CN111603152A - An invasive blood pressure measuring device - Google Patents
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Abstract
Description
技术领域technical field
本申请涉及医疗器械技术领域,特别涉及一种有创血压测量装置。The present application relates to the technical field of medical devices, and in particular, to an invasive blood pressure measurement device.
背景技术Background technique
血压是临床上用于检测人体生命体征的重要参数之一。血压测量可分为无创和有创两种方式。有创血压测量适用于手术患者、重症监护患者和新生儿等需要进行血压监测的预期应用,具有响应时间快、结果准确、抗干扰强和应用范围宽的特点。有创血压测量又称为直接血压测量,是通过与患者的测量部位建立直接的通道,借助于液体连通将血压传递到外部的压力传感器上获得压力信号,从而计算出相关的参数值,主要包含收缩压、舒张压、平均压和脉率等,其可以提供连续、可靠、准确的血压数据。Blood pressure is one of the important parameters clinically used to detect human vital signs. Blood pressure measurement can be divided into two ways: non-invasive and invasive. Invasive blood pressure measurement is suitable for expected applications that require blood pressure monitoring, such as surgical patients, intensive care patients, and neonates. It has the characteristics of fast response time, accurate results, strong anti-interference and wide application range. Invasive blood pressure measurement, also known as direct blood pressure measurement, is to establish a direct channel with the patient's measurement site, and transmit the blood pressure to an external pressure sensor to obtain a pressure signal by means of liquid communication, thereby calculating the relevant parameter values, mainly including Systolic blood pressure, diastolic blood pressure, mean blood pressure and pulse rate, etc., which can provide continuous, reliable and accurate blood pressure data.
现有的有创血压测量装置为了保证测量的准确度,需要使用较高压的灌注,在灌注末端安装压力传感器,同时将大直径的灌注针插入肢体的动脉血管。由于灌注针的直径较大,不仅提高了医护人员在穿刺过程中的操作难度,同时,会给患者带来较大的穿刺创口,给患者带来较大的痛楚,并且使得患者感染并发症的几率较高。In order to ensure the accuracy of measurement, the existing invasive blood pressure measurement device needs to use a higher pressure perfusion, install a pressure sensor at the perfusion end, and insert a large-diameter perfusion needle into the arterial blood vessel of the limb at the same time. Due to the large diameter of the perfusion needle, it not only increases the difficulty of the medical staff in the puncture process, but also brings a large puncture wound to the patient, which brings greater pain to the patient, and makes the patient more susceptible to infection complications. Chances are higher.
发明内容SUMMARY OF THE INVENTION
本申请的主要目的为提供一种有创血压测量装置,旨在解决现有的有创血压测量装置在测量过程中会给患者带来较大穿刺创口的弊端。The main purpose of the present application is to provide an invasive blood pressure measurement device, which aims to solve the drawback that the existing invasive blood pressure measurement device will bring a larger puncture wound to the patient during the measurement process.
为实现上述目的,本申请提供了一种有创血压测量装置,包括压力传感器和测压管路;To achieve the above purpose, the present application provides an invasive blood pressure measurement device, including a pressure sensor and a pressure measurement pipeline;
所述血压测量装置使用时,所述测压管路内充满流动的液体;When the blood pressure measuring device is in use, the pressure measuring pipeline is filled with flowing liquid;
所述压力传感器设置在所述测压管路内的预设位,其中,所述预设位为所测压管路内负压抵消径向压强的位置,所述负压为所述液体在所述测压管路内流动时对管壁内表面产生的压强,所述径向压强为所述液体在所述测压管路内流动产生的静压。The pressure sensor is set at a preset position in the pressure measurement pipeline, wherein the preset position is the position where the negative pressure in the pressure measurement pipeline offsets the radial pressure, and the negative pressure is the position where the liquid is in the pressure measurement pipeline. The pressure generated on the inner surface of the pipe wall when flowing in the pressure measuring pipeline, and the radial pressure is the static pressure generated by the liquid flowing in the pressure measuring pipeline.
进一步的,所述测压管路包括灌注管、微流控细管和针管;Further, the pressure measurement pipeline includes a perfusion tube, a microfluidic thin tube and a needle tube;
所述灌注管、所述微流控细管和所述针管依次连接;the perfusion tube, the microfluidic thin tube and the needle tube are connected in sequence;
所述压力传感器设置在所述微流控细管内的所述预设位。The pressure sensor is arranged at the preset position in the microfluidic thin tube.
进一步的,所述微流控细管的横截面面积小于0.05mm2。Further, the cross-sectional area of the microfluidic thin tube is less than 0.05 mm 2 .
进一步的,所述针管的针头规格不大于25G。Further, the needle size of the needle tube is not greater than 25G.
进一步的,所述微流控细管一端设有标准液流输入接口,另一端设有标准液流输出接口;Further, one end of the microfluidic thin tube is provided with a standard liquid flow input interface, and the other end is provided with a standard liquid flow output interface;
所述微流控细管通过所述标准液流输入接口与所述灌注管连接;The microfluidic thin tube is connected to the perfusion tube through the standard liquid flow input interface;
所述微流控细管通过所述标准液流输出接口与所述针管连接。The microfluidic thin tube is connected to the needle tube through the standard liquid flow output interface.
进一步的,所述压力传感器包括4个应变电阻,各所述应变电阻以所述预设位所在的管道截面为对称面,两两对称设置。Further, the pressure sensor includes 4 strain resistances, and each of the strain resistances is symmetrically arranged in pairs with the pipe section where the preset position is located as a symmetry plane.
进一步的,所述血压测量装置包括处理器,所述处理器与所述压力传感器连接;Further, the blood pressure measurement device includes a processor, and the processor is connected to the pressure sensor;
所述处理器用于接收和处理所述压力传感器反馈的压力信号。The processor is used for receiving and processing the pressure signal fed back by the pressure sensor.
进一步的,所述血压测量装置还包括报警装置,所述报警装置与所述处理器连接;Further, the blood pressure measurement device further includes an alarm device, and the alarm device is connected to the processor;
所述报警装置用于在所述压力传感器监测的血压值大于阈值时,输出报警信息。The alarm device is configured to output alarm information when the blood pressure value monitored by the pressure sensor is greater than a threshold value.
进一步的,所述血压测量装置还包括显示装置,所述显示装置与所述处理器连接;Further, the blood pressure measurement device further includes a display device, and the display device is connected to the processor;
所述显示装置用于显示所述压力传感器所监测到的血压值和/或波形图。The display device is used for displaying the blood pressure value and/or waveform graph monitored by the pressure sensor.
进一步的,所述血压测量装置还包括通信装置,所述通信装置与所述处理器连接;Further, the blood pressure measurement device further includes a communication device, the communication device is connected to the processor;
所述通信装置用于将所述处理器处理所述压力信号后的结果发送到预设终端。The communication device is configured to send a result of processing the pressure signal by the processor to a preset terminal.
本申请中提供的一种有创血压测量装置,包括压力传感器和测压管路,血压测量装置使用时,测压管路内充满流动的液体;而压力传感器设置在测压管路内的预设位。其中,预设位为压管路内液流流动产生的负压总是抵消径向压强的位置,负压为液体在测压管路内流动时对管壁内表面产生的压强,径向压强为液体在测压管路内流动产生的静压。本申请的血压测量装置的管路中,如果液流入口处压强提升,会导致管路内的液体流动速度提高,进而使得管壁负压上升,但上升的负压也会与径向压强相互抵消,从而使得预设位处的压强始终等于测量管路的出口端的压强。因此,压力传感器设置在预设位,所测量得到的压力等同于血管中的压力,准确度极高。同时,还可以根据需要减小针管的直径,从而避免对患者造成较大的穿刺创口,减轻患者测量过程中的痛苦,以及降低并发症的感染几率。An invasive blood pressure measurement device provided in this application includes a pressure sensor and a pressure measurement pipeline. When the blood pressure measurement device is in use, the pressure measurement pipeline is filled with flowing liquid; Set up. Among them, the preset position is the position where the negative pressure generated by the liquid flow in the pressure pipeline always offsets the radial pressure, the negative pressure is the pressure generated by the liquid on the inner surface of the pipe wall when the liquid flows in the pressure measuring pipeline, and the radial pressure The static pressure generated by the flow of the liquid in the pressure measuring line. In the pipeline of the blood pressure measuring device of the present application, if the pressure at the liquid flow inlet increases, the liquid flow velocity in the pipeline will increase, thereby increasing the negative pressure of the tube wall, but the rising negative pressure will also interact with the radial pressure. offset, so that the pressure at the preset position is always equal to the pressure at the outlet end of the measurement pipeline. Therefore, the pressure sensor is set at a preset position, and the measured pressure is equal to the pressure in the blood vessel, and the accuracy is extremely high. At the same time, the diameter of the needle tube can also be reduced as required, thereby avoiding causing a large puncture wound to the patient, alleviating the pain of the patient during the measurement process, and reducing the infection probability of complications.
附图说明Description of drawings
图1是本申请一实施例中有创血压监测装置的整体结构图。FIG. 1 is an overall structural diagram of an invasive blood pressure monitoring device according to an embodiment of the present application.
本申请目的的实现、功能特点及优点将结合实施例,参照附图做进一步说明。The realization, functional characteristics and advantages of the purpose of the present application will be further described with reference to the accompanying drawings in conjunction with the embodiments.
具体实施方式Detailed ways
为了使本申请的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本申请进行进一步详细说明。应当理解,此处描述的具体实施例仅仅用以解释本申请,并不用于限定本申请。In order to make the purpose, technical solutions and advantages of the present application more clearly understood, the present application will be described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present application, but not to limit the present application.
参照图1,本申请一实施例中提供了一种有创血压测量装置,包括压力传感器4和测压管路;1, an embodiment of the present application provides an invasive blood pressure measurement device, including a
所述血压测量装置使用时,所述测压管路内充满流动的液体;When the blood pressure measuring device is in use, the pressure measuring pipeline is filled with flowing liquid;
所述压力传感器4设置在所述测压管路内的预设位,其中,所述预设位为所测压管路内负压抵消径向压强的位置,所述负压为所述液体在所述测压管路内流动时对管壁内表面产生的压强,所述径向压强为所述液体在所述测压管路内流动产生的静压。The
本实施例中,有创血压测量装置整体结构与现有的有创血压测量装置结构类似,具体区别在于,本实施例的血压测量装置包括压力传感器4和测压管路。具体地,血压测量装置在使用时,测压管路内充满流动的液体,而压力传感器4设置在测压管路内的预设位。其中,预设位为测压管路内负压抵消径向压强的位置,负压是指液体在测压管路内流动时,液体对管壁内表面所产生的压强;而径向压强则是液体在测压管路内流动产生的静压。本实施例中预设位的计算方法为:C×Ps=Pv,其中,C为预设位到管道出口的距离占管道全长的比例,Ps为测压管路入口处的静压,Pv为测压管路内液流流速所产生的负压。而Ps=ρKV2+n,Pv=1/2ρV2,其中,ρ为液体密度,V为液流的流速,K和n的数值与管道的设计参数相关,具体与管道的孔径、长度、管道内壁的摩擦系数和弯曲情况等相关,K常数与管道的阻抗系数正相关,n是K的修饰常数,在拟合时n常数可以被忽略。根据上述公式进行相应的变形,得到C×(ρKV2+n)=1/2ρV2,由此可以计算得到从而确定管道上的预设位。其中,传感器所安装位置的管道为固定形态,不会在使用过程中发生弯曲等形态变化,从而保证预设位的固定性。In this embodiment, the overall structure of the invasive blood pressure measurement device is similar to the structure of the existing invasive blood pressure measurement device, and the specific difference is that the blood pressure measurement device in this embodiment includes a
现有的有创血压测量,为了保证测量的准确性,需要使用很大直径的灌注针管3通过穿刺置于患者的血管内,并且压力传感器4尽量靠近针管3设置,以便真实反映血管内的血压。如果针管3的直径减小,针管3内的液流阻抗就会变大,从而使得压力传感器4反映的压力远离患者的真实血压,测量准确度大幅度下降。而本实施例的有创血压测量装置,压力传感器4是设置在测压管路内的预设位,该位点上的负压会与径向压强抵消。即便测压管路的出口端(即针管3)的直径减小,会导致管路内的液体流动速度提高,流速改变进而逆向改变管道内壁由于流速而产生的负压,该负压负压会与上游压强改变影响的径向压强相互抵消,从而使得预设位处的压强始终等于测量管路的出口端的压强。因此,本实施的血压测量装置可以根据需要选择任何尺寸的针管3,不需要为了测量的准确度妥协使用大直径的针管3对患者进行穿刺测量。即,本实施例的血压测量装置,为了减轻患者血压测量时的痛苦以及降低并发症的感染几率,同时在保证测量准确的的前提下,可以选择小直径的针管3对用户进行穿刺测量。In the existing invasive blood pressure measurement, in order to ensure the accuracy of the measurement, a large
进一步的,所述测压管路包括灌注管1、微流控细管2和针管3,所述灌注管1、所述微流控细管2和所述针管3依次连接;Further, the pressure measurement pipeline includes a
所述压力传感器4设置在所述微流控细管2内的所述预设位。The
优选的,所述微流控细管2的横截面面积小于0.05mm2。Preferably, the cross-sectional area of the microfluidic
优选的,所述针管3的针头规格不大于25G。Preferably, the needle size of the
优选的,所述微流控细管2一端设有标准液流输入接口,另一端设有标准液流输出接口;Preferably, one end of the microfluidic
所述微流控细管2通过所述标准液流输入接口与所述灌注管1连接;The microfluidic
所述微流控细管2通过所述标准液流输出接口与所述针管3连接。The microfluidic
本实施例中,测压管路包括灌注管1、微流控细管2和针管3,灌注管1、微流控细管2和针管3依次连接,其中,压力传感器4安装在微流控细管2内的预设位处。具体地,灌注管1为常规尺寸的管道,一端通过三通开关、冲洗装置等常规结构与灌注瓶连接,另一端与微流控细管2连接。灌注瓶挂设在高处,外部加压,从而使得灌注瓶内的液体通过灌注管1、微流控细管2到达针管3。微流控细管2一端设置有标准液流输入接口,另一端设有标准液流输出接口。微流控细管2的一端通过标准液流输入接口与灌注管1连接,另一端通过标准液流输出接口与针管3连接。微流控管道具有超细管道设计,能够在测压管路中获得小流量下的高流速。优选的,微流控细管2的横截面面积小于0.05mm2,,针管3的针头规格小于或等于25G。小尺寸规格的微流控细管2和针管3,能够使得医护人员使用血压测量装置对患者进行穿刺测量时,不会造成较大的穿刺创口,有效减轻患者的痛苦和降低创口处并发症的感染几率。In this embodiment, the pressure measurement pipeline includes a
进一步的,所述压力传感器4包括4个应变电阻,各所述应变电阻以所述预设位所在的管道截面为对称面,两两对称设置。Further, the
本实施例中,压力传感器4为文氏电桥结构,包括4个应变电阻。其中,各应变电阻以预设位所在的管道截面为对称面,两两对称设置,对称分布在预设位的上游、下游位置。各应变电阻对称分布在预设位的上下游位置,一方面是由于微流控细管2的管径太小,压力传感器4无法集中设置在预设位的某一点。另一方面,压力传感器4的4个应变电阻在预设位的上下游对称设置,分布均匀,能够更加准确的监测管道内的压强。In this embodiment, the
进一步的,所述血压测量装置包括处理器,所述处理器与所述压力传感器4连接;Further, the blood pressure measurement device includes a processor, and the processor is connected to the
所述处理器用于接收和处理所述压力传感器4反馈的压力信号。The processor is used for receiving and processing the pressure signal fed back by the
优选的,所述血压测量装置还包括报警装置,所述报警装置与所述处理器连接;Preferably, the blood pressure measurement device further comprises an alarm device, and the alarm device is connected to the processor;
所述报警装置用于在所述压力传感器4监测的血压值大于阈值时,输出报警信息。The alarm device is used to output alarm information when the blood pressure value monitored by the
优选的,所述血压测量装置还包括显示装置,所述显示装置与所述处理器连接;Preferably, the blood pressure measurement device further comprises a display device, and the display device is connected to the processor;
所述显示装置用于显示所述压力传感器4所监测到的血压值和/或波形图。The display device is used for displaying the blood pressure value and/or waveform graph monitored by the
优选的,所述血压测量装置还包括通信装置,所述通信装置与所述处理器连接;通信装置用于将所述处理器处理所述压力信号后的结果发送到预设终端。Preferably, the blood pressure measurement device further includes a communication device, the communication device is connected to the processor; the communication device is configured to send the result of processing the pressure signal by the processor to a preset terminal.
本实施例中,血压测量装置还包括监控装置5,监控装置5包括处理器、报警装置、显示装置和通信装置,其中,处理器与压力传感器4连接,用于接收压力传感器4所反馈的压力信号,并对压力信号进行相应的处理,比如将压力传感器4当前测得的压力值与阈值进行比对,并根据比对结果输出对应的控制指令。报警装置与处理器连接,在处理器识别到压力传感检测的血压值大于阈值时,处理器控制报警装置输出报警信息。其中,报警装置可以为报警灯,在患者的血压值大于阈值时,不断闪烁以输出报警信息,对患者的看护人员起到警示作用。血压测量装置的显示装置(比如显示屏)与处理器连接,处理器在接收到压力传感器4所反馈的压力信号后,将压力信号转化为对应的血压值,通过显示装置进行展示;或者,处理器将压力信号按照反馈时间进行顺序排列,然后以波形图的形式在显示装置上进行展示,以便看护人员能够清楚明了的了解患者的血压变化情况。为了实现远程监控的目的,血压测量装置还设置有通信装置,通信装置与处理器连接,能够接收处理器所传输的信息。并且,通信装置通过蓝牙、wifi等无线信号与预设终端连接,可以将处理器处理压力信号后的结果通过无线信号发送到预设终端。比如医护人员使用血压测量装置对患者进行血压监控,处理器将压力传感器4反馈的压力信号转化为对应的血压值后,通过通信装置将血压值发送到护士台的接收终端,以便护士台的医护人员能够实现远程监控。由于医院的患者数量较多,医护人员可以通过远程监控的方式实现集中看护,一定程度上缓解医护人员人力不足的情况。In this embodiment, the blood pressure measurement device further includes a
本实施例提供的一种有创血压测量装置,包括压力传感器4和测压管路,测压管路内充满流动的液体;而压力传感器4设置在测压管路内的预设位。其中,预设位为压管路内负压抵消径向压强的位置,负压为液体在测压管路内流动时对管壁内表面产生的压强,径向压强为液体在测压管路内流动产生的静压。本申请的血压测量装置中,如果测压管路的出口端(即针管3)的直径减小,会导致管路内的液体流动速度提高,进而使得管壁负压上升,但上升的负压也会与径向压强相互抵消,从而使得预设位处的压强始终等于测量管路的出口端的压强。因此,压力传感器4设置在预设位,所测量得到的压力等同于血管中的压力,准确度极高。同时,还可以根据需要减小针管3的直径,从而避免对患者造成较大的穿刺创口,减轻患者测量过程中的痛苦,以及降低并发症的感染几率。An invasive blood pressure measurement device provided in this embodiment includes a
需要说明的是,在本文中,术语“包括”、“包含”或者其任何其它变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、装置、物品或者方法不仅包括那些要素,而且还包括没有明确列出的其它要素,或者是还包括为这种过程、装置、物品或者方法所固有的要素。在没有更多限制的情况下,由语句“包括一个……”限定的要素,并不排除在包括该要素的过程、装置、物品或者方法中还存在另外的相同要素。It should be noted that, herein, the terms "comprising", "comprising" or any other variation thereof are intended to encompass non-exclusive inclusion, such that a process, apparatus, article or method comprising a series of elements includes not only those elements, It also includes other elements not expressly listed or inherent to such a process, apparatus, article or method. Without further limitation, an element qualified by the phrase "comprising a..." does not preclude the presence of additional identical elements in the process, apparatus, article, or method that includes the element.
以上所述仅为本申请的优选实施例,并非因此限制本申请的专利范围,凡是利用本申请说明书及附图内容所作的等效结构或等效流程变换,或直接或间接运用在其它相关的技术领域,均同理包括在本申请的专利保护范围内。The above are only the preferred embodiments of the present application, and are not intended to limit the scope of the patent of the present application. Any equivalent structure or equivalent process transformation made by using the contents of the description and drawings of the present application, or directly or indirectly applied to other related The technical field is similarly included in the scope of patent protection of this application.
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