CN106308824B - A wireless urodynamic instrument for continuous monitoring of bladder function - Google Patents
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 27
- 230000003202 urodynamic effect Effects 0.000 title description 19
- 230000000638 stimulation Effects 0.000 claims abstract description 11
- 210000002700 urine Anatomy 0.000 claims abstract description 9
- 238000012545 processing Methods 0.000 claims abstract description 8
- 230000006870 function Effects 0.000 claims description 24
- 230000008602 contraction Effects 0.000 claims description 11
- 230000035807 sensation Effects 0.000 claims description 6
- 239000000463 material Substances 0.000 claims description 4
- 230000001225 therapeutic effect Effects 0.000 claims description 3
- 229910002804 graphite Inorganic materials 0.000 claims 1
- 239000010439 graphite Substances 0.000 claims 1
- -1 graphite Alkene Chemical class 0.000 claims 1
- 230000036724 intravesical pressure Effects 0.000 claims 1
- 239000007788 liquid Substances 0.000 claims 1
- 230000008859 change Effects 0.000 abstract description 3
- 230000002085 persistent effect Effects 0.000 abstract 1
- 208000011580 syndromic disease Diseases 0.000 abstract 1
- 230000002159 abnormal effect Effects 0.000 description 7
- 230000027939 micturition Effects 0.000 description 5
- 210000003708 urethra Anatomy 0.000 description 5
- 238000007689 inspection Methods 0.000 description 4
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical group [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 229910021389 graphene Inorganic materials 0.000 description 3
- 230000002485 urinary effect Effects 0.000 description 3
- 238000005259 measurement Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000005457 optimization Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 206010005052 Bladder irritation Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 238000002504 lithotomy Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/20—Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
- A61B5/202—Assessing bladder functions, e.g. incontinence assessment
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- A—HUMAN NECESSITIES
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- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
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Abstract
Description
技术领域technical field
本发明具体涉及医疗仪器技术领域,具体涉及一种可持续监测膀胱功能的无线尿动力仪。The invention specifically relates to the technical field of medical instruments, in particular to a wireless urodynamic instrument for continuously monitoring bladder function.
背景技术Background technique
尿动力仪主要用于检测患者泌尿功能状态是否正常,尤其是检测膀胱储尿、排尿功能是否异常尤为重要,检查时需要将测压管插入到病人膀胱并通过压力换能器测定压力从而间接地了解病人的膀胱功能。目前的尿动力仪为常规尿动力仪,常规的尿动力仪,是将病人固定到一个固定的体位,一般是截石位,向被检者的膀胱内插入测压管,然后以一定的速度向膀胱内灌水,一般是50ml/分钟,通过压力换能器检测病人膀胱内的压力,在被检者需要排尿时要求患者排尿,排尿入尿流率仪中,通过测定被检者膀胱的压力和尿流率的变化,了解被检者的膀胱和尿道的功能。对于尿道功能,即以一定的速度将测压管自膀胱拉到尿道外口,通过灌水,一般为2ml/分钟,通过测定尿道不同部位的压力情况,了解尿道的功能等。以上的传统及目前临床应用的尿动力检查都存在以下的缺点:The urodynamic instrument is mainly used to detect whether the urinary function status of the patient is normal, especially to detect whether the bladder urine storage and urination function is abnormal. During the inspection, it is necessary to insert a pressure measuring tube into the patient's bladder and measure the pressure through a pressure transducer to indirectly Know the patient's bladder function. The current urodynamic instrument is a conventional urodynamic instrument. The conventional urodynamic instrument fixes the patient in a fixed position, usually the lithotomy position, inserts a pressure measuring tube into the bladder of the subject, and then Fill the bladder with water, usually 50ml/min, detect the pressure in the patient's bladder through the pressure transducer, ask the patient to urinate when the subject needs to urinate, urinate into the urine flow meter, and measure the pressure of the subject's bladder and changes in urinary flow rate to understand the function of the subject's bladder and urethra. For urethral function, the pressure measuring tube is pulled from the bladder to the external opening of the urethra at a certain speed, and the pressure of different parts of the urethra is measured to understand the function of the urethra through irrigation, generally at 2ml/min. The above traditional and current clinically applied urodynamic tests all have the following disadvantages:
被检者是在非自然状态下完成操作,尤其没有做过类似检查的病人不适应插管及受检查环境影响,结果往往与被检者的膀胱功能实际情况有较大的偏差,有很多病人受检时不能完成排尿。The examinee completed the operation in an unnatural state, especially patients who have not undergone similar examinations are not suitable for intubation and are affected by the examination environment. The results often have a large deviation from the actual bladder function of the examinee. Many patients Inability to complete urination when tested.
检查时要向被检者膀胱和直肠内插入测压管,属有创性检查,不是自然状态,会给被检者带来不便及痛苦,被检者的接受性较差。During the inspection, a pressure measuring tube should be inserted into the bladder and rectum of the examinee, which is an invasive examination and is not in a natural state. It will cause inconvenience and pain to the examinee, and the acceptability of the examinee is poor.
检查过程复杂,需要有相当经验的技术人员操作才能完成高质量的结果,这样才能得到相对比较准确的结论,一个操作不太熟练或对尿动力的理解程度不高的操作者所做出的结果往往准确性较差,没有较好的可信性结果,有导致临床误判膀胱功能状态之虞。The inspection process is complicated and requires experienced technicians to complete high-quality results, so that relatively accurate conclusions can be obtained. The results are made by an operator who is not very skilled in operation or has a low understanding of urodynamics. The accuracy is often poor, and there is no good reliability result, which may lead to clinical misjudgment of bladder function status.
检查的重复性相对较差,尤其是涉及尿道功能测定及病人主观的描述,有时同一时期两次检查的结果会有较大的出入。The reproducibility of the examination is relatively poor, especially when it involves the measurement of urethral function and the subjective description of the patient, and sometimes the results of two examinations in the same period will have large discrepancies.
检查多呈单次一个时间的横断面检查,无法动态持续观测患者膀胱的储排尿功能及发现和捕捉膀胱偶发和变化随起居生活而可能改变的异常状态。The examination is mostly a cross-sectional examination at a single time, and it is impossible to dynamically and continuously observe the urinary storage and voiding function of the patient's bladder, and to discover and capture the abnormal state of the bladder that may change occasionally and changes with daily life.
记录的可视性较差,不能直观的观察膀胱、尿道内的变化。The visibility of the recording is poor, and the changes in the bladder and urethra cannot be observed intuitively.
一般仅限于检查,没有治疗功能。Generally limited to inspection, no treatment function.
由于以上的原因使尿动力检查的临床实用价值及普遍应用受到限制。而目前临床使用的尿动力仪亟待需要可以方便、持续、动态的检测膀胱的功能,并且其缺少能根据膀胱功能状态,先进选择性配置的治疗功能。Due to the above reasons, the clinical practical value and general application of urodynamic examination are limited. However, the urodynamic instrument currently used in clinical practice urgently needs to be able to detect the function of the bladder conveniently, continuously and dynamically, and it lacks the treatment function that can be advanced and selectively configured according to the functional state of the bladder.
发明内容Contents of the invention
为了解决现有技术的不足,本发明提供了一种可持续监测膀胱功能的无线尿动力仪。In order to solve the deficiencies of the prior art, the invention provides a wireless urodynamic instrument for continuously monitoring bladder function.
本发明采用的技术解决方案是:一种可持续监测膀胱功能的无线尿动力仪,所述的无线尿动力仪包括膀胱腔内无线监测采集模块,无线信号控制模块和无线信号处理模块,所述的膀胱腔内无线监测采集模块采集监测排尿时液体流速、膀胱内压力动态、膀胱容量参数指标变化并传输信号给无线信号控制模块,所述的无线信号控制模块将接收的信号传输给无线信号处理模块,所述的无线尿动力仪还包括有治疗模块,所述的无线信号控制模块根据接受采集的信号控制治疗模块持续放电刺激,达到调节膀胱感觉或收缩目的,治疗性的缓解膀胱收缩。The technical solution adopted by the present invention is: a wireless urodynamic instrument for continuously monitoring bladder function, the wireless urodynamic instrument includes a wireless monitoring and acquisition module in the bladder cavity, a wireless signal control module and a wireless signal processing module. The wireless monitoring and acquisition module in the bladder cavity collects and monitors the fluid flow rate during urination, the pressure dynamics in the bladder, and the changes in bladder capacity parameters and transmits signals to the wireless signal control module, and the wireless signal control module transmits the received signals to the wireless signal processing module, the wireless urodynamic instrument also includes a treatment module, and the wireless signal control module controls the treatment module to continuously discharge stimulation according to the collected signals to achieve the purpose of adjusting bladder sensation or contraction, and therapeutically relieving bladder contraction.
所述的膀胱腔内无线监测采集模块为无线感受器,所述的无线感受器包括本体,所述的本体内设有传感器,所述的本体外表面为石墨烯材料,所述的本体的外表面上还设有缓冲装置。The wireless monitoring and acquisition module in the bladder cavity is a wireless sensor, the wireless sensor includes a body, the sensor is arranged in the body, the outer surface of the body is graphene material, and the outer surface of the body is There is also a buffer device.
所述的缓冲装置为软弹簧,所述的软弹簧安装在本体的外表面上。The buffer device is a soft spring, and the soft spring is installed on the outer surface of the body.
所述的软弹簧上还设有微感受器。The soft spring is also provided with microreceptors.
所述的本体内还设有微电刺激器,所述的微电刺激器可持续或根据需要放电刺激,达到调节膀胱感觉或收缩目的,治疗性的缓解膀胱收缩。The body is also equipped with a micro-electric stimulator, and the micro-electric stimulator can discharge stimulation continuously or according to needs, so as to achieve the purpose of regulating bladder sensation or contraction, and therapeutically relieving bladder contraction.
所述的本体内还设有内置摄像头。The body is also provided with a built-in camera.
所述的内置摄像头还设有内置发光灯。The built-in camera is also provided with a built-in luminous light.
本发明的有益效果是:本发明提供了一种可持续监测膀胱功能的无线尿动力仪,发明能够在持续状态下捕捉可能的膀胱功能异常,兼顾记录膀胱结构异常及动态变化数码影像。另外,通过微电极刺激,可以达到治疗或缓解相关膀胱症状、并愿意和能够调节自己状态,更好的配合膀胱监测状态或根据需要,将反馈回来的信息进行优化处理,再根据膀胱持续监测的结果来调整刺激模式,达到反馈优化的目的,最大限度的同时监测加治疗。The beneficial effects of the present invention are: the present invention provides a wireless urodynamic instrument for continuously monitoring bladder function, and the invention can capture possible abnormal bladder function in a continuous state, and simultaneously record abnormal bladder structure and dynamic changing digital images. In addition, through microelectrode stimulation, it is possible to treat or alleviate related bladder symptoms, and be willing and able to adjust your own state, better cooperate with the bladder monitoring status or optimize the feedback information according to the needs, and then according to the continuous monitoring of the bladder. According to the results, the stimulation mode can be adjusted to achieve the purpose of feedback optimization, and the simultaneous monitoring and treatment can be maximized.
附图说明Description of drawings
图1为本发明流程图。Fig. 1 is the flow chart of the present invention.
图2为本发明无线感受器结构示意图。Fig. 2 is a schematic diagram of the structure of the wireless sensor of the present invention.
图中1-膀胱腔内无线监测采集模块,2-无线信号控制模块,3-无线信号处理模块,4-本体,5-缓冲装置,6-治疗模块。In the figure, 1-wireless monitoring and acquisition module in bladder cavity, 2-wireless signal control module, 3-wireless signal processing module, 4-body, 5-buffer device, 6-treatment module.
具体实施方式Detailed ways
现结合图1、图2对本发明进行进一步说明,一种可持续监测膀胱功能的无线尿动力仪,所述的无线尿动力仪包括膀胱腔内无线监测采集模块1,无线信号控制模块2和无线信号处理模块3,所述的膀胱腔内无线监测采集模块1采集监测排尿时液体流速、膀胱内压力动态、膀胱容量参数指标变化并传输信号给无线信号控制模块2,所述的无线信号控制模块2将接收的信号传输给无线信号处理模块3,所述的无线尿动力仪还包括有治疗模块6,所述的无线信号控制模块2根据接收采集的信号控制治疗模块6持续放电刺激,达到调节膀胱感觉或收缩目的,治疗性的缓解膀胱收缩。The present invention is further described in conjunction with Fig. 1 and Fig. 2, a wireless urodynamic instrument for continuously monitoring bladder function, the wireless urodynamic instrument includes a wireless monitoring and acquisition module 1 in the bladder cavity, a wireless signal control module 2 and a wireless urodynamic instrument. The signal processing module 3, the wireless monitoring and acquisition module 1 in the bladder cavity collects and monitors the fluid flow rate during urination, the pressure dynamics in the bladder, and changes in bladder capacity parameters and transmits signals to the wireless signal control module 2, and the wireless signal control module 2. Transmit the received signal to the wireless signal processing module 3. The wireless urodynamic instrument also includes a treatment module 6. The wireless signal control module 2 controls the treatment module 6 to continuously discharge stimulation according to the received and collected signals to achieve regulation Bladder sensation or contraction purposes, therapeutic relief of bladder contractions.
所述的膀胱腔内无线监测采集模块1为无线感受器,所述的无线感受器包括本体4,所述的本体4内设有传感器,可感受膀胱内压力动态、膀胱容量等指标变化。所述的本体4外表面为石墨烯材料,本发明在膀胱腔内内镜下置入无线感受器装置,配合其外壁的石墨烯材料,感受膀胱压力动态变化。所述的本体4的外表面上还设有缓冲装置5。所述的缓冲装置5为软弹簧,所述的软弹簧安装在本体4的外表面上。软弹簧数量为三个,可以避免装置贴壁,影响测定和引发膀胱异常刺激。所述的软弹簧上还设有微感受器。可感受膀胱内压力和排尿时液体冲刷微感受器时流速。The wireless monitoring and acquisition module 1 in the bladder cavity is a wireless sensor, and the wireless sensor includes a main body 4, and a sensor is provided in the main body 4, which can sense changes in indicators such as dynamic pressure in the bladder and bladder capacity. The outer surface of the main body 4 is made of graphene material. In the present invention, a wireless sensor device is inserted into the bladder cavity under an endoscope, and the graphene material on the outer wall is used to sense the dynamic change of bladder pressure. A buffer device 5 is also provided on the outer surface of the body 4 . The buffer device 5 is a soft spring, and the soft spring is installed on the outer surface of the body 4 . The number of soft springs is three, which can prevent the device from adhering to the wall, affecting the measurement and causing abnormal bladder irritation. The soft spring is also provided with microreceptors. It can sense the pressure in the bladder and the flow rate of fluid flushing microreceptors during urination.
所述的本体4内还设有微电刺激器,所述的微电刺激器可持续或根据需要放电刺激,达到调节膀胱感觉或收缩目的,治疗性的缓解膀胱收缩。The main body 4 is also equipped with a micro-electric stimulator, which can discharge and stimulate continuously or according to needs, so as to achieve the purpose of regulating bladder sensation or contraction, and therapeutically relieving bladder contraction.
所述的本体4内还设有内置摄像头。所述的内置摄像头还设有内置发光灯。可根据需要录取视频和拍照,发现和分析膀胱内壁舒张收缩时变化及病变情况。The body 4 is also provided with a built-in camera. The built-in camera is also provided with a built-in luminous light. Videos and photos can be recorded as needed to discover and analyze the changes and pathological changes of the inner bladder wall during diastole and contraction.
本发明能够在持续状态下捕捉可能的膀胱功能异常,兼顾记录膀胱结构异常及动态变化数码影像。另外,通过微电极刺激,可以达到治疗缓解相关膀胱症状、并愿意和能够调节自己状态,更好的配合膀胱监测状态或根据需要,将反馈回来的信息进行优化处理,再根据膀胱持续监测的结果来调整刺激模式,达到反馈优化的目的,最大限度的同时监测加治疗。The invention can capture possible abnormal bladder function in a continuous state, and simultaneously record abnormal bladder structure and digital images of dynamic changes. In addition, through microelectrode stimulation, it is possible to treat and relieve related bladder symptoms, and be willing and able to adjust your own state, better cooperate with the status of bladder monitoring or optimize the feedback information according to needs, and then according to the results of continuous bladder monitoring To adjust the stimulation mode, achieve the purpose of feedback optimization, and maximize simultaneous monitoring and treatment.
以上所述仅是本发明的优选实施方式,本发明的保护范围并不仅局限于上述实施例,凡属于本发明思路下的技术方案均属于本发明的保护范围。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理前提下的若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above descriptions are only preferred implementations of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions under the idea of the present invention belong to the protection scope of the present invention. It should be pointed out that for those skilled in the art, some improvements and modifications without departing from the principles of the present invention should also be regarded as the protection scope of the present invention.
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