or", and the term "several" The term "at least two" is usually used in a meaning including "at least one", and the term "at least two" is usually used in a meaning including "two or more". In addition, the terms "first" and "th "Second" and "third" are used for descriptive purposes only and cannot be understood as indicating or implying the relative importance or implicitly indicating the quantity of the technical features indicated. Therefore, the features defined as "first", "second" and "third" may explicitly or implicitly include one or at least two of these features, "one end" and "other end" and "proximal end" and "Remote" usually refers to the two corresponding parts, which includes not only the endpoint. In addition, as used in the present invention, "mounted", "connected", "connected", one element is "disposed" on another element, should be interpreted broadly, and usually only mean that there is a connection, coupling, or connection between the two elements. Cooperation or transmission relationship, and the connection, coupling, cooperation or transmission between the two elements can be direct or indirect through an intermediate element, and it cannot be understood as indicating or implying the spatial positional relationship between the two elements, that is, one element can be in another Any orientation inside, outside, above, below, or to one side of a component, unless the content clearly indicates otherwise. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances. Furthermore, directional terms such as above, below, up, down, up, down, left, right, etc. are used with respect to the exemplary embodiments as they are shown in the figures, with the upward or upward direction being toward the top of the corresponding figure, The downward or downward direction is towards the bottom of the corresponding figure.
本发明的目的在于提供一种穿戴式除颤系统,以解决现有的AED无法长期监测病患心电活动,仍需第三方参与到除颤过程的问题。The purpose of the present invention is to provide a wearable defibrillation system to solve the problem that the existing AED cannot monitor the patient's cardiac electrical activity for a long time and still requires a third party to participate in the defibrillation process.
以下参考附图进行描述。Description will be made below with reference to the drawings.
请参考图1和图2,本发明实施例提供一种穿戴式除颤系统,其包括上贴片组件1和下贴片组件2;所述上贴片组件1与所述下贴片组件2通过线缆3连接;所述上贴片组件1用于采集心电信号以及发放除颤脉冲;所述下贴片组件2包括心电监测模块21、高压模块22及控制模块23,所述心电监测模块21用于获取上贴片组件1所采集的心电信号;所述控制模块23基于所述心电监测模块21所获取的心电信号,控制所述高压模块22向所述上贴片组件1传输除颤脉冲。Please refer to Figures 1 and 2. An embodiment of the present invention provides a wearable defibrillation system, which includes an upper patch component 1 and a lower patch component 2; the upper patch component 1 and the lower patch component 2 Connected by cable 3; the upper patch component 1 is used to collect ECG signals and deliver defibrillation pulses; the lower patch component 2 includes an ECG monitoring module 21, a high voltage module 22 and a control module 23. The electrical monitoring module 21 is used to obtain the ECG signal collected by the upper patch assembly 1; the control module 23 controls the high voltage module 22 to apply the ECG signal to the upper patch based on the ECG signal acquired by the ECG monitoring module 21. Chip assembly 1 delivers defibrillation pulses.
上贴片组件1的贴附位置应保证能采集到良好的心电信号,整个穿戴式除颤系统包括两个主要功能,其一为心电检测功能,其二为除颤功能。心电检测功能主要通过上贴片组件1、心电监测模块21和控制模块23实现。具体的,上贴片组件1用于采集心电信号并传输至心电监测模块21,心电监测模块21即可监测心电信号中是否包含心律异常事件。除颤功能主要通过上贴片组件1、控制模块23和高压模块22实现。具体的,在监测到心电信号中包含心律异常事件时,控制模块23控制高压模块22产生高能量除颤脉冲,高能量除颤脉冲通过线缆传输至上贴片组件1,并向人体发放除颤脉冲,除颤脉冲流经心脏,至下贴片组件2形成回路,达到除颤效果。The attachment position of the upper patch component 1 should ensure that good ECG signals can be collected. The entire wearable defibrillation system includes two main functions, one is the ECG detection function, and the other is the defibrillation function. The ECG detection function is mainly realized through the upper patch component 1, the ECG monitoring module 21 and the control module 23. Specifically, the upper patch component 1 is used to collect ECG signals and transmit them to the ECG monitoring module 21. The ECG monitoring module 21 can monitor whether the ECG signals contain abnormal heart rhythm events. The defibrillation function is mainly realized through the upper patch assembly 1, the control module 23 and the high-voltage module 22. Specifically, when an abnormal heart rhythm event is detected in the ECG signal, the control module 23 controls the high-voltage module 22 to generate a high-energy defibrillation pulse. The high-energy defibrillation pulse is transmitted to the upper patch assembly 1 through the cable, and the defibrillation pulse is sent to the human body. The defibrillation pulse and the defibrillation pulse flow through the heart and form a circuit to the lower patch component 2 to achieve the defibrillation effect.
如此配置,由于分离设置的上贴片组件1和下贴片组件2,上贴片组件1可贴附在靠近心脏的区域,下贴片组件2则可利用线缆3延伸贴附在不影响日常生活的位置上,使得整个穿戴式除颤系统可贴合皮肤,避免了在靠近心脏的区域贴附体积较大的装置,实现长期监测和自动除颤功能。此外,整个穿戴式除颤系统既可用于心电感测,又能用于发放除颤脉冲,有效避免了无感知误放电的情况。In this configuration, due to the separately arranged upper patch component 1 and lower patch component 2, the upper patch component 1 can be attached to the area close to the heart, and the lower patch component 2 can be extended and attached with the cable 3 without affecting the heart. In the position of daily life, the entire wearable defibrillation system can fit the skin, avoiding the attachment of larger devices near the heart, and realizing long-term monitoring and automatic defibrillation functions. In addition, the entire wearable defibrillation system can be used for both ECG sensing and defibrillation pulse delivery, effectively avoiding unintentional false discharges.
可选的,所述上贴片组件1包括第一贴片段11和第二贴片段12,所述第一贴片段11和所述第二贴片段12相互绝缘;所述第一贴片段11用于采集心电信号,所述第二贴片段12用于发放除颤脉冲;其中,所述第一贴片段11和所述第二贴片段12被配置为择一导通,另一者关闭。第一贴片段11和第 二贴片段12可分别通过线缆与下贴片组件2耦合连接。可以理解的,第一贴片段11和第二贴片段12均具有良好的导电性和贴附性,例如能够粘贴在人体皮肤上。第一贴片段11和第二贴片段12分开设置,两者的功能不同,第一贴片段11用于采集心电信号,而第二贴片段12用于发放除颤脉冲,两者不同时导通,在心电检测过程中,第二贴片段12关闭,而在发放除颤脉冲时,第一贴片段11关闭。Optionally, the upper patch assembly 1 includes a first patch segment 11 and a second patch segment 12. The first patch segment 11 and the second patch segment 12 are insulated from each other; the first patch segment 11 is To collect ECG signals, the second patch segment 12 is used to deliver defibrillation pulses; wherein, the first patch segment 11 and the second patch segment 12 are configured to selectively conduct one of the first patch segment 11 and the other patch segment 12 to turn off. First post clips 11 and 1 The two patch segments 12 can be coupled and connected to the lower patch assembly 2 through cables respectively. It can be understood that both the first patch segment 11 and the second patch segment 12 have good conductivity and adhesion, and can be adhered to human skin, for example. The first patch segment 11 and the second patch segment 12 are set up separately and have different functions. The first patch segment 11 is used to collect ECG signals, while the second patch segment 12 is used to deliver defibrillation pulses. They do not lead at the same time. During the ECG detection process, the second patch segment 12 is closed, and when the defibrillation pulse is sent, the first patch segment 11 is closed.
进一步的,所述上贴片组件1还包括第三贴片段13,所述第三贴片段13与所述第一贴片段11和所述第二贴片段12相互绝缘;所述第三贴片段13用于采集心电信号;其中,所述第一贴片段11作为主要采集端,所述第三贴片段13作为辅助采集端;所述心电监测模块21用于根据所述第一贴片段11和所述第三贴片段13所采集的心电信号,对心电事件进行确认。第三贴片段13主要为一组冗余贴片,其可避免第一贴片段11脱落,或者贴合不严,导致无法采集心电信号的情况。特别的,当心电监测模块21监测到某些心电事件时,可同时采集第一贴片段11和第三贴片段13的信号,并根据两者信号进行心电事件的确认。这样能够有效避免某一贴片段受干扰造成的测量偏差。Further, the upper patch component 1 further includes a third patch segment 13, which is insulated from the first patch segment 11 and the second patch segment 12; the third patch segment 13 is insulated from each other. 13 is used to collect ECG signals; wherein, the first patch segment 11 serves as the main collection end, and the third patch segment 13 serves as an auxiliary collection end; the ECG monitoring module 21 is used to monitor the electrocardiogram according to the first patch segment. 11 and the ECG signal collected by the third patch segment 13 to confirm the ECG event. The third patch segment 13 is mainly a set of redundant patches, which can prevent the first patch segment 11 from falling off or being loosely attached, resulting in failure to collect ECG signals. In particular, when the ECG monitoring module 21 detects certain ECG events, it can simultaneously collect the signals of the first patch segment 11 and the third patch segment 13 and confirm the ECG event based on the two signals. This can effectively avoid measurement deviations caused by interference in a certain patch segment.
更进一步的,所述第二贴片段12被配置为导通时,所述第一贴片段11和所述第三贴片段13关闭;所述第一贴片段11和所述第三贴片段13被配置为导通时,所述第二贴片段12关闭。Furthermore, when the second patch segment 12 is configured to be turned on, the first patch segment 11 and the third patch segment 13 are turned off; the first patch segment 11 and the third patch segment 13 are closed. When configured to conduct, the second sticker segment 12 is closed.
在图2示出的示范例中,第一贴片段11、第二贴片段12和第三贴片段13沿竖向排布,其中第二贴片段12长度较长,位于中间,而第一贴片段11位于下方,第三贴片段13则位于上方。当然在其它的实施例中,也可以将第一贴片段11设置在上方而将第三贴片段13设置在下方,本发明对此不限。In the example shown in FIG. 2 , the first sticker segment 11 , the second sticker segment 12 and the third sticker segment 13 are arranged vertically. The second sticker segment 12 is longer and is located in the middle, while the first sticker segment 12 is longer and located in the middle. Fragment 11 is at the bottom, and the third post, fragment 13, is at the top. Of course, in other embodiments, the first sticker segment 11 may also be arranged above and the third sticker segment 13 may be arranged below, and the present invention is not limited to this.
可选的,请参考图2,并结合参考图3和图4,所述下贴片组件2还包括阻抗测量模块24和至少两个回路贴片段25,所有所述回路贴片段25之间相互绝缘;所述阻抗测量模块24用于分别检测至少两个所述回路贴片段25与所述上贴片组件1的阻抗;所述控制模块23基于所述阻抗测量模块24所检测的阻抗,选择其中一个所述回路贴片段25作为主要回路端,其余的所述回路贴片段25作为辅助回路端。Optionally, please refer to Figure 2, and refer to Figures 3 and 4 in combination. The lower patch assembly 2 also includes an impedance measurement module 24 and at least two loop patch segments 25. All the loop patch segments 25 are interconnected. Insulation; the impedance measurement module 24 is used to detect the impedances of at least two circuit patch segments 25 and the upper patch component 1 respectively; the control module 23 selects based on the impedance detected by the impedance measurement module 24 One of the loop patch segments 25 serves as the main loop terminal, and the remaining loop patch segments 25 serve as auxiliary loop ends.
在心电检测和发放除颤脉冲时,需要上贴片组件1与下贴片组件2形成 回路。至少两个回路贴片段25的设置,实质上互为冗余。为了避免某些贴片段脱落,或者贴合不严,可通过阻抗测量模块24定期地对各回路路径进行阻抗测量,以便检测各贴片段的贴合程度是否符合需求。When detecting ECG and delivering defibrillation pulses, the upper patch component 1 and the lower patch component 2 need to form a loop. The arrangement of at least two loop patch segments 25 is essentially redundant to each other. In order to avoid that some patch segments fall off or are not tightly adhered, the impedance measurement module 24 can be used to regularly measure the impedance of each loop path to detect whether the fit degree of each patch segment meets the requirements.
下面结合一个包括三个回路贴片段25的下贴片组件2的示范例进行说明。由于上贴片组件1包括第一贴片段11、第二贴片段12和第三贴片段13,下贴片组件2包括三个回路贴片段25,阻抗测量模块24可对上下贴片组件中不同的组合路径都分别进行阻抗测量。特别的,检测第一贴片段11分别与三个回路贴片段25之间的阻抗,并根据一定的算法,选择三个回路贴片段25中贴合较好的某个回路贴片段25作为主要路径进行心电检测。下表1示出了心电检测时的路径筛选情况:The following description will be given with reference to an exemplary example of the lower patch assembly 2 including three loop patch segments 25 . Since the upper patch component 1 includes the first patch segment 11 , the second patch segment 12 and the third patch segment 13 , and the lower patch component 2 includes three loop patch segments 25 , the impedance measurement module 24 can measure different values in the upper and lower patch components. The combined paths are individually measured for impedance. In particular, the impedances between the first patch segment 11 and the three loop patch segments 25 are detected, and according to a certain algorithm, the loop patch segment 25 that fits better among the three loop patch segments 25 is selected as the main path. Perform an ECG test. Table 1 below shows the path screening situation during ECG detection:
表1
Table 1
其中三个回路贴片段25可根据与第一贴片段11之间的阻抗,分别确定为主要回路端和辅助回路端。Three of the loop patch segments 25 can be respectively determined as the main loop end and the auxiliary loop end according to the impedance with the first patch segment 11 .
可选的,所述上贴片组件1用于发放除颤脉冲时,至少一个所述回路贴片段25被配置为导通。在除颤时,第二贴片段12可以与三个回路贴片段25中的某一个、某两个或全部三个连通。而此时第一贴片段11和第三贴片段13均保持关闭。下表2示出了除颤时的各贴片段的情况:Optionally, when the upper patch assembly 1 is used to deliver defibrillation pulses, at least one of the loop patch segments 25 is configured to be conductive. During defibrillation, the second patch segment 12 may be connected to one, two, or all three of the three circuit patch segments 25 . At this time, both the first post segment 11 and the third post segment 13 remain closed. Table 2 below shows the situation of each patch during defibrillation:
表2
Table 2
需要说明的,上述三个回路贴片段25仅为一示范例而非对回路贴片段25的数量的限定。本领域技术人员可根据实际,选择更多或更少数量的回路贴 片段25。It should be noted that the above three loop patch segments 25 are only an example and do not limit the number of loop patch segments 25 . Those skilled in the art can choose a greater or lesser number of loop stickers based on actual conditions. Fragment 25.
可选的,请参考图3和图4,并结合参考图2,所述下贴片组件2包括柔性基板26和至少两个相互独立的块体27,所有所述块体27与所述柔性基板26的同一面(如图3所示,称为正面)连接,所述柔性基板26的另一面(如图4所示,称为背面)用于贴合在人体预定部位上;其中,所述心电监测模块21与所述控制模块23位于同一所述块体27内,所述高压模块22位于另一所述块体27内。将高压模块22与控制模块23和心电监测模块21分离设置在不同的块体27内,有利于减少互相之间的干扰。优选的,不同的块体27之间可通过柔性的总线4连接,以实现各分离的块体27之间的联通及信息交换。Optionally, please refer to Figures 3 and 4 in conjunction with Figure 2. The lower patch assembly 2 includes a flexible substrate 26 and at least two mutually independent blocks 27. All of the blocks 27 are in contact with the flexible The same side of the flexible substrate 26 (shown in Figure 3, called the front) is connected, and the other side of the flexible substrate 26 (shown in Figure 4, called the back) is used to fit on a predetermined part of the human body; wherein, The ECG monitoring module 21 and the control module 23 are located in the same block 27 , and the high-voltage module 22 is located in another block 27 . Separating the high-voltage module 22 from the control module 23 and the ECG monitoring module 21 in different blocks 27 is beneficial to reducing mutual interference. Preferably, different blocks 27 can be connected through a flexible bus 4 to realize communication and information exchange between the separate blocks 27 .
优选的,所有所述块体27沿所述柔性基板26的某一延伸方向排布,且相互之间具有间隙28,以允许所述柔性基板26沿所述延伸方向弯曲。在图3示出的示范例中,下贴片组件2包括三个所述块体27,其大致沿从左到右的方向排布。可以理解的,由于三个块体27之间存在间隙28,柔性基板26能够沿从左到右的方向弯曲,从而能够更顺应地贴合在人体预定部位上。需要说明的,上述三个块体27仅为一示范例而非对块体27的数量的限定。本领域技术人员可根据实际,选择更多或更少数量的块体27。Preferably, all the blocks 27 are arranged along a certain extension direction of the flexible substrate 26 and have gaps 28 between them to allow the flexible substrate 26 to bend along the extension direction. In the example shown in FIG. 3 , the lower patch assembly 2 includes three blocks 27 , which are generally arranged in the direction from left to right. It can be understood that due to the gap 28 between the three blocks 27, the flexible substrate 26 can be bent in the direction from left to right, so that it can fit more compliantly on a predetermined part of the human body. It should be noted that the above three blocks 27 are only an example and do not limit the number of blocks 27 . Those skilled in the art can select a greater or lesser number of blocks 27 based on actual conditions.
优选的,还包括电池模块29,所述电池模块29位于第一个所述块体27内;所述控制模块23、所述心电监测模块21和所述阻抗测量模块24位于第二个所述块体27内;所述高压模块22位于第三个所述块体27内。进一步的,所述电池模块29包括多个柱体形的电池,多个所述电池沿着所述延伸方向排布(指柱体形的电池轴向垂直于所述延伸方向),所述电池模块29所在的所述块体27位于三个所述块体27的中间,且所述电池模块29所在的所述块体27能够沿所述延伸方向弯曲。电池如可为可充电电池,例如可呈圆柱体形,中间的块体27的外轮廓可根据电池的外轮廓形状设置为波浪形,并采用柔性的材料包裹,由此,电池模块29所在的块体27即能够沿所述延伸方向弯曲,进一步提高下贴片组件2的贴合顺应性,更便于贴附在人体上。位于两侧的两个块体27,由于其内部设置有电路板,可配置为硬质不可弯曲。可以理解的,三个块体27的位置并非限定于上述示范例所示出的排列方式,本领域技 术人员可根据实际对各块体27的排布位置进行调整。Preferably, it also includes a battery module 29, which is located in the first block 27; the control module 23, the ECG monitoring module 21 and the impedance measurement module 24 are located in the second block. The high voltage module 22 is located in the third block 27 . Further, the battery module 29 includes a plurality of cylindrical batteries, and the plurality of batteries are arranged along the extension direction (meaning that the axial direction of the cylindrical batteries is perpendicular to the extension direction). The battery module 29 The block 27 is located in the middle of the three blocks 27 , and the block 27 where the battery module 29 is located can be bent along the extending direction. For example, the battery can be a rechargeable battery, for example, it can be in the shape of a cylinder. The outer contour of the middle block 27 can be set in a wavy shape according to the outer contour shape of the battery and wrapped with a flexible material. Thus, the block where the battery module 29 is located can The body 27 can be bent along the extending direction, further improving the fit compliance of the lower patch component 2 and making it easier to attach to the human body. The two blocks 27 located on both sides can be configured to be rigid and inflexible due to the circuit boards provided inside them. It can be understood that the positions of the three blocks 27 are not limited to the arrangement shown in the above example. Skills in the art The technician can adjust the arrangement position of each block 27 according to actual conditions.
可选的,第二个块体27除了包括控制模块23、心电监测模块21和阻抗测量模块24,还包括滤波模块、无线通讯模块、无线充电模块、存储模块、传感器模块以及人机交互模块等。心电监测模块21主要用于对心电测量和记录;滤波模块用于对心电信号的滤波处理;控制模块23如可包括低功耗微控制器(MCU),其用于负责整个下贴片组件2的控制及逻辑处理;无线通讯模块主要用于将采集到的心电信号和相关的诊断信号传输至外部程控系统,外部程控系统也可将相应的配置信息传输至穿戴式除颤系统;无线充电模块包括电源管理芯片和充电耦合线圈,其用于为电池模块29充电;存储模块主要用于存储配置、相应的心电信息和诊断信息;传感器模块包括多轴加速度计,其用于记录病患身体特征或病人姿态;阻抗测量模块24主要用于低压阻抗测量,其能够用于测量不同贴片段之间的阻抗,以用于检查贴片段是否良好地贴合;人机交互模块包括但不限于按钮、LED、屏幕、振动器、扬声器等。第二个块体27主要包含心电监测电路、低压电路及逻辑控制电路,这些电路可集成于电路板上。本领域技术人员可根据现有技术,对第二个块体27所包含的各模块的结构和原理进行理解,本发明不再展开说明。Optionally, in addition to the control module 23, the ECG monitoring module 21 and the impedance measurement module 24, the second block 27 also includes a filtering module, a wireless communication module, a wireless charging module, a storage module, a sensor module and a human-computer interaction module. wait. The ECG monitoring module 21 is mainly used for ECG measurement and recording; the filtering module is used for filtering ECG signals; the control module 23 may include a low-power microcontroller (MCU), which is responsible for the entire download The control and logic processing of chip component 2; the wireless communication module is mainly used to transmit the collected ECG signals and related diagnostic signals to the external program control system. The external program control system can also transmit the corresponding configuration information to the wearable defibrillation system. ; The wireless charging module includes a power management chip and a charging coupling coil, which is used to charge the battery module 29; the storage module is mainly used to store configuration, corresponding ECG information and diagnostic information; the sensor module includes a multi-axis accelerometer, which is used to Record the patient's physical characteristics or patient posture; the impedance measurement module 24 is mainly used for low-voltage impedance measurement, which can be used to measure the impedance between different patch segments to check whether the patch segments fit well; the human-computer interaction module includes But not limited to buttons, LEDs, screens, vibrators, speakers, etc. The second block 27 mainly contains ECG monitoring circuits, low-voltage circuits and logic control circuits, and these circuits can be integrated on the circuit board. Those skilled in the art can understand the structure and principles of each module included in the second block 27 based on the existing technology, and the present invention will not be further described.
可选的,第三个块体27除了包括高压模块22,还包括高压电路监测模块和开关阵列模块,高压模块22包括高压电容、电容充电电路及除颤波形发放电路等;高压电路监测模块主要用于高压部分的电路监测,以及除颤脉冲发放的监测;开关阵列模块用于负责各个线路的开关切换及路由。第三个块体27主要包含高压电路及逻辑控制电路,这些电路可集成于电路板上。本领域技术人员可根据现有技术,对第三个块体27所包含的各模块的结构和原理进行理解,本发明不再展开说明。Optionally, in addition to the high-voltage module 22, the third block 27 also includes a high-voltage circuit monitoring module and a switch array module. The high-voltage module 22 includes a high-voltage capacitor, a capacitor charging circuit, a defibrillation waveform distribution circuit, etc.; the high-voltage circuit monitoring module mainly It is used for circuit monitoring of the high-voltage part and the monitoring of defibrillation pulse delivery; the switch array module is used for switching and routing of each line. The third block 27 mainly contains high-voltage circuits and logic control circuits, which can be integrated on the circuit board. Those skilled in the art can understand the structure and principles of each module included in the third block 27 based on the existing technology, and the present invention will not be further described.
综上所述,在本发明提供的穿戴式除颤系统包括上贴片组件和下贴片组件;所述上贴片组件与所述下贴片组件通过线缆连接;所述上贴片组件用于采集心电信号以及发放除颤脉冲;所述下贴片组件包括心电监测模块、高压模块及控制模块,所述心电监测模块用于获取上贴片组件所采集的心电信号;所述控制模块基于所述心电监测模块所获取的心电信号,向所述上贴片组件传输除颤脉冲。如此配置,由于分离设置的上贴片组件和下贴片组件,上贴 片组件可贴附在靠近心脏的区域,下贴片组件则可利用线缆延伸贴附在不影响日常生活的位置上,使得整个穿戴式除颤系统可贴合皮肤,避免了在靠近心脏的区域贴附体积较大的装置,具备实现长期监测和自动除颤功能的同时,使用非常方便。此外,整个穿戴式除颤系统既可用于心电感测,又能用于发放除颤脉冲,有效避免了无感知误放电的情况。To sum up, the wearable defibrillation system provided by the present invention includes an upper patch assembly and a lower patch assembly; the upper patch assembly and the lower patch assembly are connected through cables; the upper patch assembly Used to collect ECG signals and deliver defibrillation pulses; the lower patch component includes an ECG monitoring module, a high voltage module and a control module, and the ECG monitoring module is used to acquire the ECG signals collected by the upper patch component; The control module transmits defibrillation pulses to the upper patch assembly based on the ECG signal acquired by the ECG monitoring module. In this configuration, due to the separate upper and lower chip components, the upper and lower chip components are The patch component can be attached to the area close to the heart, and the lower patch component can be extended with cables and attached to a position that does not affect daily life, so that the entire wearable defibrillation system can fit the skin and avoid the need to attach to the area close to the heart. The larger device attached to the area has the functions of long-term monitoring and automatic defibrillation and is very convenient to use. In addition, the entire wearable defibrillation system can be used for both ECG sensing and defibrillation pulse delivery, effectively avoiding unintentional false discharges.
需要说明的,上述若干实施例之间可相互组合。上述描述仅是对本发明较佳实施例的描述,并非对本发明范围的任何限定,本发明领域的普通技术人员根据上述揭示内容做的任何变更、修饰,均属于权利要求书的保护范围。 It should be noted that the above-mentioned embodiments can be combined with each other. The above description is only a description of the preferred embodiments of the present invention, and does not limit the scope of the present invention in any way. Any changes or modifications made by those of ordinary skill in the field of the present invention based on the above disclosure shall fall within the scope of the claims.

Claims (13)

  1. 一种穿戴式除颤系统,其特征在于,包括:上贴片组件和下贴片组件;A wearable defibrillation system, characterized by including: an upper patch component and a lower patch component;
    所述上贴片组件与所述下贴片组件通过线缆连接;所述上贴片组件用于采集心电信号以及发放除颤脉冲;The upper patch component and the lower patch component are connected through cables; the upper patch component is used to collect ECG signals and deliver defibrillation pulses;
    所述下贴片组件包括心电监测模块、高压模块及控制模块,所述心电监测模块用于获取所述上贴片组件所采集的心电信号;所述控制模块基于所述心电监测模块所获取的心电信号,控制所述高压模块向所述上贴片组件传输所述除颤脉冲。The lower patch component includes an ECG monitoring module, a high voltage module and a control module. The ECG monitoring module is used to obtain the ECG signals collected by the upper patch component; the control module is based on the ECG monitoring The ECG signal acquired by the module controls the high-voltage module to transmit the defibrillation pulse to the upper patch component.
  2. 根据权利要求1所述的穿戴式除颤系统,其特征在于,所述上贴片组件包括第一贴片段和第二贴片段,所述第一贴片段和所述第二贴片段相互绝缘;所述第一贴片段用于采集所述心电信号,所述第二贴片段用于发放所述除颤脉冲;其中,所述第一贴片段和所述第二贴片段被配置为择一导通,另一者关闭。The wearable defibrillation system according to claim 1, wherein the upper patch assembly includes a first patch segment and a second patch segment, and the first patch segment and the second patch segment are insulated from each other; The first patch segment is used to collect the electrocardiogram signal, and the second patch segment is used to deliver the defibrillation pulse; wherein the first patch segment and the second patch segment are configured to select one. On, the other is off.
  3. 根据权利要求2所述的穿戴式除颤系统,其特征在于,所述上贴片组件还包括第三贴片段,所述第三贴片段与所述第一贴片段和所述第二贴片段相互绝缘;所述第三贴片段用于采集所述心电信号;其中,所述第一贴片段作为主要采集端,所述第三贴片段作为辅助采集端;所述心电监测模块用于根据所述第一贴片段和所述第三贴片段所采集的心电信号,对心电事件进行确认。The wearable defibrillation system according to claim 2, wherein the upper patch assembly further includes a third patch segment, the third patch segment is connected to the first patch segment and the second patch segment. Insulated from each other; the third patch segment is used to collect the ECG signal; wherein the first patch segment serves as the main collection end, and the third patch segment serves as the auxiliary collection end; the ECG monitoring module is used to According to the ECG signals collected by the first patch segment and the third patch segment, the ECG event is confirmed.
  4. 根据权利要求3所述的穿戴式除颤系统,其特征在于,所述第二贴片段被配置为导通时,所述第一贴片段和所述第三贴片段关闭;所述第一贴片段和所述第三贴片段被配置为导通时,所述第二贴片段关闭。The wearable defibrillation system according to claim 3, wherein when the second patch segment is configured to be turned on, the first patch segment and the third patch segment are closed; the first patch segment is turned off; When the segment and the third patch segment are configured to be turned on, the second patch segment is turned off.
  5. 根据权利要求1所述的穿戴式除颤系统,其特征在于,所述下贴片组件还包括阻抗测量模块和至少两个回路贴片段,所有所述回路贴片段之间相互绝缘;所述阻抗测量模块用于分别检测至少两个所述回路贴片段与所述上贴片组件的阻抗;所述控制模块基于所述阻抗测量模块所检测的阻抗,选择其中一个所述回路贴片段作为主要回路端,其余的所述回路贴片段作为辅助回路端。 The wearable defibrillation system according to claim 1, wherein the lower patch assembly further includes an impedance measurement module and at least two loop patch segments, all of the loop patch segments are insulated from each other; the impedance The measurement module is used to detect the impedance of at least two of the loop patch segments and the upper patch component respectively; the control module selects one of the loop patch segments as the main loop based on the impedance detected by the impedance measurement module. end, and the rest of the loop is attached to the segment as an auxiliary loop end.
  6. 根据权利要求5所述的穿戴式除颤系统,其特征在于,所述上贴片组件用于发放除颤脉冲时,至少一个所述回路贴片段被配置为导通。The wearable defibrillation system according to claim 5, wherein when the upper patch assembly is used to deliver defibrillation pulses, at least one of the loop patch segments is configured to be conductive.
  7. 根据权利要求1所述的穿戴式除颤系统,其特征在于,所述下贴片组件包括柔性基板和至少两个相互独立的块体,所有所述块体与所述柔性基板的同一面连接,所述柔性基板的另一面用于贴合在人体预定部位上;其中,所述心电监测模块与所述控制模块位于同一所述块体内,所述高压模块位于另一所述块体内。The wearable defibrillation system according to claim 1, wherein the lower patch assembly includes a flexible substrate and at least two mutually independent blocks, and all the blocks are connected to the same side of the flexible substrate. , the other side of the flexible substrate is used to fit on a predetermined part of the human body; wherein the ECG monitoring module and the control module are located in the same block, and the high-voltage module is located in another block.
  8. 根据权利要求7所述的穿戴式除颤系统,其特征在于,所有所述块体沿所述柔性基板的一延伸方向排布,且相互之间具有间隙,以允许所述柔性基板沿所述延伸方向弯曲。The wearable defibrillation system according to claim 7, characterized in that all the blocks are arranged along an extension direction of the flexible substrate and have gaps between them to allow the flexible substrate to move along the The extension direction is curved.
  9. 根据权利要求8所述的穿戴式除颤系统,其特征在于,所述下贴片组件包括三个所述块体,还包括电池模块和阻抗测量模块,所述电池模块位于第一个所述块体内;所述控制模块、所述心电监测模块和所述阻抗测量模块位于第二个所述块体内;所述高压模块位于第三个所述块体内。The wearable defibrillation system according to claim 8, characterized in that the lower patch assembly includes three blocks, and further includes a battery module and an impedance measurement module, and the battery module is located in the first Inside the block; the control module, the ECG monitoring module and the impedance measurement module are located in the second block; the high voltage module is located in the third block.
  10. 根据权利要求9所述的穿戴式除颤系统,其特征在于,所述电池模块包括多个柱体形的电池,多个所述电池沿着所述延伸方向排布,所述电池模块所在的第一个所述块体位于第二个所述块体与第三个所述块体之间,且所述电池模块所在的第一个所述块体能够沿所述延伸方向弯曲。The wearable defibrillation system according to claim 9, characterized in that the battery module includes a plurality of cylindrical batteries, the plurality of batteries are arranged along the extending direction, and the battery module is located on the third One of the blocks is located between the second block and the third block, and the first block where the battery module is located can be bent along the extending direction.
  11. 根据权利要求9所述的穿戴式除颤系统,其特征在于,第二个所述块体与第三个所述块体的两个块体配置为硬质不可弯曲。The wearable defibrillation system according to claim 9, wherein the second block and the third block are configured to be rigid and inflexible.
  12. 根据权利要求9所述的穿戴式除颤系统,其特征在于,所述下贴片组件还包括位于第二个所述块体内的滤波模块、无线通讯模块、无线充电模块、存储模块、传感器模块以及人机交互模块。The wearable defibrillation system according to claim 9, wherein the lower patch assembly further includes a filter module, a wireless communication module, a wireless charging module, a storage module, and a sensor module located in the second block. and human-computer interaction module.
  13. 根据权利要求9所述的穿戴式除颤系统,其特征在于,所述下贴片组件还包括位于第三个所述块体内的高压电路监测模块以及开关阵列模块。 The wearable defibrillation system according to claim 9, wherein the lower patch assembly further includes a high-voltage circuit monitoring module and a switch array module located in the third block.
PCT/CN2023/092898 2022-06-06 2023-05-09 Wearable defibrillation system WO2023236705A1 (en)

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Citations (4)

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US5113869A (en) * 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
CN204815373U (en) * 2015-07-24 2015-12-02 太原智善行科技有限公司 Wearing formula intelligence defibrillator
CN113101523A (en) * 2021-04-21 2021-07-13 久心医疗科技(苏州)有限公司 Portable AED defibrillation monitoring system and method
CN215387041U (en) * 2021-06-08 2022-01-04 吴敏 Wearable heart first-aid system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5113869A (en) * 1990-08-21 1992-05-19 Telectronics Pacing Systems, Inc. Implantable ambulatory electrocardiogram monitor
CN204815373U (en) * 2015-07-24 2015-12-02 太原智善行科技有限公司 Wearing formula intelligence defibrillator
CN113101523A (en) * 2021-04-21 2021-07-13 久心医疗科技(苏州)有限公司 Portable AED defibrillation monitoring system and method
CN215387041U (en) * 2021-06-08 2022-01-04 吴敏 Wearable heart first-aid system

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