CN102579237A - Intermittent pneumatic compression system with venous refilling detecting function - Google Patents
Intermittent pneumatic compression system with venous refilling detecting function Download PDFInfo
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- CN102579237A CN102579237A CN2012100590067A CN201210059006A CN102579237A CN 102579237 A CN102579237 A CN 102579237A CN 2012100590067 A CN2012100590067 A CN 2012100590067A CN 201210059006 A CN201210059006 A CN 201210059006A CN 102579237 A CN102579237 A CN 102579237A
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- 230000006835 compression Effects 0.000 title claims abstract description 42
- 238000007906 compression Methods 0.000 title claims abstract description 42
- 230000017531 blood circulation Effects 0.000 claims abstract description 19
- 238000001514 detection method Methods 0.000 claims abstract description 14
- 230000008859 change Effects 0.000 claims abstract description 5
- 210000004369 blood Anatomy 0.000 claims description 73
- 239000008280 blood Substances 0.000 claims description 73
- 210000003462 vein Anatomy 0.000 claims description 12
- 201000010099 disease Diseases 0.000 claims description 7
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 7
- 206010047249 Venous thrombosis Diseases 0.000 abstract description 7
- 206010051055 Deep vein thrombosis Diseases 0.000 abstract description 6
- 208000024891 symptom Diseases 0.000 abstract description 5
- 230000001105 regulatory effect Effects 0.000 abstract description 4
- 210000003414 extremity Anatomy 0.000 description 79
- 230000004087 circulation Effects 0.000 description 11
- 230000001225 therapeutic effect Effects 0.000 description 9
- 210000001367 artery Anatomy 0.000 description 7
- 230000000694 effects Effects 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 231100000915 pathological change Toxicity 0.000 description 6
- 230000036285 pathological change Effects 0.000 description 6
- 238000007664 blowing Methods 0.000 description 4
- 206010061876 Obstruction Diseases 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 230000002265 prevention Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 210000002073 venous valve Anatomy 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 238000012512 characterization method Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 208000023589 ischemic disease Diseases 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 230000001737 promoting effect Effects 0.000 description 2
- 238000011897 real-time detection Methods 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 201000002282 venous insufficiency Diseases 0.000 description 2
- 208000005189 Embolism Diseases 0.000 description 1
- 206010020565 Hyperaemia Diseases 0.000 description 1
- 208000001435 Thromboembolism Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
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- 238000013461 design Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 210000003743 erythrocyte Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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Abstract
The invention provides an intermittent pneumatic compression system with a venous refilling detecting function, which comprises a system host, a vent line, a limb sleeve and a detection sensor. The system host is connected to the limb sleeve through the vent line. The limb sleeve is used for providing air pressure with certain strength to a limb of a patient according to the control of the system host so as to change the blood circulation state of the limb. The detection sensor is arranged in the limb sleeve and is used for detecting the blood circulation state of the limb in the limb sleeve in real time and transmitting a detection signal to the system host. The system host is used for automatically regulating the operations of inflating and deflating the limb sleeve according to the signal transmitted by the detection sensor. By the intermittent pneumatic compression system provided by the invention, the time interval of pressurizing by air inflation can be controlled and automatically regulated and the blood circulation is well promoted. The intermittent pneumatic compression system is helpful to prevent the deep vein thrombosis from being formed, relieves various symptoms caused by the deep vein thrombosis and performs early warning on the various symptoms and has wide application prospect.
Description
Technical field
The present invention relates to a kind ofly can promote blood and tissue fluid circulation inflation pressurised medical-rehabilitation appliances, relate to more specifically and a kind ofly have vein and inflate compression system again the intermittence of full measuring ability.
Background technology
It is a kind of through the air pressure with certain intensity intermittently inflating compression system (Intermittent Pneumatic Compression); Through the limbs sleeve; Put on medical treatment, the rehabilitation appliances of patient's limbs by modes such as regular hour, sequence of positions and time-out interval; Can effectively promote the circulation of blood and tissue fluid, help the formation of prevention of deep vein thrombosis, can improve the limb artery blood supply; Treatment limbs venous edema and artery of lower extremity ischemic diseases, and alleviate the various symptoms that cause thus.This kind equipment is free atmospheric pressure therapeutic instrument (IPC) and two kinds of titles of air pressure thromboembolism preventing pump (DVT) at present; The two basic action principle is intermittently inflates compression system; But the former configuration is more prone to solve limbs circulation type disease, and the latter then is more prone to solve the prevention of DVT.The IPC system has been widely used in clinical treatment at present; But present employed IPC system is and mechanically carries out therapeutic compression; Do not regulate the blanking time of inflation pressurization according to the loop condition in patient's limbs; Cooperate with patient's actual disease and to have unfavorable problem; Possibly also not recharge problems such as the emptying of just once more it being exerted pressure fully like the intravital blood of patient's limb, and because the doctor to limbs cyclical level and not enough to the grasp of information such as equipment principle, can not reach best therapeutic effect.In order to reach better therapeutic effect; Should be according to the blanking time of loop condition dynamic adjustments inflation pressurization in patient's limbs; The Related product of having known U.S. Tai Ke company about this respect at present has similar functions; Its equipment comes the regulating and controlling limbs to circulate pressing time through the variable quantity of volume after vein recharges of measuring patient limbs; But find that in practical probation its measurement result is very inaccurate, because the variable quantity of the volume of patient's limbs after vein recharges is very little, therefore this equipment can not play best therapeutic effect.
Summary of the invention
The present invention is based on above-mentioned technical problem and propose; Intermittently inflate the therapeutic effect that compression system reaches the best in order to make; The present invention is through adopting infrared sensor in this system; With the congested situation of the shallow table venous of real-time measuring patient limbs, and then the full again situation of real-time characterization limbs venous, and control the interval of adjustment inflation pressurization automatically in view of the above; Thereby make that inflating compression system this intermittence can pressurize at interval according to the inflation of the loop condition dynamic adjustments in different patient's limbs, to reach best therapeutic effect.
The present invention solves the problems of the technologies described above the technological means of being taked:
Inflate compression system a kind of intermittence with the full again measuring ability of vein; Comprise system host, vent line, limbs sleeve and detecting sensor; Said system host is connected in the limbs sleeve through vent line; Said limbs sleeve is according to the control of system host and the patient's limbs in it provide the air pressure of certain intensity to change the blood circulation state of limbs; It is characterized in that; Said detecting sensor is installed on the limbs sleeve and is used for detecting in real time the blood circulation state of limbs in it, and detection signal is transferred to system host, and said system host comes adjustment automatically that the telescopic gas that charges and discharge of limbs is operated according to the feedback signal of detecting sensor.
Further according to inflating compression system intermittence of the present invention; Said blood circulation state comprises that blood emptying and blood recharge state; When system host is pressed predetermined pressure when the limbs sleeve is inflated through vent line; The limbs that detecting sensor detects in the limbs sleeve are in the blood emptying state, and when system host during to limbs sleeve release pressure, detecting sensor detects limbs in the limbs sleeve and is in blood and recharges state.
Further according to inflating compression system intermittence of the present invention; Said system host according to the detected blood emptying of detecting sensor and recharge come at interval dynamically adjustment to inflate compression system said intermittence inflation cycle at interval, just control the charge operation that said limbs sleeve carries out a new round when having only in said system host is receiving the sign limbs sleeve that detecting sensor feeds back limbs blood to recharge the detection signal of completion.
Further according to inflating compression system intermittence of the present invention; Said system host comprises inflator pump and control module; Said control module is controlled the inflation cycle operation of inflator pump based on the feedback signal of detecting sensor; And said control module also stores normal blood status reference value, and can the blood circulation state information that detecting sensor is fed back carried out comparing with this reference value after the handled, then carries out alarm if depart from the predetermined scope of this reference value.
Further according to inflating compression system intermittence of the present invention; Said normal blood status reference value comprises that the normal blood velocity of discharge, normal blood recharge speed and normal blood recharges the completion value; Said control module based on sensor to blood emptying state data calculate the blood velocity of discharge; Based on sensor to blood recharge status data and calculate that blood recharges speed and blood recharges the completion value; And value of calculation compared with corresponding normal reference value, then carry out the disease alarm if depart from the predetermined range of error of corresponding reference value.
Further according to inflating compression system intermittence of the present invention; Described limbs sleeve has double-deck wall structure; Inner wall surface thereof is soft and be close to patient's limbs, has inflation between the inside and outside wall at interval, and described detecting sensor is installed on the telescopic internal face of limbs.
Further according to inflating compression system intermittence of the present invention; Described detecting sensor is an infrared ray sensor; Include RF transmitter and infrared receiver, and change based on the strength values of the received reflected infrared ray of infrared receiver and to react blood circulation state.
Further according to inflating compression system intermittence of the present invention, said RF transmitter and infrared receiver work in a plurality of infrared bands simultaneously, and confirm final detected value based on the average fit of each infrared band detection data.
The technique effect that the present invention reaches:
1, the present invention adopts infrared sensor through inflating at intermittence in the compression system; The situation of the shallow table venous hyperemia of sensing patient limbs in real time; Thereby can control the interval of automatic adjustment inflation pressurization; Fully recharge again after making this system blood all reaching emptying, emptying in to each circulation treatment of different patients, can play well and promote circulation, to reach optimum therapeuticing effect.
2, compression system is inflated in the application of the invention said intermittence with infrared sensor of real-time detection function; Better blood circulation promoting; Help the formation of prevention of deep vein thrombosis; Can improve the limb artery blood supply, treatment limbs venous edema and artery of lower extremity ischemic diseases, and alleviate the various symptoms that cause thus.
3, inflate further intermittence of the present invention compression system according to actual detected to blood emptying-recharge state, can carry out judgement, the alarm of diseases such as obstruction of artery, venous valve pathological changes, phlebothrombosis, further improve its therapeutic effect.
4, inflate the intermittence with above-mentioned functions according to the invention simultaneously compression system realize easily, workable, be with a wide range of applications.
Description of drawings
Accompanying drawing 1 is the vein structure principle chart of inflating compression system intermittence of full measuring ability again that has according to the invention;
Each Reference numeral is in the accompanying drawing 1: IPC system host 1, vent line 2, limbs sleeve 3, detecting sensor 4, sensor signal lines 5.
Accompanying drawing 2 is for inflating the fundamental diagram of used infrared ray sensor in the compression system intermittence according to the invention;
Each Reference numeral is in the accompanying drawing 2: sensor outer housing 6, RF transmitter 7, infrared receiver 8, inject the infrared ray 10 of skin, from infrared ray 11, veins beneath the skin 12, the skin 9 of veins beneath the skin reflection.
The specific embodiment
Below in conjunction with accompanying drawing technical scheme of the present invention is carried out detailed description understanding technical scheme of the present invention more fully, but and do not mean that and limit the invention in these concrete embodiments.
Shown in accompanying drawing 1, inflate compression system and comprise IPC system host 1, vent line 2, limbs sleeve 3, detecting sensor 4 and sensor signal lines 5 intermittence with the full again measuring ability of vein according to the invention, and wherein this IPC system host 1 comprises inflator pump and control module; Wherein this control module is controlled the inflation working methods such as the blowing pressure, inflationtime and time-out interval of inflator pump based on switching signal and external feedback signal, and said vent line 2 is connected between IPC system host 1 and the limbs sleeve 3, is used for the inflation that IPC system host 1 inflator pump produces is provided in the limbs sleeve 3; The limbs such as the shape of leg of described limbs sleeve 3 imitation human bodies are made; Make patient's limbs (like shank) can penetrate in this sleeve, this sleeve has double-deck wall structure, and inner wall surface thereof is soft and closely contact patient's limbs; Has inflation at interval between the inside and outside wall; Outer wall is generally processed by material of greater hardness, and described detecting sensor is installed on the telescopic specific part of limbs, is usually located at the limbs sleeve bigger position of exerting pressure; Can preferably be positioned at the telescopic internal face of limbs; Also can be arranged in the inflation interval between its outside wall surface or inside and outside wall, be used for detecting in real time the blood circulation situation of patient's limbs, typically this detecting sensor adopts infrared ray sensor; And include RF transmitter and infrared receiver; Its operation principle is shown in accompanying drawing 2, and wherein after the infrared ray 10 that infrared ray emitter 7 produces was injected in the skin 9, the part infrared ray was absorbed by the erythrocyte in the blood vessel 12; Another part infrared ray 11 receives by blood vessel 12 reflections and by infrared receiver 8; Under ultrared absorbtivity and the skin blood to recharge saturation directly related, when patient's limbs receive compressing and make that blood is discharged under the skin, be reflected and to be received the detected infra-red intensity of device stronger; Behind limbs sleeve release pressure; Patient's limbs recharge blood naturally, and the blood blood vessel that this moment, a large amount of infrared ray were recharged under the skin absorbs, be reflected and be received the detected infra-red intensity of device a little less than; The detected ultrared strength values size of this receptor through pick off can be reacted the congested situation of veins beneath the skin accurately; This pick off 4 also transfers to IPC system host 1 with this detection data through holding wire 5, and the control module in this IPC system host 1 is corresponding blood status characterization value with this detection data transaction, and also stores normal blood status reference value in this control module; Operational factors such as the blowing pressure that is provided with real-time control IPC system host through detected value relatively and this reference value, inflation interval reach optimum therapeuticing effect.
The concrete work process of inflating compression system intermittence with the full again measuring ability of vein according to the invention is: it is a kind of through the air pressure of certain intensity is put on medical treatment, the rehabilitation appliances of patient's limbs by the modes such as time, sequence of positions and time-out interval of accurately regulating in real time through the limbs sleeve inflating compression system intermittence of the present invention; Its work process is shown in accompanying drawing 1; At first pressing the pressure (this predetermined pressure is according to normal population is carried out the several times experimental test and definite pervasive limbs treatment the blowing pressure) and the order of being scheduled to by system host 1 control during product work inflates to limbs sleeve 3; Because the effect of inflation; Can exert pressure to the patient's limbs in the limbs sleeve 3; Cause that vessel inner blood begins emptying under patient's limb skin, this moment, infrared sensor 4 detected blood emptying incident, then system host 1 release pressure after accomplishing an inflation cycle; The interior patient's of limbs sleeve this moment limbs recharge blood naturally; Infrared sensor 4 just detects the process that blood recharges in real time, when infrared sensor 4 detected infra-red intensities near the most weak and when stablizing gradually, mean that blood is accomplished basically to recharge; That is complete emptying of blood completion this moment-recharging circulation, system host 1 is controlled once more to the limbs sleeve according to infrared sensor minimum value at this moment and is inflated then.Can adjust the intercycle of intermittently inflating compression system accurately through 4 pairs of blood emptyings of infrared sensor, the real-time detection that recharges state; This interval can be emptied to time that pressure discharges and pressure based on blood and be discharged into blood and accomplish the time that recharges and confirm; And can adjust the circulation time interval that inflation is pressurizeed dynamically to different patients and limb part; Guarantee that the limbs inner blood constantly carries out the circulation of emptying-recharge; And the accurate detection through pick off can make and fully recharge again after blood all reaches emptying, emptying in each circulation, can play well to promote circulation, to reach optimum therapeuticing effect.
Further the control module in the above-mentioned IP C system host 1 also stores normal blood status reference value; The blood that recharges under speed and the normal condition like the blood velocity of discharge under the normal condition, blood under the normal condition recharges numerical value fully; When the blood emptying of carrying out above-mentioned limbs-recharge in the therapeutic process; When the real-time detected blood circulation state value of infrared sensor departs from the reasonable error scope of its corresponding reference value; May command system host 1 sends the alarm of diseases such as obstruction of artery, venous valve pathological changes, phlebothrombosis; As by predetermined pressure (this predetermined pressure is according to normal population is carried out the several times experimental test and definite pervasive limbs treatment the blowing pressure) patient's limbs being exerted pressure when making that blood begins emptying under the limb skin when system host 1 control; Control module calculates patient's the blood velocity of discharge based on sensor in real time detected blood emptying data; And the canonical reference velocity amplitude of this velocity amplitude and storage compared; If depart from this canonical reference value and rational range of error thereof, judge that then patient's limbs possibly suffer from pathological changes such as obstruction of artery, control module control system main frame sent this pathological changes and reported to the police this moment.In like manner; Behind release pressure; Control module recharges data based on the detected blood of sensor in real time and the blood that calculates the patient recharges speed and blood recharges state fully; And this calculating data and the canonical reference value that prestores compared, judge that then possibly there is venous valve pathological changes, phlebothrombosis or the like disease in patient's limbs if depart from the predetermined range of error of canonical reference value, send warning simultaneously and note to remind therapist.Therefore inflate compression system intermittence of the present invention and discharge-recharge situation owing to there is sensor in real time to measure the shallow table venous of limbs blood; Not only can control the inflation pressurization automatically at interval to reach better therapeutic effect to the different limb parts of different patients; And whether the blood velocity of discharge that can in time judge the patient be lower than normal value, blood and recharge speed and whether be higher or lower than normal value, blood and situation such as whether can't well discharge, and promoting blood and tissue fluid circulation can in time find the symptoms such as arteriovenous pathological changes that possibly exist simultaneously.
Inflate compression system intermittence according to the invention and recharge recurrent state to reach excellent curative through the emptying of adopting above-mentioned infrared ray sensor to come to detect blood in real time; In order further to improve accuracy of detection to reach optimum therapeuticing effect; Consider that tissue is different to the light absorbability of different wave length with blood; Can in this pick off, adopt the infrared ray of different wave length to detect simultaneously; And compare back as final detected value to detecting data; To improve the accuracy that detects; Get rid of the influence that the different colours of skin of patient cause detected value, carry out this improvement and can realize through making RF transmitter in the pick off work in a plurality of infrared bands simultaneously with infrared receiver, and based on the average fit that each infrared band detects data confirm final detected value treat with accurate reaction in the intravital blood circulation situation of limb.
Below only be that preferred implementation of the present invention is described; Technical scheme of the present invention is not limited to this; Any known distortion that those skilled in the art are done on the basis of major technique design of the present invention all belongs to the claimed technological category of the present invention; Technological invention point of the present invention as stated is to come the limbs massage of reasonably exerting pressure through the blood circulation state that adopts infrared sensor to detect limbs in the limbs sleeve in real time; Although the foregoing description is an infrared sensor with this sensor definition; But those skilled in the art can replace with existing other blood circulation sensing parts in this area with it; Although the embodiment part example in addition in the accompanying drawing limbs sleeve of feet shape; But technical scheme of the present invention does not also lie in the shape of limbs sleeve itself, can adopt the limbs sleeve-shaped corresponding to shapes such as each different parts of human body such as arms fully, and the different situations that further can be directed against different patients according to the return data of pick off come dynamically adjustment blood emptying pressure, pressure release time or the like parameter so that it reaches optimum state; Or the like these all belong to technological category of the present invention, the concrete protection domain of the present invention is as the criterion with the record of claims.
Claims (8)
1. inflate compression system the intermittence with the full again measuring ability of vein; Comprise system host, vent line, limbs sleeve and detecting sensor; Said system host is connected in the limbs sleeve through vent line; Said limbs sleeve is according to the control of system host and the patient's limbs in it provide the air pressure of certain intensity to change the blood circulation state of limbs; It is characterized in that; Said detecting sensor is installed on the limbs sleeve and is used for detecting in real time the blood circulation state of limbs in it, and detection signal is transferred to system host, and said system host comes adjustment automatically that the telescopic gas that charges and discharge of limbs is operated according to the feedback signal of detecting sensor.
2. inflate compression system intermittence according to claim 1; It is characterized in that; Said blood circulation state comprises that blood emptying and blood recharge state, presses predetermined pressure when system host when the limbs sleeve is inflated through vent line, and the limbs that detecting sensor detects in the limbs sleeve are in the blood emptying state; When system host during to limbs sleeve release pressure, detecting sensor detects limbs in the limbs sleeve and is in blood and recharges state.
3. inflate compression system intermittence according to claim 1 and 2; It is characterized in that; Said system host according to the detected blood emptying of detecting sensor and recharge come at interval dynamically adjustment to inflate compression system said intermittence inflation cycle at interval, just control the charge operation that said limbs sleeve carries out a new round when having only in said system host is receiving the sign limbs sleeve that detecting sensor feeds back limbs blood to recharge the detection signal of completion.
4. inflate compression system each described intermittence according to claim 1-3; It is characterized in that; Said system host comprises inflator pump and control module; Said control module is controlled the inflation cycle operation of inflator pump based on the feedback signal of detecting sensor; And said control module also stores normal blood status reference value, and can the blood circulation state information that detecting sensor is fed back carried out comparing with this reference value after the handled, then carries out alarm if depart from the predetermined scope of this reference value.
5. inflate compression system intermittence according to claim 4; It is characterized in that; Said normal blood status reference value comprises that the normal blood velocity of discharge, normal blood recharge speed and normal blood recharges the completion value; Said control module based on sensor to blood emptying state data calculate the blood velocity of discharge; Based on sensor to blood recharge status data and calculate that blood recharges speed and blood recharges the completion value, and value of calculation is compared with corresponding normal reference value, then carry out the disease alarm if depart from the predetermined range of error of corresponding reference value.
6. inflate compression system each described intermittence according to claim 1-5; It is characterized in that; Described limbs sleeve has double-deck wall structure; Inner wall surface thereof is soft and be close to patient's limbs, has inflation between the inside and outside wall at interval, and described detecting sensor is installed on the telescopic internal face of limbs.
7. inflate compression system each described intermittence according to claim 1-6; It is characterized in that; Described detecting sensor is an infrared ray sensor; Include RF transmitter and infrared receiver, and change based on the strength values of the received reflected infrared ray of infrared receiver and to react blood circulation state.
8. inflate compression system intermittence according to claim 7, it is characterized in that, said RF transmitter and infrared receiver work in a plurality of infrared bands simultaneously, and confirm final detected value based on the average fit of each infrared band detection data.
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CN107693322A (en) * | 2017-07-28 | 2018-02-16 | 广东泰宝医疗科技股份有限公司 | A kind of intermittent air pressure treatment system with blood backflow detection function |
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