CN114849065A - A wearable cardiac defibrillator - Google Patents
A wearable cardiac defibrillator Download PDFInfo
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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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3904—External heart defibrillators [EHD]
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/024—Measuring pulse rate or heart rate
- A61B5/02438—Measuring pulse rate or heart rate with portable devices, e.g. worn by the patient
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- A—HUMAN NECESSITIES
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- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6802—Sensor mounted on worn items
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- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3925—Monitoring; Protecting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
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Abstract
Description
技术领域technical field
本发明涉及医疗器械技术领域,尤其涉及一种穿戴式心脏除颤器。The invention relates to the technical field of medical devices, in particular to a wearable cardiac defibrillator.
背景技术Background technique
随机试验证实,植入式心脏复律除颤器(ICD)能够降低高危患者的死亡风险,但是部分患者群体存在植入式心脏复律除颤器禁忌症,无法接受植入式心脏复律除颤器治疗。Randomized trials confirm that implantable cardioverter-defibrillators (ICDs) can reduce the risk of death in high-risk patients, but some patient groups have contraindications to implantable cardioverter-defibrillators and cannot receive implantable cardioverter-defibrillators. Fibrillator therapy.
穿戴式心脏除颤器(WCD)可以作为诊断后的过渡治疗手段,暂时无法植入植入式心脏复律除颤器的患者可以选择穿戴式心脏除颤器作为治疗手段。一旦达到恶性心率失常,标准穿戴式心脏除颤器会报警,若患者无取消电击操作反馈,则穿戴式心脏除颤器启动电击。Wearable cardiac defibrillator (WCD) can be used as a post-diagnosis transition therapy. Patients who are temporarily unable to implant an implantable cardioverter-defibrillator can choose a wearable cardiac defibrillator as a therapy. Once a malignant arrhythmia is reached, the standard wearable defibrillator will alarm, and if the patient has no feedback on the cancellation of the shock operation, the wearable defibrillator will initiate the shock.
当前,穿戴式心脏除颤器包括背心和设置于背心上的两个除颤电极和控制器,将背心穿好后,两个除颤电极无法压紧于患者的皮肤表面,进而导致除颤电极与患者皮肤间的阻抗增大,导致对患者除颤效果的变差。At present, the wearable cardiac defibrillator includes a vest and two defibrillation electrodes and a controller set on the vest. After the vest is worn, the two defibrillation electrodes cannot be pressed against the patient's skin surface, resulting in the defibrillation electrodes The impedance with the patient's skin increases, resulting in a poorer defibrillation effect on the patient.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于:提供一种穿戴式心脏除颤器,以解决现有技术中患者将背心穿好后,两个除颤电极无法压紧于患者的皮肤表面,进而导致除颤电极与患者皮肤间的阻抗增大,导致对患者除颤效果变差的问题。The purpose of the present invention is to provide a wearable cardiac defibrillator, so as to solve the problem that after the patient wears the vest in the prior art, the two defibrillation electrodes cannot be pressed against the patient's skin surface, thereby causing the defibrillation electrodes to contact the patient. The impedance between the skin increases, leading to a problem that the defibrillation effect on the patient becomes poor.
本发明提供一种穿戴式心脏除颤器,该穿戴式心脏除颤器包括背心和设置于所述背心的两个除颤电极、监控器和压紧组件,两个所述除颤电极分别与所述监控器电连接,所述监控器用于为两个所述除颤电极提供脉冲,所述压紧组件用于将两个所述除颤电极压紧于穿戴者的皮肤。The present invention provides a wearable cardiac defibrillator. The wearable cardiac defibrillator includes a vest and two defibrillation electrodes, a monitor and a compression assembly arranged on the vest. The two defibrillation electrodes are respectively connected with The monitor is electrically connected, the monitor is used to provide pulses to the two defibrillation electrodes, and the compression assembly is used to compress the two defibrillation electrodes against the skin of the wearer.
作为穿戴式心脏除颤器的优选技术方案,所述压紧组件包括环形气囊和气体发生器,所述气体发生器与所述监控器连接且用于给所述环形气囊充气。As a preferred technical solution of the wearable cardiac defibrillator, the compression assembly includes an annular air bag and a gas generator, and the inflator is connected to the monitor and used to inflate the annular air bag.
作为穿戴式心脏除颤器的优选技术方案,两个所述环形气囊设置于所述背心,两个所述环形气囊分别设置于两个所述除颤电极远离所述穿戴者的皮肤的一侧。As a preferred technical solution of the wearable cardiac defibrillator, the two annular airbags are arranged on the vest, and the two annular airbags are respectively arranged on the side of the two defibrillation electrodes away from the wearer's skin .
作为穿戴式心脏除颤器的优选技术方案,所述气体发生器包括点火装置、燃烧管和气体发生火药,所述燃烧管设置有与所述环形气囊连通的排气孔,所述气体发生火药设置于所述燃烧管内,所述点火装置与所述监控器电连接且用于引燃所述气体发生火药。As a preferred technical solution of the wearable cardiac defibrillator, the gas generator includes an ignition device, a combustion tube and a gas generating powder, the combustion tube is provided with an exhaust hole communicating with the annular airbag, and the gas generating powder Disposed in the combustion tube, the ignition device is electrically connected to the monitor and used for igniting the gas generating gunpowder.
作为穿戴式心脏除颤器的优选技术方案,所述气体发生器还包括引燃火药,所述引燃火药设置于所述燃烧管内,所述点火装置用于通过点燃所述引燃火药点燃所述气体发生火药。As a preferred technical solution of the wearable cardiac defibrillator, the gas generator further includes a pilot powder, the pilot powder is arranged in the combustion tube, and the ignition device is used for igniting the ignition powder by igniting the pilot powder. The gas produces gunpowder.
作为穿戴式心脏除颤器的优选技术方案,所述气体发生器设置有至少两个。As a preferred technical solution of the wearable cardiac defibrillator, there are at least two gas generators.
作为穿戴式心脏除颤器的优选技术方案,所述监控器包括控制器和心脏监测器,所述心脏监测器与所述控制器通信连接,所述心脏监测器设置于所述背心,所述心脏监测器用于监测所述穿戴者的心率。As a preferred technical solution of the wearable cardiac defibrillator, the monitor includes a controller and a heart monitor, the heart monitor is connected in communication with the controller, the heart monitor is arranged on the vest, the heart monitor is A heart monitor is used to monitor the wearer's heart rate.
作为穿戴式心脏除颤器的优选技术方案,所述心脏监测器包括心音传感器、心电传感器和两个监测电极,所述心音传感器用于检测所述穿戴者的心音信号,所述心电传感器通过两个监测电极监测所述穿戴者的心电信号;As a preferred technical solution of a wearable cardiac defibrillator, the heart monitor includes a heart sound sensor, an ECG sensor and two monitoring electrodes, the heart sound sensor is used to detect the wearer's heart sound signal, and the ECG sensor monitoring the wearer's ECG signal through two monitoring electrodes;
所述控制器能够根据所述心电信号和所述心音信号分别计算所述心率,并根据所计算的所述心率确定所述穿戴者的所述心率是否失常。The controller can calculate the heart rate according to the electrocardiogram signal and the heart sound signal, respectively, and determine whether the wearer's heart rate is abnormal according to the calculated heart rate.
作为穿戴式心脏除颤器的优选技术方案,所述穿戴式心脏除颤器还包括反馈模块,所述反馈模块与所述监控器通信连接,所述反馈模块包括警示器和除颤按钮,所述警示器用于在穿戴者心率失常时发出除颤警报,所述除颤按钮用于所述穿戴者手动操作取消除颤;所述反馈模块配设有能够将其穿戴于所述穿戴者手腕部的第二固定件。As a preferred technical solution of the wearable cardiac defibrillator, the wearable cardiac defibrillator further includes a feedback module, the feedback module is connected in communication with the monitor, and the feedback module includes a warning device and a defibrillation button, so The warning device is used to issue a defibrillation alarm when the wearer has arrhythmia, and the defibrillation button is used for the wearer to manually operate to remove the defibrillation; the feedback module is equipped with a device that can be worn on the wearer's wrist. of the second fastener.
作为穿戴式心脏除颤器的优选技术方案,其中一个所述除颤电极安装于所述背心前侧的胸部区域;另一个所述除颤电极安装于所述背心前侧或侧面的腰部区域;As a preferred technical solution of the wearable cardiac defibrillator, one of the defibrillation electrodes is installed on the chest area on the front side of the vest; the other defibrillation electrode is installed on the waist area on the front side or side of the vest;
所述监控器配设有能够将其穿戴于所述穿戴者上臂的第三固定件。The monitor is provided with a third fastener that can be worn on the wearer's upper arm.
本发明的有益效果为:The beneficial effects of the present invention are:
本发明提供一种穿戴式心脏除颤器,该穿戴式心脏除颤器包括背心和设置于背心的两个除颤电极、监控器和压紧组件,两个除颤电极分别与监控器电连接,压紧组件用于将两个除颤电极压紧于穿戴者的皮肤。该穿戴式心脏除颤器的监控器监测到穿戴者心率失常,急需对心脏进行除颤时,首先压紧组件将两个除颤电极压紧在穿戴者的皮肤上,该设置可以减小穿戴者的皮肤与除颤电极之间的阻抗,进而除颤电极可以更有效的对穿戴者进行除颤治疗,进而解决了当前穿戴式心脏除颤器的除颤电极无法与穿戴者皮肤压紧,进而导致阻抗较大,对穿戴者心脏除颤效果差的问题。The present invention provides a wearable cardiac defibrillator. The wearable cardiac defibrillator includes a vest and two defibrillation electrodes, a monitor and a compression assembly arranged on the vest. The two defibrillation electrodes are respectively electrically connected to the monitor. , the compression assembly is used to compress the two defibrillation electrodes against the wearer's skin. The monitor of the wearable cardiac defibrillator detects that the wearer has arrhythmia, and when the heart needs to be defibrillated urgently, the compression assembly firstly presses the two defibrillation electrodes on the wearer's skin. This setting can reduce wear and tear. The impedance between the wearer's skin and the defibrillation electrodes, so that the defibrillation electrodes can more effectively defibrillate the wearer, thereby solving the problem that the defibrillation electrodes of the current wearable cardiac defibrillator cannot be pressed against the wearer's skin. This further leads to the problem of large impedance and poor defibrillation effect on the wearer's heart.
附图说明Description of drawings
图1为本发明实施例中穿戴式心脏除颤器的结构示意图一;1 is a schematic structural diagram 1 of a wearable cardiac defibrillator in an embodiment of the present invention;
图2为本发明实施例中穿戴式心脏除颤器的结构示意图二;2 is a second structural schematic diagram of a wearable cardiac defibrillator in an embodiment of the present invention;
图3为本发明实施例中压紧组件的结构示意图一;3 is a schematic structural diagram 1 of a pressing assembly in an embodiment of the present invention;
图4为本发明实施例中压紧组件的结构示意图一;4 is a schematic structural diagram 1 of a pressing assembly in an embodiment of the present invention;
图5为本发明实施例中气体发生器的结构示意图;5 is a schematic structural diagram of a gas generator in an embodiment of the present invention;
图6为本发明实施例中监控器的结构示意图;6 is a schematic structural diagram of a monitor in an embodiment of the present invention;
图7为本发明实施例中电极本体的结构示意图;7 is a schematic structural diagram of an electrode body in an embodiment of the present invention;
图8为本发明实施例中气管及连接线的装配示意图;Fig. 8 is the assembly schematic diagram of the trachea and the connecting wire in the embodiment of the present invention;
图9为本发明实施例中电极板的结构示意图;9 is a schematic structural diagram of an electrode plate in an embodiment of the present invention;
图10为本发明实施例中多个电极本体铰接的结构示意图一;FIG. 10 is a schematic structural diagram 1 of a hinged connection of a plurality of electrode bodies in an embodiment of the present invention;
图11为本发明实施例中多个电极本体铰接的结构示意图二;FIG. 11 is a second structural schematic diagram of hinged connection of a plurality of electrode bodies in an embodiment of the present invention;
图12为本发明实施例中监控器及反馈模块的结构示意图;12 is a schematic structural diagram of a monitor and a feedback module in an embodiment of the present invention;
图13为本发明实施例中心脏监测器的结构示意图;13 is a schematic structural diagram of a heart monitor in an embodiment of the present invention;
图14为图2中A处的局部放大图;Fig. 14 is a partial enlarged view at A in Fig. 2;
图15为本发明实施例中穿戴式心脏除颤器的整体连接示意图。FIG. 15 is a schematic diagram of the overall connection of the wearable cardiac defibrillator in the embodiment of the present invention.
图中:In the picture:
100、穿戴者;100. Wearer;
1、背心;11、暗道;12、固定件;1. vest; 11. secret passage; 12. fixing parts;
21、电极本体;211、电极板;2111、透气孔;212、第二接头;22、连接线; 23、气管;24、第一电磁阀;25、螺旋线;21. Electrode body; 211, Electrode plate; 2111, Air vent; 212, Second joint; 22, Connecting wire; 23, Trachea; 24, First solenoid valve;
3、监控器;31、电源;32、控制器;33、泵体;34、储液箱;35、第二电磁阀;36、第三电磁阀;37、第一支路;38、第二支路;3, monitor; 31, power supply; 32, controller; 33, pump body; 34, liquid storage tank; 35, second solenoid valve; 36, third solenoid valve; 37, first branch; 38, second branch;
4、压紧组件;41、环形气囊;42、气体发生器;421、点火装置;422、燃烧管;4221、排气孔;423、气体发生火药;424、引燃火药;4. Compression assembly; 41, annular air bag; 42, gas generator; 421, ignition device; 422, combustion tube; 4221, exhaust hole; 423, gas generating gunpowder; 424, ignition gunpowder;
5、心脏监测器;51、心音传感器;52、心电传感器;53、监测电极;5. Heart monitor; 51. Heart sound sensor; 52. ECG sensor; 53. Monitoring electrode;
6、反馈模块。6. Feedback module.
具体实施方式Detailed ways
下面将结合附图对本发明的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
在本发明的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、仅用于描述目的,而不能理解为指示或暗示相对重要性。其中,术语“第一位置”和“第二位置”为两个不同的位置,而且,第一特征在第二特征“之上”、“上方”和“上面”包括第一特征在第二特征正上方和斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”包括第一特征在第二特征正下方和斜下方,或仅仅表示第一特征水平高度小于第二特征。In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. The indicated orientation or positional relationship is based on the orientation or positional relationship shown in the accompanying drawings, which is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the indicated device or element must have a specific orientation or a specific orientation. construction and operation, and therefore should not be construed as limiting the invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and should not be construed to indicate or imply relative importance. Wherein, the terms "first position" and "second position" are two different positions, and the first feature being "above", "over" and "above" the second feature includes the first feature being "over" the second feature Directly above and diagonally above, or simply means that the first feature is level higher than the second feature. The first feature is "below", "below" and "below" the second feature includes the first feature being directly below and diagonally below the second feature, or simply means that the first feature has a lower level than the second feature.
在本发明的描述中,需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that the terms "installed", "connected" and "connected" should be understood in a broad sense, unless otherwise expressly specified and limited, for example, it may be a fixed connection or a detachable connection Connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood in specific situations.
下面详细描述本发明的实施例,所述实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面通过参考附图描述的实施例是示例性的,仅用于解释本发明,而不能理解为对本发明的限制。The following describes in detail the embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein the same or similar reference numerals refer to the same or similar elements or elements having the same or similar functions throughout. The embodiments described below with reference to the accompanying drawings are exemplary, only used to explain the present invention, and should not be construed as a limitation of the present invention.
如图1~15所示,本实施例提供一种穿戴式心脏除颤器,该穿戴式心脏除颤器包括背心1和设置于背心1的两个除颤电极、监控器3和压紧组件4,两个除颤电极分别与监控器3电连接,监控器3用于为两个除颤电极提供脉冲,压紧组件4用于将两个除颤电极压紧于穿戴者100的皮肤。该穿戴式心脏除颤器的监控器3监测到穿戴者100心率失常,急需对心脏进行除颤时,首先压紧组件4 将两个除颤电极压紧在穿戴者100的皮肤上,该设置可以减小穿戴者100的皮肤与除颤电极之间的阻抗,进而除颤电极可以更有效的对穿戴者100进行除颤治疗,进而解决了当前穿戴式心脏除颤器的除颤电极无法与穿戴者100皮肤压紧,进而导致阻抗较大,对穿戴者100心脏除颤效果差的问题。As shown in FIGS. 1 to 15 , this embodiment provides a wearable cardiac defibrillator, which includes a
对于压紧组件4的具体结构,可选地,压紧组件4设置有两个,压紧组件4 包括环形气囊41和气体发生器42,气体发生器42与监控器3连接且用于给环形气囊41充气;两个环形气囊41设置于背心1,两个环形气囊41分别设置于两个除颤电极远离穿戴者100的皮肤的一侧。本实施例中,当穿戴者100穿上背心1时,两个环形气囊41均套设于穿戴者100的身上。当穿戴者100的心率未发生异常时,压紧组件4处于休眠状态,此时环形气囊41处于泄气状态,进而不会对穿戴者100产生压紧力,有利于提升穿戴者100的舒适性。当监控器3 检测到穿戴者100心率存在异常且需要对该穿戴者100进行心脏除颤时,监控器3控制气体发生器42对环形气囊41内充气。随着环形气囊41的膨胀,环形气囊41将与其对应设置的除颤电极压紧在穿戴者100的皮肤上,进而可以减小穿戴者100皮肤与除颤电极之间的阻抗。As for the specific structure of the
对于气体发生器42的具体结构,可选地,气体发生器42设置于环形气囊 41内;气体发生器42包括点火装置421、燃烧管422、引燃火药424和气体发生火药423,燃烧管422设置有排气孔4221,气体发生火药423设置于燃烧管 422内,引燃火药424设置于燃烧管422内,点火装置421点燃引燃火药424,引燃火药424点燃气体发生火药423。本实施例中,该点火装置421接收到监控器3的点火指令后,点火装置421对引燃火药424施加点火电流。引燃火药424 在电流脉冲的作用下燃烧且将气体发生火药423点燃。气体发生火药423点燃后产生的气体通过排气孔4221排到环形气囊41内,环形气囊41接收气体后膨胀,膨胀后的环形气囊41将除颤电极推至人体皮肤,除颤电极被压紧在人体皮肤上与人体皮肤接触。此时完成除颤电极的自动贴敷可对患者进行除颤。在其他实施例中,气体发生器42也可以设置于环形气囊41外,且将排气孔4221设置于环形气囊41内。Regarding the specific structure of the
由于不同穿戴者100的体型不同,所需要的环形气囊41的充气量也不同。对此,可选地,气体发生器42设置有至少两个。本实施例中,当一个气体发生器42内的气体发生火药423完全燃烧后,除颤电极与穿戴者100的皮肤表面的阻抗不符合除颤的要求时,剩余的气体发生器42依次工作,直至除颤电极和穿戴者100的皮肤之间的阻抗达到除颤的要求为止。在其他实施例中,也可以将气体发生器42替换为气泵。Due to the different body shapes of
对于如何确定穿戴者100皮肤与除颤电极之间的阻抗是否达到除颤阻抗要求,可选地,监控器3设置有阻抗测量电路,阻抗测量电路分别与两个除颤电极电连接,阻抗测量电路向两个除颤电极施加测量电流,根据测量电流计算除颤阻抗,如果除颤阻抗没有达到阈值要求,则继续对环形气囊41充气,直至达到了除颤阻抗要求,停止充气,未达到阻抗要求继续充气。达到阻抗要求后停止充气,同时除颤。除颤完成后,环形气囊41保持充气状态,在环形气囊41保持充气状态的同时,监控器3检测患者心率是否恢复正常心率,如果未恢复正常心率,则继续对患者除颤。如果恢复正常心率,则释放环形气囊41内的气体。As for how to determine whether the impedance between the skin of the
为保证环形气囊41在充气时,始终将除颤电极压紧至穿戴者100的皮肤上,可选地,压紧组件4还包括两个限位件,两个限位件分别使对应的环形气囊41 分别固定于两个除颤电极。本实施例中,一个限位件的两端分别固定于对应的除颤电极上,环形气囊41穿设于限位件和对应的除颤电极所围成的孔内。In order to ensure that the defibrillation electrodes are always pressed against the skin of the
除颤电极长期与穿戴者100的皮肤接触时,皮肤与除颤电极之间会产生湿气,当湿度超过预设范围值时会影响到除颤电极对穿戴者100的除颤,为使皮肤与除颤电极之间的湿度维持在预设范围值内。可选地,监控器3包括电源31、控制器32和泵体33,控制器32与电源31连接。需说明的是,控制器32即为图6中所示的MCU。除颤电极包括电极本体21、连接线22,电极本体21为空腔结构且与穿戴者100皮肤接触的侧壁为电极板211,连接线22的两端分别与电极板211和电源31连接,电极本体21连接有第一接头和第二接头212,第一接头和第二接头212分别与空腔结构连通,电极板211上间隔设置有透气孔 2111,泵体33将气体从第一接头泵入空腔结构内。本实施例中,当湿度超过预设范围值时,控制器32控制泵体33工作,进而将外界气体从第一接头泵入到空腔结构中,然后从第二接头212流出。在此过程中,流动的气体会通过透气孔2111带走位于电极本体21和穿戴者100皮肤之间的湿气,直至电极本体21 和穿戴者100皮肤之间的湿度位于预设范围值内。When the defibrillation electrodes are in contact with the skin of the
可选地,透气孔2111呈阵列排布。本实施例中,透气孔2111形成较多的边缘,能够减少放电时由于高压产生的局部电弧灼伤皮肤的问题。Optionally, the
具体地,除颤电极还包括温度传感器和湿度传感器,监控器3通过温度传感器和湿度传感器检测除颤电极和穿戴者100的皮肤之间的温度和湿度。Specifically, the defibrillation electrode further includes a temperature sensor and a humidity sensor, and the
具体地,电源31包括高压升压电路和电容器C,监控器3还包括放电回路。当患者发生恶性心率失常(包括室颤、室速)时,高压升压电路对电容器C充电,在电容器C充电完成后,放电回路通过除颤电极对人体实施双相位除颤。Specifically, the
具体地,除颤电极还包括气管23,连接线22从第一接头进入空腔结构,气管23套设于连接线22外且其一端与第一接头连通,另一端与泵体33的出口连通。本实施例中,气管23的一端与第一接头插接,气管23的另一端与泵体33 的出口插接。气管23与内部的连接线22间隔设置。连接线22的一端从第一接头进入空腔结构后与电极本体21电连接。Specifically, the defibrillation electrode also includes a
为进一步降低电极本体21和穿戴者100皮肤之间的阻抗,可选地,除颤电极还包括第一电磁阀24,监控器3还包括储液箱34和电磁阀组,具体地,电磁阀组包括第二电磁阀35和第三电磁阀36,第一电磁阀24控制第二接头212的开闭,泵体33的入口设置有第一支路37和第二支路38,第一支路37与储液箱 34连通,第二支路38与环境连通,第二电磁阀35和第三电磁阀36分别控制第一支路37和第二支路38的通断,第一电磁阀24、第二电磁阀35和第三电磁阀 36分别与控制器32连接。本实施例中,储液箱34内存放有导电胶。当控制器 32监测到穿戴者100心率存在异常且需要给穿戴者100实施心脏除颤时,控制器32控制第一电磁阀24处于关闭状态,控制第三电磁阀36处于关闭状态,打开第二电磁阀35,同时泵体33将导电胶通过第一支路37泵出,通过气管23泵入空腔结构中,由于第二接头212处于关闭状态,所以进入空腔结构的导电胶通过透气孔2111到达电极本体21和穿戴者100的皮肤之间。进而可以进一步降低电极本体21和穿戴者100的皮肤之间的阻抗。当需要控制电极本体21和穿戴者100的皮肤之间的湿度时,只需要打开第一电磁阀24、第三电磁阀36。同时关闭第二电磁阀35即可。In order to further reduce the impedance between the
穿戴者100在日常生活和工作中,经常会有一些弯腰的动作,,为使除颤电极保持与穿戴者100的皮肤贴合、以及与腰侧的生理弧度贴合,可选地,电极本体21设置有多个,多个电极本体21依次铰接设置。本实施例中,多个电极本体21依次铰接可以使除颤电极随着穿戴者100的姿势调整其形态,进而保证除颤电极始终与穿戴者100的皮肤贴合。In daily life and work, the
可选地,监控器3还包括心脏监测器5,心脏监测器5与控制器32通信连接,心脏监测器5设置于背心1且位于人体胸部,心脏监测器5用于监测穿戴者100的心率。本实施例中,心脏监测器5与控制器32为有线通信连接或无线通信连接。Optionally, the
对于心脏监测器5的具体结构,可选地,心脏监测器5包括心音传感器51、处理器、心电传感器52、电池、无线通信模块和两个监测电极53;两个监测电极53分别与穿戴者100的皮肤贴合或植入穿戴者的皮肤,心电传感器52通过两个监测电极53检测穿戴者100心脏的心电信号,心音传感器51可以直接监测人体的心音信号。处理器分别通过心音信号和心电信号计算心率,处理器通过无线通信模块将该信号传给控制器32,控制器32根据两个传感器测得的心率判断是否发生恶性心率失常(包括室颤、室速),如果发生恶性心率失常(包括室颤、室速)则发出电击警告。本实施例中,分别通过心电信号和心音信号计算心率,然后对心电传感器52检测的心率和心音传感器51检测到的心率进行对比,若二者监测到的心率均为异常时,可判定穿戴者100发生恶性心率失常,该设置可以提高心率监测的准确性。For the specific structure of the
为防止心脏监测器5出现错误检测,穿戴式心脏除颤器还包括反馈模块6,反馈模块6与监控器3通信连接,反馈模块6包括警示器和除颤按钮。本实施例中,当监控器3判定心脏监测器5监测到恶性心率失常时,监控器3将是否电击的指令给到反馈模块6的除颤按钮,若除颤按钮在预设时间内被动作,则取消除颤,若按钮在预设时间内没有被动作,则通过除颤电极实施除颤。同时,警示器还包括显示屏和报警器,报警器提醒穿戴者100心率是否处于恶性失常状态,显示屏显示心脏的心率等健康信息和穿戴式心脏除颤器的状态信息(如电池剩余电量、储液箱34中导电胶的量等)。In order to prevent erroneous detection by the
可选地,反馈模块6配设有能够将其穿戴于穿戴者100手腕部的第二固定件。本实施例中,将反馈模块6设置于手腕处方便穿戴者100的查看和操作。具体地,第二固定件设置于背心1的手腕部,第二固定件为收容袋,反馈模块6 放置于收纳袋内,收容袋具有可供穿戴者100操作的开口或透明柔性面板,以方便穿戴者通过开口或透明柔性面板观察或操作反馈模块6。在其他实施例中,第二固定件也可以是腕带等。Optionally, the
可选地,反馈模块6与监控器3之间有线连接,线路设置于背心1位于手臂部位的暗道11内。在其他实施例中,反馈模块6也可以无线连接于监控器3。反馈模块6可以设计成手环结构。Optionally, the
可选地,其中一个除颤电极安装于背心1前侧的胸部区域;另一个除颤电极安装于背心1前侧或侧面的腰部区域,监控器3配设有能够将其穿戴于穿戴者100上臂的第三固定件。本实施例中,该设置可以方便穿戴者100日常的生活和休息。将两个除颤电极设置于穿戴者100的胸前和穿戴者100的前侧或侧面的腰部区域可以方便穿戴者100在休息时,背部不会受到压迫感,同时,将储液箱34设置于监控器3内,可以减小除颤电极的体积。另外,除颤电极位于患者的胸部和腰部,除颤电极在放电时形成的除颤向量能够覆盖大部分的心肌。Optionally, one of the defibrillation electrodes is installed on the chest area on the front side of the
将监控器3设置于上臂,不会影响穿戴者100的正常工作和生活。具体地,第三固定件可以为设置在背心1上的口袋、固定绑带、卡接件或磁吸件等。Setting the
可选地,背心1设置有暗道11,连接线22和气管23穿设于暗道11内,连接线22的一端与监控器3连接,连接线22的另一端与电极本体21连接。本实施例中,暗道11一方面可以隐藏连接线22和气管23,另一方面可以防止对穿戴者100的正常活动造成干涉。具体地,暗道11可以设置在背心1靠近穿戴者100皮肤的一侧,也可以设置在背心1远离穿戴者100皮肤的一侧。Optionally, the
可选地,背心1还包括固定件12,固定件12将连接线22和气管23固定于暗道11内。本实施例中,固定件12可以防止连接线22和气管23在暗道11内滑动,进而影响除颤电极和监控器3的移动。Optionally, the
可选地,除颤电极还包括螺旋线25,螺旋线25的一端与连接线22的一端连接,螺旋线25的另一端与电极本体21连接。本实施例中,螺旋线25在外力的作用下可以进行伸缩,因此当穿戴者100进行大幅度运动时,螺旋线25可以防止导线对电极的拉扯,防止电极拉因扯发生脱落。Optionally, the defibrillation electrode further includes a
监控器3还包括通信与程控模块,其包括蓝牙通信、WIFI等既有已知的通信方式与程控设备通信,程控设备用于给医生/厂家人员提供穿戴式心脏除颤器的基本信息,程控设备通过通信将穿戴式心脏除颤器中的数据传送至程控设备内部存储,或通过程控设备将穿戴式心脏除颤器的信息传送至云端。程控设备还可以将医生设置的穿戴式心脏除颤器程控参数通过无线通信的方式传送至穿戴式心脏除颤器内,穿戴式心脏除颤器使用新的参数工作。这些可程控的参数包括但不限于:诊断分区参数、诊断计数参数、除颤向量参数、通气参数。The
显然,本发明的上述实施例仅仅是为了清楚说明本发明所作的举例,而并非是对本发明的实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式的变化或变动。这里无需也无法对所有的实施方式予以穷举。凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明权利要求的保护范围之内。Obviously, the above-mentioned embodiments of the present invention are only examples for clearly illustrating the present invention, rather than limiting the embodiments of the present invention. For those of ordinary skill in the art, changes or modifications in other different forms can also be made on the basis of the above description. There is no need and cannot be exhaustive of all implementations here. Any modifications, equivalent replacements and improvements made within the spirit and principle of the present invention shall be included within the protection scope of the claims of the present invention.
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WO2023236648A1 (en) * | 2022-06-06 | 2023-12-14 | 创领心律管理医疗器械(上海)有限公司 | Wearable defibrillator and using method therefor |
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CN113730797A (en) * | 2020-05-29 | 2021-12-03 | 创领心律管理医疗器械(上海)有限公司 | Electrode plate and wearable equipment of defibrillating |
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