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CN103801002B - A kind of defibrillation armarium - Google Patents

A kind of defibrillation armarium Download PDF

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Publication number
CN103801002B
CN103801002B CN201210454126.7A CN201210454126A CN103801002B CN 103801002 B CN103801002 B CN 103801002B CN 201210454126 A CN201210454126 A CN 201210454126A CN 103801002 B CN103801002 B CN 103801002B
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defibrillation
treatment
control device
detection device
unit
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CN103801002A (en
Inventor
李利亚
安敏
陈大兵
霍雨佳
季百苗
宁力
杨波
袁高伟
邬闻彬
卢艺
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Shenzhen Mindray Scientific Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Abstract

A kind of defibrillation armarium, including: ECG detection device, it is used for detecting electrocardiosignal;Control device, be connected with described ECG detection device, receive the testing result of described ECG detection device and judge whether to need treatment;Therapy equipment, is connected with described control device, and the treatment receiving described control device when described control device judges to need treatment instructs and carries out automated external defibrillator treatment;Transmitting device, is connected with described control device and transmits the testing result of described ECG detection device as diagnostic message before institute.Above-mentioned defibrillation armarium, solving in pre hospital care can not the cardioelectric monitor of electric defibrillation cardiovascular emergency case patient and diagnostic requirements, the First Aid time is shortened before cardiac diagnosis is placed on institute, provide good reference for medical worker's first aid simultaneously, facilitating medical worker more rapid, patient implements pre hospital care accurately.

Description

Defibrillation medical equipment
Technical Field
The invention relates to the field of medical equipment, in particular to defibrillation medical equipment.
Background
A defibrillator is a shocking defibrillation device that uses a strong pulse of current through the heart to eliminate the arrhythmia and restore it to a sinus rhythm. Unlike conventional defibrillators, Automated External Defibrillators (AEDs) automatically interpret the ecg and determine if defibrillation is required. AED equipment therefore plays an important role in pre-hospital care as an important pre-hospital care device.
A typical AED device can only electrically defibrillate a patient suffering from ventricular fibrillation or ventricular tachycardia, and thus, when the patient is a non-defibrillatable cardiovascular emergency patient, the AED device functions poorly because it is single.
Disclosure of Invention
In view of this, it is desirable to provide a medical device that addresses the problem of functional singleness of an AED device.
A defibrillation medical device, comprising:
the electrocardio detection device is used for detecting electrocardiosignals;
the control device is connected with the electrocardio detection device, receives the detection result of the electrocardio detection device and judges whether treatment is needed or not;
the treatment device is connected with the control device, receives the treatment instruction of the control device when the control device judges that treatment is needed and carries out automatic external defibrillation treatment;
and the transmission device is connected with the control device and transmits the detection result of the electrocardio detection device as pre-hospital diagnosis information.
In one embodiment, the electrocardiograph detection device is a 12 lead electrocardiograph detection device.
In one embodiment, the treatment device includes an automatic external defibrillation treatment unit, the detection result of the electrocardiograph detection device includes whether the electrocardiograph signal includes a defibrillation rhythm, the control device sends a defibrillation instruction to the automatic external defibrillation treatment unit when receiving the detection result that the electrocardiograph signal includes the defibrillation rhythm, and the automatic external defibrillation treatment unit starts automatic external defibrillation analysis, charging and electrical cardioversion.
In one embodiment, the treatment device further comprises a cardiopulmonary resuscitation treatment unit, the detection result of the electrocardiograph detection device comprises information whether cardiopulmonary resuscitation is required, the control device sends an instruction for starting the cardiopulmonary resuscitation treatment unit when receiving the information that cardiopulmonary resuscitation is required, and the cardiopulmonary resuscitation treatment unit performs cardiopulmonary resuscitation compression auxiliary guidance.
In one embodiment, the control device is further configured to receive a detection result that the cardiac electrical signal contains a defibrillation rhythm and remind an operator to stop cpr compression and send a defibrillation instruction to the automatic external defibrillation therapy unit when the cpr compression is being performed.
In one embodiment, the treatment device is an electrical defibrillation device, and the control device is configured to analyze the electrocardiographic signal detected by the electrocardiographic detection device, and control the electrical defibrillation device to defibrillate when the electrocardiographic signal includes a defibrillation rhythm.
In one embodiment, the control device further includes a display unit and/or an audio unit, and the control device is configured to analyze the electrocardiographic signal detected by the electrocardiographic detection device, and perform cardiopulmonary resuscitation compression assistance guidance through the display unit and/or the audio unit when information that cardiopulmonary resuscitation needs to be performed is obtained.
In one embodiment, the transmission device is a wireless network communication unit, a mobile communication unit, a wired network communication unit or a USB interface.
The defibrillation medical equipment meets the electrocardio monitoring and diagnosis requirements of the patient with the cardiovascular emergency which cannot be electrically defibrillated in the pre-hospital emergency, shortens the emergency time of the patient by placing the electrocardio diagnosis in front of the hospital, provides good reference for the emergency treatment of medical staff, and facilitates the medical staff to carry out the pre-hospital emergency treatment more quickly and accurately. Medical staff does not need to carry a plurality of devices such as a defibrillator, a monitor or an electrocardiograph in pre-hospital first aid, and portable equipment guarantee is provided for the medical staff to carry out the first aid fast.
Drawings
Fig. 1 is a block diagram of a first embodiment of a defibrillation medical device;
fig. 2 is a block diagram of a second embodiment of a defibrillation medical device;
fig. 3 is a block diagram of a third embodiment of a defibrillation medical device.
Detailed Description
Automatic External Defibrillator (AED) equipment is used as important equipment in pre-hospital first aid equipment and plays an important role in pre-hospital first aid, but because the traditional AED equipment can only electrically defibrillate patients with ventricular fibrillation ventricular rate, the pre-hospital electrocardiogram diagnosis of other life-threatening cardiovascular emergency patients cannot be realized, the time for treating the patients is delayed, and the patients are further worsened because the patients are not timely diagnosed at early stage and are timely and effectively treated before the hospital. Therefore, early pre-hospital cardiac diagnostics and pre-hospital treatment are critical to reducing mortality in patients with cardiovascular emergencies and improving long-term prognosis.
As shown in fig. 1, the defibrillation medical apparatus includes an electrocardiograph detection device, a control device, a treatment device, and a transmission device. The electrocardio detection device, the treatment device and the transmission device are all connected with the control device.
The electrocardio detection device is used for detecting electrocardiosignals. The electrocardio detection device can adopt detection modes such as 3-lead electrocardio detection, 5-lead electrocardio detection, 12-lead electrocardio detection and the like. Compared with 3-lead electrocardiograph detection and 5-lead electrocardiograph detection, 12-lead electrocardiograph detection can more comprehensively know the condition of heart activity. The electrocardiograph detection device may be a device with an analysis function or a device without an analysis function. The electrocardiograph detection device with the analysis function can be used for analyzing the electrocardiograph signal besides acquiring the electrocardiograph signal from the body of a patient, for example, analyzing whether arrhythmia is defibrillation rhythm or whether defibrillation rhythm such as stop or fine fibrillation is unavailable or whether cardiopulmonary resuscitation needs to be started immediately or not. For the electrocardio detection device without the analysis function, only electrocardio signals can be collected from the body of a patient, and the electrocardio detection device does not have the analysis function.
The control device is connected with the electrocardio detection device, receives the detection result of the electrocardio detection device and judges whether treatment is needed. When the electrocardio detection device has an analysis function, whether treatment is needed or not is judged according to the detection result after analysis, for example, when arrhythmia is analyzed to be defibrillatable rhythm, automatic external defibrillation is judged to be needed, and when the defibrillation rhythm such as stop beat or fine fibrillation which cannot be defibrillated is analyzed, but cardiopulmonary resuscitation needs to be started immediately, cardiopulmonary resuscitation is judged to be needed. When the electrocardiograph detection device does not have an analysis function, whether treatment is needed or not is judged according to the electrocardiograph signals collected from the body of the patient, namely the judgment process comprises an analysis process of the electrocardiograph signals.
The treatment device is connected with the control device, and receives the treatment instruction of the control device when the control device judges that treatment is needed and carries out automatic external defibrillation treatment. The external defibrillation treatment is that the electric conduction electrode of the treatment device is connected outside the chest of a patient, when the heart rate of the patient is irregular, the heart can not effectively send blood to the whole body although beating, and the electric conduction electrode of the treatment device is used for electric shock correction. For example, in ventricular fibrillation, the electrical activity of the heart is chaotic and the ventricles cannot pump blood effectively; in ventricular beats, the heart is unable to effectively pump enough blood because the beats are too fast, and the ventricular beats eventually become ventricular fibrillation. These two types of mental disorders can rapidly lead to brain damage and death if left uncorrected. Automatic external defibrillation treatment can judge whether the rhythm of the heart of the patient is normal or needs to be shocked again after the electric shock. The automated external defibrillation therapy may be a semi-automated external defibrillation therapy or a fully automated external defibrillation therapy. The semi-automatic external defibrillation treatment can remind an operator to avoid contacting a patient, and electric shock is only carried out when the operator presses a shock button; the fully automatic external defibrillation treatment can remind an operator to automatically start electric shock to the heart after leaving a patient through sound or display.
The transmission device is connected with the control device and used for transmitting the detection result of the electrocardio detection device as pre-hospital diagnosis information. The transmission device may be a wireless network communication unit, a mobile communication unit, a wired network communication unit, a USB interface, or the like. For example, when the transmission device adopts a wireless network communication unit, a wireless local area network (WirelessLAN) is used for accessing a network, and an electrocardiosignal detection result obtained by the electrocardiosignal detection device is transmitted to a hospital, so that the hospital can know the state of illness of a patient before the patient is admitted for first aid and prepare for treatment; or the electrocardiosignal detection result obtained by the detection of the electrocardio-detection device can be immediately obtained at the latest when the patient is admitted, so that the detection is not needed when the patient is admitted, and the precious treatment time is saved. Similarly, when the mobile communication unit is adopted, the electrocardiographic signal detection result obtained by the electrocardiographic detection device can be transmitted to the hospital in real time by using a GPRS (General Packet Radio Service), 3G, 4G and other mobile communication networks; when the wired network communication unit is adopted, if the emergency site has a wired network, the wired network can be transmitted in real time, and if the emergency site does not have the wired network, the wired network can be adopted for transmission after the emergency site is admitted; when the USB interface is adopted, the electrocardiosignal detection result obtained by the detection of the electrocardiosignal detection device can be transmitted through the USB interface after the patient is admitted.
The electrocardio detection device, the control device and the treatment device in the defibrillation medical equipment can be relatively independent devices in function, namely the electrocardio detection device, the control device and the treatment device have analysis functions, for example, the electrocardio detection device can analyze electrocardiosignals to obtain a detection result whether the electrocardiosignals contain a defibrillation rhythm or not; the control device receives the detection result of the electrocardio detection device to play a role in coordination; the treatment device also judges and analyzes after obtaining the detection result, and carries out electric shock treatment under autonomous control. In addition, the defibrillation medical equipment can be centralized control equipment, namely the electrocardio detection device is only responsible for acquiring electrocardiosignals as detection results, the control device analyzes the electrocardiosignals to obtain the detection results of whether the electrocardiosignals contain the defibrillation rhythm, the treatment device is subjected to electric shock treatment by the control device, namely the electrocardio detection device as input equipment does not have an analysis function, and the treatment device as output equipment does not have an analysis function.
As shown in fig. 2, it is a schematic diagram of a defibrillation medical apparatus in which the electrocardiographic detection device, the control device, and the treatment device themselves have an analysis function.
In this embodiment, the electrocardiograph detection device is a 12-lead electrocardiograph detection device, and a detection result of the electrocardiograph detection device includes whether the electrocardiograph signal includes a defibrillation rhythm. For example, the 12 lead electrocardiograph detection device completes the acquisition, filtering and analysis of 12 lead data to obtain the detection result whether the electrocardiograph signal contains the defibrillation rhythm.
And the control device sends a defibrillation instruction to the treatment device when receiving the detection result of the defibrillation rhythm contained in the electrocardiosignal. In addition, the control device can also comprise a display unit and/or an audio unit, wherein the display unit is used for displaying the detection result, some prompting information and the like, and the audio unit emits sound to prompt, for example, prompts an operator not to touch a patient when AED treatment is carried out.
The therapy device includes an Automated External Defibrillation (AED) therapy unit. When receiving a detection result containing a defibrillation rhythm in the electrocardiosignal, the control device sends a defibrillation instruction to the automatic external defibrillation treatment unit, and the automatic external defibrillation treatment unit starts AED analysis, charging and electrical cardioversion. That is to say, the automatic external defibrillation treatment unit does not shock immediately after receiving the defibrillation instruction sent by the control device, but can acquire the AED electrocardio waveform according to its own defibrillation electrode, and then perform filtering, analysis and autonomously perform the defibrillation charging and discharging function, that is, the defibrillation instruction of the control device plays a role in starting the automatic external defibrillation treatment unit.
In addition, the treatment device also comprises a cardio-pulmonary resuscitation (CPR) treatment unit, the detection result of the 12-lead electrocardiogram detection device comprises information whether the cardio-pulmonary resuscitation is required, the control device sends an instruction for starting the cardio-pulmonary resuscitation treatment unit when receiving the information that the cardio-pulmonary resuscitation is required, and the CPR treatment unit performs CPR compression auxiliary guidance, such as guidance of compression frequency and compression depth. It should be noted that although the CPR therapy unit is shown as a part of the therapy device in fig. 2, in an actual product, the CPR therapy unit may be integrated in the control device to perform CPR compression assistance guidance, and at this time, the CPR therapy unit still belongs to the therapy device logically, and thus still belongs to the protection scope of the present invention.
Further, the control device is also used for receiving the detection result of the defibrillation rhythm contained in the electrocardiosignal and reminding an operator to stop CPR compression and sending a defibrillation instruction to the automatic external defibrillation treatment unit when CPR compression is performed. That is, if a patient is being subjected to CPR compression, the need for defibrillation is detected by the 12-lead electrocardiograph detection device, the CPR compression is stopped for defibrillation, a prompt is sent by the display unit or the audio unit to remind an operator to stop the CPR compression, a defibrillation instruction is sent to the automatic external defibrillation treatment unit, and the automatic external defibrillation treatment unit analyzes the prompt to determine whether shock defibrillation is needed.
In this embodiment, the transmission device is a real-time communication processing unit. The real-time communication processing unit is connected with the control device and transmits the detection result of the electrocardio detection device in real time as pre-hospital diagnosis information. The real-time communication processing unit may be a wireless network communication unit, a mobile communication unit, etc. The electrocardiosignal detection result obtained by the detection of the electrocardio-detection device is transmitted to the hospital through the real-time communication processing unit, so that the hospital can know the illness state of the patient before the patient is admitted for first aid, the preparation for treatment is well made, and the precious treatment time is saved.
As shown in fig. 3, which is a schematic diagram of the defibrillation medical device as a centrally controlled device.
In this embodiment, the electrocardiograph detection device is only responsible for acquiring electrocardiograph signals as detection results, that is, after acquiring electrical signals through the electrodes, the electrical signals are subjected to analog-to-digital conversion and then input to the control device.
The control device receives the electrocardiosignals, analyzes the electrocardiosignals to obtain a detection result whether the electrocardiosignals contain the defibrillation rhythm or not, and sends a defibrillation instruction to the treatment device when the electrocardiosignals contain the defibrillation rhythm after analysis.
The treatment device is an electric defibrillation device which defibrillates when receiving the defibrillation instruction sent by the control device. The structure of the electrocardio detection device and the treatment device can be simplified by a centralized control mode, namely, the electrocardio detection device and the treatment device do not need to have analysis functions and the analysis functions are integrated into the control device.
The transmission device is connected with the control device and used for transmitting the detection result of the electrocardio detection device as pre-hospital diagnosis information. The transmission device may be a wireless network communication unit, a mobile communication unit, a wired network communication unit, a USB interface, or the like. The electrocardiosignal detection result obtained by the detection of the electrocardio-detection device is transmitted to a hospital through the transmission device, so that the hospital can know the state of the patient before the patient is admitted for first aid and prepare for treatment; or the electrocardiosignal detection result obtained by the detection of the electrocardio-detection device can be immediately obtained at the latest when the patient is admitted, so that the detection is not needed when the patient is admitted, and the precious treatment time is saved.
Furthermore, the control device also comprises a display unit and/or an audio unit, and the control device is used for analyzing the electrocardiosignals detected by the electrocardio detection device and performing CPR compression auxiliary guidance, such as compression frequency and compression depth guidance, through the display unit and/or the audio unit when information required for performing cardiopulmonary resuscitation is obtained.
The defibrillation medical equipment meets the electrocardio monitoring and diagnosis requirements of the patient with the cardiovascular emergency which cannot be electrically defibrillated in the pre-hospital emergency, shortens the emergency time of the patient by placing the electrocardio diagnosis in front of the hospital, provides good reference for the emergency treatment of medical staff, and facilitates the medical staff to carry out the pre-hospital emergency treatment more quickly and accurately. Medical staff does not need to carry a plurality of devices such as a defibrillator, a monitor or an electrocardiograph in pre-hospital first aid, and portable equipment guarantee is provided for the medical staff to carry out the first aid fast.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (6)

1. A defibrillation medical device, comprising:
the electrocardio detection device is used for detecting electrocardiosignals;
the control device is connected with the electrocardio detection device, receives the detection result of the electrocardio detection device and judges whether treatment is needed or not;
the treatment device is connected with the control device, receives the treatment instruction of the control device when the control device judges that treatment is needed and carries out automatic external defibrillation treatment;
the transmission device is connected with the control device and used for transmitting the detection result of the electrocardio detection device as pre-hospital diagnosis information; wherein,
the treatment device comprises a cardio-pulmonary resuscitation treatment unit and an automatic external defibrillation treatment unit, the control device sends an instruction for starting the cardio-pulmonary resuscitation treatment unit when receiving the information that the electrocardiosignals contain the information that cardio-pulmonary resuscitation needs to be performed, and the cardio-pulmonary resuscitation treatment unit performs cardio-pulmonary resuscitation compression auxiliary guidance, guides the compression frequency and the compression depth; and the control device sends a defibrillation instruction to the automatic external defibrillation treatment unit when receiving a detection result that the electrocardiosignal contains the defibrillation rhythm, and the automatic external defibrillation treatment unit starts automatic external defibrillation analysis, charging and electrical cardioversion.
2. The defibrillation medical device of claim 1, wherein the electrocardiograph detection device is a 12 lead electrocardiograph detection device.
3. The defibrillation medical device of claim 1, wherein the control device is further configured to receive a detection result that the defibrillation rhythm is included in the cardiac electrical signal and remind an operator to discontinue cpr compression and send a defibrillation command to the automated external defibrillation therapy unit while the cpr compression is being performed.
4. The defibrillation medical device of claim 1, wherein the treatment device is an electrical defibrillation device, and the control device is configured to analyze the electrocardiographic signal detected by the electrocardiographic detection device, and control the electrical defibrillation device to defibrillate when the electrocardiographic signal contains a defibrillation rhythm.
5. The defibrillation medical device of claim 4, wherein the control device further comprises a display unit and/or an audio unit, and the control device is configured to analyze the electrocardiographic signal detected by the electrocardiographic detection device, and perform cardiopulmonary resuscitation compression assistance guidance through the display unit and/or the audio unit when information that cardiopulmonary resuscitation needs to be performed is obtained.
6. The defibrillation medical device of any one of claims 1 to 5, wherein the transmission means is a wireless network communication unit, a mobile communication unit, a wired network communication unit, or a USB interface.
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