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CN116327291A - An intelligent surgical incision maintenance device and method - Google Patents

An intelligent surgical incision maintenance device and method Download PDF

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CN116327291A
CN116327291A CN202310257678.7A CN202310257678A CN116327291A CN 116327291 A CN116327291 A CN 116327291A CN 202310257678 A CN202310257678 A CN 202310257678A CN 116327291 A CN116327291 A CN 116327291A
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wound
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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    • Y02DCLIMATE CHANGE MITIGATION TECHNOLOGIES IN INFORMATION AND COMMUNICATION TECHNOLOGIES [ICT], I.E. INFORMATION AND COMMUNICATION TECHNOLOGIES AIMING AT THE REDUCTION OF THEIR OWN ENERGY USE
    • Y02D30/00Reducing energy consumption in communication networks
    • Y02D30/70Reducing energy consumption in communication networks in wireless communication networks

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Abstract

本申请实施例公开了一种智能手术切口保持装置及方法,本申请包括伤口缝合保持器、扫描检测仪和服务器,伤口缝合保持器包括柔性底板和敷料贴;柔性底板包括第一底板和第二底板,第一底板通过若干固定条与第二底板进行力度可调式粘贴,敷料贴的一端与第一底板连接,敷料贴的另一端与第二底板连接,敷料贴包括智能检测层,智能检测层与扫描检测仪连接,扫描检测仪与服务器连接。本申请能够辅助医护人员判断伤口愈合情况并及尽早发现感染、尽早精准干预;同时准确控制保持伤口局部缝合力度统一,不仅辅助伤口愈合,缩短伤口愈合时间,还能够根据实时检测的数据变化值进行伤口感染预测,更为快速的实现伤口的内环境变化的识别。

Figure 202310257678

The embodiment of the present application discloses an intelligent surgical incision maintenance device and method. The application includes a wound suture holder, a scanning detector and a server. The wound suture holder includes a flexible bottom plate and a dressing; the flexible bottom plate includes a first bottom plate and a second Bottom plate, the first bottom plate is pasted with the second bottom plate through a number of fixing strips, and one end of the dressing is connected to the first bottom plate, and the other end of the dressing is connected to the second bottom plate. The dressing includes an intelligent detection layer, an intelligent detection layer It is connected with the scanning detector, and the scanning detector is connected with the server. This application can assist medical staff to judge the wound healing situation, detect infection as soon as possible, and intervene accurately as soon as possible; at the same time, it can accurately control and maintain the uniform strength of local wound sutures, which not only assists wound healing and shortens the wound healing time, but also can be performed according to the real-time detection of data changes. Wound infection prediction, more rapid recognition of changes in the internal environment of the wound.

Figure 202310257678

Description

一种智能手术切口保持装置及方法An intelligent surgical incision maintenance device and method

技术领域technical field

本申请涉及医疗器具技术领域,具体涉及一种智能手术切口保持装置及方法。The present application relates to the technical field of medical devices, in particular to an intelligent surgical incision maintenance device and method.

背景技术Background technique

目前外科手术后的切口一般采用医用缝线缝合,切口愈合后需要拆线。临床中常用类似订书机的装置将伤口两侧皮肤订合在一起,这种方法较缝线使用更方便,节省手术时间,但对伤口的愈合质量,尤其是残留疤痕与传统缝线无显著差异,依然需要拆除金属缝合钉。现有常见的伤口缝合器一般使用可以单向锁紧的棘条和锁扣构成的锁紧装置作为伤口缝合力的调节装置,该锁紧装置对伤口的缝合力的调节只能单向阶梯递增不能减小,对于临时性地伤口闭合,需要再次开启伤口的情况无法满足,且一旦收紧过度,缝合器不可再次调节,同时无法实现对伤口缝合力的连续微调以满足临床对最佳缝合力的个体需求。目前临床上对于伤口细菌感染的识别主要通过伤口拭子培养的方法,但此方法不能及时通过提供的测试结果对伤口变化及时提供精准干预,从而影响伤口的正常愈合。At present, the incision after the surgical operation is generally closed with medical sutures, and the stitches need to be removed after the incision is healed. In clinical practice, a device similar to a stapler is commonly used to bind the skin on both sides of the wound together. This method is more convenient to use than sutures and saves operation time, but it has no significant effect on the quality of wound healing, especially the residual scars compared with traditional sutures. However, the metal staples still need to be removed. The existing common wound suturing device generally uses a locking device composed of ratchet strips and lock buckles that can be locked in one direction as a wound suturing force adjustment device, and the locking device can only adjust the wound suturing force in one-way steps. It cannot be reduced. For temporary wound closure, the need to re-open the wound cannot be satisfied, and once it is tightened too much, the stapler cannot be adjusted again, and at the same time, continuous fine-tuning of the wound suture force cannot be achieved to meet the clinical optimal suture force. individual needs. At present, the clinical identification of wound bacterial infection is mainly through the method of wound swab culture, but this method cannot provide timely and accurate intervention for wound changes through the provided test results in time, thus affecting the normal healing of the wound.

因此,现有的智能手术切口保持装置有待于进一步完善。Therefore, the existing intelligent surgical incision keeping device needs to be further improved.

发明内容Contents of the invention

鉴于上述问题,提出了本说明书以便提供一种克服上述问题或者至少部分地解决上述问题的一种智能手术切口保持装置及方法。In view of the above problems, this specification is proposed in order to provide an intelligent surgical incision maintenance device and method that overcomes the above problems or at least partially solves the above problems.

本发明公开的其他特性和优点将通过下面的详细描述变得显然,或部分地通过本公开的实践而习得。Other features and advantages of the present disclosure will become apparent from the following detailed description, or in part, be learned by practice of the present disclosure.

第一方面,本申请实施例提供了一种智能手术切口保持装置,包括伤口缝合保持器、扫描检测仪和服务器,伤口缝合保持器包括柔性底板和敷料贴;柔性底板包括第一底板和第二底板,第一底板通过若干固定条与第二底板进行力度可调式粘贴,敷料贴的一端与第一底板连接,敷料贴的另一端与第二底板连接,敷料贴包括智能检测层,智能检测层与扫描检测仪连接,扫描检测仪与服务器连接,智能检测层用于根据扫描检测仪发送的检测指令检测伤口参数数据,并将伤口参数数据发送至扫描检测仪,扫描检测仪用于对智能检测层发送检测指令,并将接收到的伤口参数数据上传至服务器,服务器用于对伤口参数数据进行记录,并根据伤口参数数据得到伤口愈合状况。In the first aspect, the embodiment of the present application provides an intelligent surgical incision holding device, including a wound suture holder, a scanning detector and a server. The wound suture holder includes a flexible bottom plate and a dressing stick; the flexible bottom plate includes a first bottom plate and a second Bottom plate, the first bottom plate is pasted with the second bottom plate through several fixing strips, one end of the dressing is connected to the first bottom plate, and the other end of the dressing is connected to the second bottom plate. The dressing includes an intelligent detection layer, an intelligent detection layer Connect with the scanning detector, the scanning detector is connected with the server, the intelligent detection layer is used to detect the wound parameter data according to the detection instruction sent by the scanning detector, and send the wound parameter data to the scanning detector, and the scanning detector is used for intelligent detection The layer sends detection instructions, and uploads the received wound parameter data to the server, and the server is used to record the wound parameter data, and obtain the wound healing status according to the wound parameter data.

在一些实施例中,智能检测层包括若干检测层,若干检测层包括蓝牙芯片传输层、集成传感器层以及点位传感层,点位传感层包括电路接口以及若干传感器检测点,若干个传感器检测点处分别设有用于检测伤口参数数据的传感器,点位传感层与集成传感器层连接,点位传感层用于对纱布层进行多点位检测,并将检测到的伤口参数数据发送至集成传感器层;集成传感器层包括贴合加压组件,贴合加压组件为抗菌供电集成器件,抗菌供电集成器件包括抗菌工作电极;集成传感器层与蓝牙芯片传输层连接;集成传感器层将伤口参数数据发送至蓝牙芯片传输层,蓝牙芯片传输层与扫描检测仪连接,蓝牙芯片传输层用于接收集成传感器层发送的伤口参数数据,并将伤口参数数据发送至扫描检测仪。In some embodiments, the intelligent detection layer includes several detection layers, and several detection layers include bluetooth chip transmission layer, integrated sensor layer and point sensing layer, and point sensing layer includes circuit interface and several sensor detection points, several sensor The detection points are respectively equipped with sensors for detecting wound parameter data. The point sensing layer is connected to the integrated sensor layer. The point sensing layer is used for multi-point detection of the gauze layer and sends the detected wound parameter data To the integrated sensor layer; the integrated sensor layer includes a pressurized component, which is an antibacterial power supply integrated device, and the antibacterial power supply integrated device includes an antibacterial working electrode; the integrated sensor layer is connected to the Bluetooth chip transmission layer; the integrated sensor layer connects the wound The parameter data is sent to the Bluetooth chip transmission layer, and the Bluetooth chip transmission layer is connected to the scanning detector. The Bluetooth chip transmission layer is used to receive the wound parameter data sent by the integrated sensor layer, and send the wound parameter data to the scanning detector.

在一些实施例中,第一底板上设有固定板,若干固定条的一端与固定板连接,若干固定条之间相互平行且相隔预设距离,若干固定条的另一端设有若干刺毛端魔术贴块,第二底板设有若干圆毛端魔术贴块,刺毛端魔术贴块与圆毛端魔术贴块相互贴合;圆毛端魔术贴块设有若干个大小一致的力度格,力度格用于调整伤口缝合力度,并且当刺毛端魔术贴块与圆毛端魔术贴块贴合时通过保持格数统一以示拉力一致。In some embodiments, the first bottom plate is provided with a fixing plate, one end of several fixing strips is connected with the fixing plate, the several fixing strips are parallel to each other and separated by a predetermined distance, and the other ends of the several fixing strips are provided with several bristle ends Velcro block, the second bottom plate is provided with a number of Velcro blocks at the round hair end, the Velcro block at the bristle end and the Velcro block at the round hair end are attached to each other; the Velcro block at the round hair end is provided with several force grids of the same size, The strength grid is used to adjust the strength of the wound suture, and when the Velcro block at the bristle end is attached to the Velcro block at the round hair end, the number of grids is kept uniform to show that the pulling force is consistent.

在一些实施例中,第一底板以及第二底板均设有圆毛端魔术贴条,敷料贴的一端设有第一刺毛端魔术贴条,敷料贴的另一端设有第二刺毛端魔术贴条,敷料贴的一端通过第一刺毛端魔术贴条与第一底板的圆毛端魔术贴条贴合,敷料贴的另一端通过第二刺毛端魔术贴条与第二底板的圆毛端魔术贴条贴合。In some embodiments, both the first bottom plate and the second bottom plate are provided with round-haired Velcro strips, one end of the dressing is provided with a first bristle-end Velcro strip, and the other end of the dressing is provided with a second bristle end Velcro strip, one end of the dressing paste is attached to the round-end Velcro strip of the first bottom plate through the first bristle-end Velcro strip, and the other end of the dressing paste is connected to the second bottom plate through the second bristle-end Velcro strip. Rounded ends with Velcro strips for a snug fit.

在一些实施例中,敷料贴还包括纱布层和无纺布层,纱布层为敷料贴中靠近伤口的一侧,无纺布层为敷料贴中远离伤口的一侧,智能检测层位于纱布层和无纺布层之间。In some embodiments, the dressing also includes a gauze layer and a non-woven layer, the gauze layer is the side of the dressing near the wound, the non-woven layer is the side away from the wound in the dressing, and the intelligent detection layer is located in the gauze layer. and between non-woven layers.

在一些实施例中,第一底板或第二底板设有温度感应条,温度感应条包括液晶显示器,温度感应条用于显示伤口近切缘处皮肤温度,温度感应条的表面为可视化液晶感温变色。In some embodiments, the first bottom plate or the second bottom plate is provided with a temperature sensing strip, the temperature sensing strip includes a liquid crystal display, the temperature sensing strip is used to display the skin temperature near the incisional edge of the wound, and the surface of the temperature sensing strip is a visual liquid crystal temperature sensing strip. Discoloration.

在一些实施例中,柔性底板由高分子柔性材料制成,且柔性底板贴近伤口侧有柔性底板胶贴;温度感应条由高柔韧度材料PET制成,固定板由高分子柔性材料制成,固定条由透气亲肤透明TPU材料制成,纱布层由医用纱布制成,无纺布层由透气亲肤无纺布制成。In some embodiments, the flexible bottom plate is made of a flexible polymer material, and there is a flexible bottom plate adhesive on the side of the flexible bottom plate close to the wound; the temperature sensing strip is made of a highly flexible material PET, and the fixing plate is made of a flexible polymer material. The fixing strip is made of breathable and skin-friendly transparent TPU material, the gauze layer is made of medical gauze, and the non-woven fabric layer is made of breathable and skin-friendly non-woven fabric.

在一些实施例中,若干固定条上开设有若干个透气孔。In some embodiments, several fixing strips are provided with several ventilation holes.

在一些实施例中,扫描检测仪设有若干个按钮,若干个按钮包括启动传感器按钮、检测敷料数据按钮和获取传感器数据按钮。In some embodiments, the scan detector is provided with several buttons, including an activate sensor button, a detect dressing data button, and a get sensor data button.

第二方面,本申请实施例提供了一种智能手术切口保持方法,应用于伤口缝合保持器,包括:通过扫描检测仪发送的启动传感器指令与扫描检测仪进行匹配;检测到与扫描检测仪匹配成功后,根据扫描检测仪发送的检测指令进行多点位检测,得到伤口参数数据;将伤口参数数据发送至扫描检测仪,扫描检测仪用于将伤口参数数据发送至服务器,并通过服务器进行记录,服务器用于根据伤口参数数据得到伤口愈合状况。In the second aspect, an embodiment of the present application provides an intelligent surgical incision maintenance method, which is applied to a wound suture holder, including: matching the start sensor instruction sent by the scanning detector with the scanning detector; After success, perform multi-point detection according to the detection instructions sent by the scanning detector to obtain wound parameter data; send the wound parameter data to the scanning detector, and the scanning detector is used to send the wound parameter data to the server and record it through the server , the server is used to obtain the wound healing status according to the wound parameter data.

第三方面,本申请实施例提供了一种智能手术切口保持方法,应用于扫描检测仪,包括:发送启动传感器指令至伤口缝合保持器,伤口缝合保持器用于根据启动传感器指令与扫描检测仪进行匹配;检测到与伤口缝合保持器匹配成功后,发送检测指令至伤口缝合保持器,伤口缝合保持器用于根据检测指令进行多点位检测,并将检测到的伤口参数数据发送至扫描检测仪;接收伤口缝合保持器发送的伤口参数数据,并发送获取传感器数据指令至服务器,服务器用于根据传感器数据指令接收伤口参数数据,并根据伤口参数数据得到伤口愈合状况。In a third aspect, an embodiment of the present application provides a method for maintaining an intelligent surgical incision, which is applied to a scanning detector, including: sending an activation sensor instruction to the wound suture holder, and the wound suture holder is used to perform the operation with the scanning detector according to the activation sensor instruction. Matching; after detecting successful matching with the wound suture holder, send a detection instruction to the wound suture holder, and the wound suture holder is used to perform multi-point detection according to the detection instruction, and send the detected wound parameter data to the scanning detector; Receive the wound parameter data sent by the wound suture holder, and send the sensor data acquisition command to the server, the server is used to receive the wound parameter data according to the sensor data command, and obtain the wound healing status according to the wound parameter data.

第四方面,本申请实施例提供了一种智能手术切口保持方法,应用于服务器,包括:接收扫描检测仪发送的获取传感器数据指令,根据获取传感器数据指令接收伤口参数数据,并根据伤口参数数据得到伤口愈合状况。In a fourth aspect, an embodiment of the present application provides a method for maintaining an intelligent surgical incision, which is applied to a server and includes: receiving an instruction to obtain sensor data sent by a scanning detector, receiving wound parameter data according to the instruction to obtain sensor data, and according to the wound parameter data Get wound healing status.

本发明的有益效果:Beneficial effects of the present invention:

本发明设置有伤口缝合保持器,伤口缝合保持器包括柔性底板和敷料贴;柔性底板包括第一底板和第二底板,本发明通过第一底板通过若干固定条与第二底板进行力度可调式粘贴,其中敷料贴的一端与第一底板连接,敷料贴的另一端与第二底板连接,敷料贴包括智能检测层,智能检测层与扫描检测仪连接,智能检测层能够根据扫描检测仪发送的检测指令检测伤口参数数据,并将伤口参数数据发送至扫描检测仪,扫描检测仪能够对智能检测层发送检测指令,并将接收到的伤口参数数据上传至服务器,服务器能够对伤口参数数据进行记录,并根据伤口参数数据得到伤口愈合状况。本发明能精确调节保持器上的缝合力度达到个体化伤口缝合治疗;同时,及时检测伤口微环境,帮助患者伤口尽早愈合。The present invention is provided with a wound suture retainer, the wound suture retainer includes a flexible base plate and a dressing stick; the flexible base plate includes a first base plate and a second base plate, and the present invention uses the first base plate to perform force-adjustable pasting with the second base plate through several fixing strips , wherein one end of the dressing is connected to the first base plate, and the other end of the dressing is connected to the second base plate. The dressing includes an intelligent detection layer, which is connected to the scanning detector. Command to detect the wound parameter data, and send the wound parameter data to the scanning detector, the scanning detector can send detection instructions to the intelligent detection layer, and upload the received wound parameter data to the server, and the server can record the wound parameter data, And the wound healing status was obtained according to the wound parameter data. The invention can precisely adjust the suturing force on the retainer to achieve individualized wound suturing treatment; meanwhile, it can timely detect the microenvironment of the wound and help the patient's wound to heal as soon as possible.

进一步地,本发明能够辅助医护人员判断伤口愈合情况并及尽早发现感染、尽早精准干预;同时准确控制保持伤口局部缝合力度统一,辅助伤口愈合,缩短伤口愈合时间;另外,本发明采用高分子柔性材料制成的柔性底板胶贴,底面具有自粘性,柔性底板与皮肤粘贴稳定可靠,且粘贴舒适性好;敷料的使用使得伤口不受病原体感染并加速伤口愈合,而且在敷料始终处于使用状态下本发明能够根据实时检测的数据变化值进行伤口感染预测,更为快速的实现伤口的内环境变化的识别。Furthermore, the present invention can assist medical personnel to judge the wound healing condition, detect infection as early as possible, and intervene accurately as early as possible; at the same time, it can accurately control and maintain the local suture force of the wound, assist wound healing, and shorten wound healing time; in addition, the present invention adopts polymer flexible The self-adhesive self-adhesive bottom surface of the flexible bottom plate made of materials, the flexible bottom plate and the skin are stable and reliable, and the sticking comfort is good; the use of the dressing prevents the wound from being infected by pathogens and accelerates wound healing, and the dressing is always in use. The invention can predict the wound infection according to the data change value detected in real time, and more quickly realize the identification of the internal environment change of the wound.

应当理解的是,以上的一般描述和后文的细节描述仅是示例性的,并不能限制本公开。It is to be understood that both the foregoing general description and the following detailed description are exemplary only and are not restrictive of the present disclosure.

附图说明Description of drawings

为了更清楚地说明本申请实施例中的技术方案,下面将对实施例描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application, the drawings that need to be used in the description of the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some embodiments of the present application. For those skilled in the art, other drawings can also be obtained based on these drawings without any creative effort.

图1是本申请实施例提供的智能手术切口保持装置逻辑框图;Fig. 1 is the logical block diagram of the intelligent surgical incision maintenance device provided by the embodiment of the present application;

图2是本申请实施例提供的伤口缝合保持器整体结构示意图;Fig. 2 is a schematic diagram of the overall structure of the wound suture holder provided by the embodiment of the present application;

图3是本申请实施例提供的伤口缝合保持器无敷料贴状态结构示意图;Fig. 3 is a schematic diagram of the structure of the wound suture holder provided in the embodiment of the present application without a dressing;

图4是本申请实施例提供的伤口缝合保持器无敷料贴使用示意图;Fig. 4 is a schematic diagram of the use of the wound suture holder provided by the embodiment of the present application without a dressing;

图5是本申请实施例提供的敷料贴整体结构示意图;Fig. 5 is a schematic diagram of the overall structure of the dressing provided in the embodiment of the present application;

图6是本申请实施例提供的扫描检测仪整体示意图;FIG. 6 is an overall schematic diagram of a scanning detector provided in an embodiment of the present application;

图7是本申请实施例提供的智能检测层整体示意图;Fig. 7 is an overall schematic diagram of the intelligent detection layer provided by the embodiment of the present application;

图8是本申请实施例提供的服务器的结构示意图。FIG. 8 is a schematic structural diagram of a server provided by an embodiment of the present application.

1、伤口缝合保持器,2、扫描检测仪,3、服务器,4、柔性底板,41、第一底板,42、第二底板,5、敷料贴,6、固定条,7、刺毛端魔术贴条,8、温度感应条,9、刺毛端魔术贴块,10、圆毛端魔术贴块,11、固定板,12、圆毛端魔术贴条,13、纱布层,14、智能检测层,15、无纺布层,16、启动传感器按钮,17、检测敷料数据按钮,18、获取传感器数据按钮,19、封边,20、蓝牙芯片传输层,21、集成传感器层,22、点位传感层,23、透气孔,24、力度格,401、处理器,402、存储器,403、电源,404、输入模块,405、通信模块。1. Wound suture retainer, 2. Scanning detector, 3. Server, 4. Flexible base plate, 41. First base plate, 42. Second base plate, 5. Dressing stick, 6. Fixing strip, 7. Bristle end magic Paste strip, 8. Temperature sensing strip, 9. Velcro block at bristle end, 10. Velcro block at round end, 11. Fixed plate, 12. Velcro strip at round end, 13. Gauze layer, 14. Intelligent detection Layer, 15. Non-woven fabric layer, 16. Start sensor button, 17. Detect dressing data button, 18. Get sensor data button, 19. Edge banding, 20. Bluetooth chip transmission layer, 21. Integrated sensor layer, 22. Point bit sensing layer, 23, ventilation hole, 24, strength grid, 401, processor, 402, memory, 403, power supply, 404, input module, 405, communication module.

具体实施方式Detailed ways

下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本申请保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the application with reference to the drawings in the embodiments of the application. Apparently, the described embodiments are only some of the embodiments of the application, not all of them. Based on the embodiments in this application, all other embodiments obtained by those skilled in the art without making creative efforts belong to the scope of protection of this application.

目前,临床上使用的手术切口保持器缺少对伤口部位皮肤整体固定,伤口部位皮肤易受患者活动挤压变形,引起压迫出血,影响伤口皮缘平整,从而影响伤口愈合速度。另外,临床上常规更换伤口敷料将敷料覆盖在伤口表面,保护伤口不受病原体感染,但不便直接观察伤口状况,不能及时的监测伤口状态,易影响伤口的正常愈合。而且,目前临床上主要通过传统伤口拭子培养方法识别感染细菌种类,不能及时通过提供的测试结果对伤口内环境的变化精准干预,从而影响伤口的正常愈合。再来,现有的手术切口保持器对伤口缝合力不能进行精确调节,缝合力太小或缝合力过大均易导致切口皮缘愈合延迟。进一步地,如何解决现有技术的上述问题成为了本领域的热点研究方向。At present, the surgical incision holders used clinically lack the overall fixation of the skin of the wound site. The skin of the wound site is easily squeezed and deformed by the patient's activities, causing compression bleeding, affecting the smoothness of the wound skin edge, and thus affecting the speed of wound healing. In addition, in clinical practice, the wound dressing is routinely replaced to cover the wound surface to protect the wound from pathogen infection, but it is inconvenient to directly observe the wound condition, and the wound condition cannot be monitored in time, which may affect the normal healing of the wound. Moreover, at present, the traditional wound swab culture method is mainly used to identify the type of infected bacteria clinically, and the test results provided cannot be used to accurately intervene in the changes of the internal environment of the wound in time, thus affecting the normal healing of the wound. Furthermore, the existing surgical incision retainer cannot accurately adjust the suturing force of the wound, and too little or too much suturing force will easily lead to delayed healing of the skin edge of the incision. Furthermore, how to solve the above-mentioned problems in the prior art has become a hot research direction in this field.

为此,本申请实施例提供了一种智能手术切口保持装置及方法。To this end, the embodiment of the present application provides an intelligent surgical incision maintenance device and method.

第一方面,如图1所示,在本申请实施例中提供了一种涉及医疗器具技术的智能手术切口保持装置,包括伤口缝合保持器1、扫描检测仪2和服务器3。如图2所示,伤口缝合保持器1包括柔性底板4和敷料贴5。其中,柔性底板4可以由高分子柔性材料制成,且贴近伤口侧有柔性底板4胶贴,其材料柔软亲肤,透气性好,胶贴具有自粘性。柔性底板4与皮肤粘贴稳定可靠,且粘贴舒适性好。柔性底板4包括第一底板41和第二底板42,第一底板41通过若干固定条6与第二底板42进行力度可调式粘贴。敷料贴5的一端与第一底板41连接,敷料贴5的另一端与第二底板42连接。若干固定条6上开设有若干个透气孔23,使用时可保持伤口敷料处透气。扫描检测仪2与服务器3之间可以有线或无线连接。In the first aspect, as shown in FIG. 1 , an intelligent surgical incision maintenance device related to medical device technology is provided in an embodiment of the present application, including a wound suture holder 1 , a scanning detector 2 and a server 3 . As shown in FIG. 2 , the wound suture holder 1 includes a flexible base plate 4 and a dressing patch 5 . Wherein, the flexible bottom plate 4 can be made of polymer flexible material, and there is a flexible bottom plate 4 adhesive on the side close to the wound. The material is soft and skin-friendly, has good air permeability, and the adhesive is self-adhesive. The flexible bottom plate 4 sticks to the skin stably and reliably, and the sticking comfort is good. The flexible bottom plate 4 includes a first bottom plate 41 and a second bottom plate 42 , and the first bottom plate 41 is glued to the second bottom plate 42 with adjustable strength through several fixing strips 6 . One end of the dressing 5 is connected to the first bottom plate 41 , and the other end of the dressing 5 is connected to the second bottom plate 42 . Several fixing strips 6 are provided with several vent holes 23, which can keep the wound dressing ventilated during use. The scanning detector 2 and the server 3 can be wired or wirelessly connected.

另外,第一底板41或第二底板42设有温度感应条8,温度感应条8可以呈长条状,温度感应条8可以由高柔韧度材料PET制成,该材料具有弹性表面光滑,能贴合皮肤不易断裂,温度感应条8包括液晶显示器,温度感应条8用于显示伤口近切缘处皮肤温度,温度感应条8的表面为可视化液晶感温变色。在本申请实施例中温度感应条8的检测皮肤温度可以为36℃至40℃。本申请实施例通过在柔性底板4上设置温度感应条8,贴合皮肤时即刻可直观显示伤口近切缘处皮肤温度,尽早提示切口感染情况。In addition, the first bottom plate 41 or the second bottom plate 42 is provided with a temperature sensing strip 8, the temperature sensing strip 8 can be in the shape of a strip, and the temperature sensing strip 8 can be made of a high flexibility material PET, which has an elastic surface and a smooth surface, and can Fitting the skin is not easy to break. The temperature sensing strip 8 includes a liquid crystal display. The temperature sensing strip 8 is used to display the skin temperature near the incisional edge of the wound. The surface of the temperature sensing strip 8 is a visual liquid crystal temperature-sensitive discoloration. In the embodiment of the present application, the skin temperature detected by the temperature sensing strip 8 may be 36°C to 40°C. In the embodiment of the present application, by setting the temperature sensing strip 8 on the flexible bottom plate 4, the skin temperature near the incision edge of the wound can be visually displayed immediately when the skin is attached, and the incision infection situation can be prompted as soon as possible.

在一些实施例中,如图5所示,敷料贴5包括纱布层13、智能检测层14、无纺布层15。其中纱布层13可以由医用纱布制成,同时纱布层13为可撕拉替换层,在伤口渗出液液体量较多将该层浸润时,可撕拉取下该层及时替换。无纺布层15可以由透气亲肤无纺布制成。智能检测层14与扫描检测仪2可以蓝牙连接。智能检测层14用于根据扫描检测仪2发送的检测指令检测伤口参数数据,并将伤口参数数据发送至扫描检测仪2,扫描检测仪2用于对智能检测层14发送检测指令,并将接收到的伤口参数数据上传至服务器3,服务器3用于对伤口参数数据进行记录,并根据伤口参数数据得到伤口愈合状况。纱布层13为敷料贴5中靠近伤口的一侧,无纺布层15为敷料贴5中远离伤口的一侧,智能检测层14位于纱布层13和无纺布层15之间。本申请实施例中,伤口参数数据可以为伤口温度、pH值、湿度等参数。In some embodiments, as shown in FIG. 5 , the dressing patch 5 includes a gauze layer 13 , an intelligent detection layer 14 , and a non-woven fabric layer 15 . Wherein the gauze layer 13 can be made of medical gauze, and the gauze layer 13 is a tearable replacement layer simultaneously, when the wound exudate liquid amount is more infiltrating the layer, the layer can be torn off and replaced in time. The non-woven fabric layer 15 can be made of breathable skin-friendly non-woven fabric. The intelligent detection layer 14 and the scanning detector 2 can be connected by bluetooth. The intelligent detection layer 14 is used to detect the wound parameter data according to the detection instruction sent by the scanning detector 2, and sends the wound parameter data to the scanning detector 2, and the scanning detector 2 is used to send the detection instruction to the intelligent detection layer 14, and will receive The obtained wound parameter data is uploaded to the server 3, and the server 3 is used to record the wound parameter data, and obtain the wound healing status according to the wound parameter data. The gauze layer 13 is the side near the wound in the dressing 5 , the non-woven layer 15 is the side away from the wound in the dressing 5 , and the intelligent detection layer 14 is located between the gauze layer 13 and the non-woven layer 15 . In the embodiment of the present application, the wound parameter data may be wound temperature, pH value, humidity and other parameters.

在一些实施例中,如图7所示,智能检测层14包括若干检测层,若干检测层包括蓝牙芯片传输层20、集成传感器层21以及点位传感层22,点位传感层22包括电路接口以及若干传感器检测点,若干个传感器检测点处分别设有用于检测伤口参数数据的传感器,比如湿度传感器、pH传感器等等。点位传感层22与集成传感器层21连接,点位传感层22用于对纱布层13进行多点位检测,并将检测到的伤口参数数据发送至集成传感器层21;集成传感器层21包括贴合加压组件,贴合加压组件为抗菌供电集成器件,抗菌供电集成器件包括抗菌工作电极;集成传感器层21与蓝牙芯片传输层20连接;集成传感器层21将伤口参数数据发送至蓝牙芯片传输层20,蓝牙芯片传输层20与扫描检测仪2可以蓝牙连接,蓝牙芯片传输层20用于接收集成传感器层21发送的伤口参数数据,并将伤口参数数据发送至扫描检测仪2。In some embodiments, as shown in Figure 7, the intelligent detection layer 14 includes several detection layers, and several detection layers include bluetooth chip transmission layer 20, integrated sensor layer 21 and point sensing layer 22, and point sensing layer 22 includes The circuit interface and several sensor detection points are respectively equipped with sensors for detecting wound parameter data, such as humidity sensors, pH sensors and the like. The point sensing layer 22 is connected with the integrated sensor layer 21, and the point sensing layer 22 is used for multi-point detection to the gauze layer 13, and sends the detected wound parameter data to the integrated sensor layer 21; the integrated sensor layer 21 Including the laminating and pressurizing component, the laminating and pressurizing component is an antibacterial power supply integrated device, and the antibacterial power supply integrated device includes an antibacterial working electrode; the integrated sensor layer 21 is connected with the Bluetooth chip transmission layer 20; the integrated sensor layer 21 sends the wound parameter data to the Bluetooth The chip transmission layer 20 and the Bluetooth chip transmission layer 20 can be connected to the scanning detector 2 via Bluetooth. The Bluetooth chip transmission layer 20 is used to receive the wound parameter data sent by the integrated sensor layer 21 and send the wound parameter data to the scanning detector 2 .

在一些实施例中,第一底板41上设有固定板11,固定板11可以由高分子柔性材料制成。若干固定条6的一端与固定板11连接,若干固定条6之间相互平行且相隔预设距离。In some embodiments, the first bottom plate 41 is provided with a fixing plate 11, and the fixing plate 11 may be made of polymer flexible material. One end of the plurality of fixing strips 6 is connected to the fixing plate 11 , and the plurality of fixing strips 6 are parallel to each other and separated by a preset distance.

如图4所示,若干固定条6的另一端设有若干刺毛端魔术贴块9,第二底板42设有若干圆毛端魔术贴块10,刺毛端魔术贴块9与圆毛端魔术贴块10相互贴合。如图3及图4所示,圆毛端魔术贴块10设有若干个大小一致的力度格24,力度格24用于调整伤口缝合力度,并且当刺毛端魔术贴块9与圆毛端魔术贴块10贴合时通过保持格数统一以示拉力一致。本申请实施例中,魔术贴是由一面细小柔软的纤维圆毛和另一面是较硬带钩的刺毛相互贴合组成。As shown in Figure 4, the other end of some fixed strips 6 is provided with some bristle-end Velcro blocks 9, and the second bottom plate 42 is provided with some round-hair end Velcro blocks 10, and the bristle-end Velcro blocks 9 are connected with the round-hair end Velcro blocks 9. The Velcro blocks 10 fit together. As shown in Fig. 3 and Fig. 4, the Velcro block 10 at the round hair end is provided with several strength lattices 24 of the same size, and the strength lattice 24 is used to adjust the wound suturing strength, and when the Velcro block 9 at the bristle end and the round hair end When the Velcro blocks 10 are attached, the number of grids is kept uniform to show that the pulling force is consistent. In the embodiment of the present application, the Velcro is composed of fine and soft fiber round hairs on one side and harder bristles with hooks on the other side.

本申请实施例中,固定板11上设有若干固定条6,固定条6之间留有间隔,固定条6可以由透气亲肤透明TPU条制成,固定条6上中间部位设有若干个透气孔23,固定条6的材质无弹力,可保持缝合拉力一致。固定条6另一端设有的刺毛端魔术贴块9与第二底板42上设有的圆毛端魔术贴块10贴合。圆毛端魔术贴块10设为长条状,圆毛端魔术贴块10的表面设有大小一致的力度格24,力度格24可在刺毛端魔术贴块9在与圆毛端魔术贴块10贴合时保持格数统一以示拉力一致。操作者可根据患者伤口愈合情况通过刺毛端魔术贴块9在圆毛端魔术贴块10的粘贴位置,即力度格24的格数调整缝合松紧度。In the embodiment of the present application, several fixing strips 6 are arranged on the fixing plate 11, and there are intervals between the fixing strips 6. The fixing strips 6 can be made of air-permeable skin-friendly transparent TPU strips. The vent hole 23 and the material of the fixing strip 6 have no elastic force, which can keep the stitching tension consistent. The bristle-end velcro block 9 provided at the other end of the fixing bar 6 fits with the round-hair-end velcro block 10 provided on the second bottom plate 42 . The round hair end hook and loop block 10 is made as elongate, and the surface of the round hair end hook and loop block 10 is provided with the strength lattice 24 of size, and the strength lattice 24 can be in the bristle end magic sticker block 9 with the round hair end magic sticker. When the blocks 10 are pasted together, keep the grid number uniform to show that the pulling force is consistent. The operator can adjust the tightness of the suture according to the patient's wound healing situation through the sticking position of the bristle end Velcro block 9 on the round hair end Velcro block 10, that is, the number of grids of the strength grid 24.

在一些实施例中,第一底板41以及第二底板42均设有圆毛端魔术贴条12,敷料贴5设有刺毛端魔术贴条7,敷料贴5的一端设有第一刺毛端魔术贴条,敷料贴5的另一端设有第二刺毛端魔术贴条,敷料贴5的一端通过第一刺毛端魔术贴条与第一底板41的圆毛端魔术贴条12贴合,敷料贴5的另一端通过第二刺毛端魔术贴条与第二底板42的圆毛端魔术贴条12贴合。In some embodiments, both the first bottom plate 41 and the second bottom plate 42 are provided with a Velcro strip 12 with a round bristle end, the dressing 5 is provided with a Velcro strip 7 with a bristle end, and one end of the dressing paste 5 is provided with a first bristle One end Velcro strip, the other end of the dressing paste 5 is provided with a second bristle end Velcro strip, and one end of the dressing paste 5 passes through the first bristle end Velcro strip and the round hair end Velcro strip 12 of the first base plate 41 Close, the other end of the dressing stick 5 is attached to the round-haired Velcro strip 12 of the second bottom plate 42 through the second bristle-end Velcro strip.

如图6所示,在一些实施例中,扫描检测仪2设有若干个按钮,若干个按钮包括启动传感器按钮16、检测敷料数据按钮17和获取传感器数据按钮18。As shown in FIG. 6 , in some embodiments, the scanning detector 2 is provided with several buttons, including a start sensor button 16 , a dressing data detection button 17 and a sensor data acquisition button 18 .

本申请实施例还提供了智能手术切口保持装置的使用方法,如下:The embodiment of the present application also provides the usage method of the intelligent surgical incision keeping device, as follows:

将柔性底板4中的第一底板41和第二底板42分别平行粘贴在皮肤伤口切缘的左右两侧,然后将敷料贴5两端的刺毛端魔术贴条7(第一刺毛端魔术贴条和第二刺毛端魔术贴条)分别与第一底板41和第二底板42上的圆毛端魔术贴条12贴合,并覆盖在在伤口处。本申请实施例中敷料贴5为三层设计,敷料贴5为柔性电子敷料,能与手术切口更好的贴合;敷料贴5由内至外分别为纱布层13、智能检测层14、无纺布层15共三层。第一层的纱布层13由医用纱布制成,纱布层13的底面两侧设有刺毛端魔术贴条7,并且能够与第一底板41和第二底板42两侧近伤口切缘处的圆毛端魔术贴条12贴合。同时纱布层13为可撕拉替换层,在伤口渗出量较多将纱布层13浸润时,可及时替换。第二层的智能检测层14包括:封边19、蓝牙芯片传输层20、集成传感器层21、点位传感层22,其中,点位传感层22由封边装的多个pH传感器监测点、湿度感应监测点和电路接口组成;传感器监测点位置均匀分布在点位传感层22上。The first base plate 41 and the second base plate 42 in the flexible base plate 4 are respectively pasted in parallel on the left and right sides of the cut edge of the skin wound, and then the bristle end Velcro strips 7 at the two ends of the dressing paste 5 (the first bristle end Velcro strip and the second bristle-end Velcro strip) are attached to the round-hair-end Velcro strip 12 on the first base plate 41 and the second base plate 42 respectively, and are covered at the wound. In the embodiment of the present application, the dressing 5 is a three-layer design, and the dressing 5 is a flexible electronic dressing, which can better fit the surgical incision; the dressing 5 is respectively a gauze layer 13, an intelligent detection layer 14, an The spun cloth layer 15 has three layers in total. The gauze layer 13 of the first layer is made by medical gauze, and the bottom surface both sides of gauze layer 13 is provided with bristle end Velcro strip 7, and can be connected with first base plate 41 and second base plate 42 both sides near wound incision edge place. Round hair end Velcro strips 12 fit. Simultaneously, the gauze layer 13 is a tearable replacement layer, which can be replaced in time when the gauze layer 13 is infiltrated by a large amount of exudation from the wound. The intelligent detection layer 14 of the second layer comprises: edge banding 19, bluetooth chip transmission layer 20, integrated sensor layer 21, point sensing layer 22, wherein, point sensing layer 22 is monitored by a plurality of pH sensors of edge banding points, humidity sensing monitoring points and circuit interfaces; the sensor monitoring points are evenly distributed on the point sensing layer 22.

本申请实施例可以提拉固定板11的固定条6向对侧即第二底板42方向拉动,将固定条6另一端内侧设置的刺毛端魔术贴块9根据伤口敞开情况粘贴固定在第二底板42的圆毛端魔术贴块10上。本申请实施例可根据伤口愈合情况调整固定条6粘贴位置,保持松紧度,同时通过设置固定条6增加伤口缝合保持器1的稳定性。In the embodiment of the present application, the fixing bar 6 of the fixing plate 11 can be pulled toward the opposite side, that is, the direction of the second bottom plate 42, and the bristle-end Velcro block 9 provided on the inner side of the other end of the fixing bar 6 can be pasted and fixed on the second bottom plate 42 according to the opening of the wound. On the round hair end Velcro block 10 of the bottom plate 42. In the embodiment of the present application, the sticking position of the fixing strip 6 can be adjusted according to the wound healing condition to maintain tightness, and at the same time, the stability of the wound suturing holder 1 can be increased by setting the fixing strip 6 .

获取伤口参数数据时,将扫描检测仪2靠近敷料贴5,选择点击检测敷料数据按钮17,敷料贴5中位于中层的智能检测层14通过对下层近伤口处的纱布层13进行多点位检测获取伤口实时PH值、湿度等伤口参数数据,并将所得伤口参数数据传输至集成传感器层21,集成传感器层21设有外侧贴合边的封边及贴合加压组件,贴合加压组件为抗菌供电集成,为聚苯胺工作电极。再由蓝牙芯片传输层20传输至服务器3。敷料贴5第三层为无纺布层15,该层由透气亲肤无纺布制成。When obtaining wound parameter data, move the scanning detector 2 close to the dressing 5, select and click the button 17 for detecting dressing data, and the intelligent detection layer 14 located in the middle layer in the dressing 5 performs multi-point detection on the gauze layer 13 on the lower layer near the wound. Acquire wound parameter data such as real-time pH value and humidity of the wound, and transmit the obtained wound parameter data to the integrated sensor layer 21. The integrated sensor layer 21 is equipped with edge banding for the outer bonding edge and bonding pressurization components, and bonding pressure components Integrated for antimicrobial power supply, for polyaniline working electrode. Then it is transmitted to the server 3 by the bluetooth chip transmission layer 20. The third layer of the dressing 5 is a non-woven fabric layer 15, which is made of breathable and skin-friendly non-woven fabric.

在本申请实施例中,扫描检测仪2具有蓝牙传输功能。敷料贴5中层的智能检测层14的蓝牙芯片能与扫描检测仪2相匹配。首次操作时,可以将扫描检测仪2靠近敷料贴5并选择点击启动传感器按钮16进行匹配。当获取伤口参数数据时,将扫描检测仪2靠近敷料贴5,选择点击检测敷料数据按钮17,敷料贴5的中层智能检测层14通过对下层近伤口处纱布层13进行多点位检测,获取伤口实时数据的同时,扫描检测仪2讲数据通过选择点击获取传感器数据按钮18同步至服务器3,以此记录并辅助判断伤口的愈合情况。In the embodiment of the present application, the scanning detector 2 has a Bluetooth transmission function. The bluetooth chip of the intelligent detection layer 14 of dressing paste 5 middle layers can match with scanning detector 2. When operating for the first time, the scanning detector 2 can be placed close to the dressing 5 and click the start sensor button 16 for matching. When obtaining the wound parameter data, the scanning detector 2 is placed close to the dressing 5, and the button 17 for detecting the dressing data is selected and clicked. The middle intelligent detection layer 14 of the dressing 5 passes through the multi-point detection of the gauze layer 13 near the wound on the lower floor to obtain Simultaneously with the real-time data of the wound, the scanning detector 2 synchronizes the data to the server 3 by selecting and clicking the button 18 to obtain sensor data, so as to record and assist in judging the healing of the wound.

第二方面,本申请实施例提供了一种智能手术切口保持方法,应用于伤口缝合保持器1,包括:通过扫描检测仪2发送的启动传感器指令与扫描检测仪2进行匹配;检测到与扫描检测仪2匹配成功后,根据扫描检测仪2发送的检测指令进行多点位检测,得到伤口参数数据;将伤口参数数据发送至扫描检测仪2,扫描检测仪2用于将伤口参数数据发送至服务器3,并通过服务器3进行记录,服务器3用于根据伤口参数数据得到伤口愈合状况。In the second aspect, the embodiment of the present application provides an intelligent surgical incision maintenance method, which is applied to the wound suture holder 1, including: matching the start sensor command sent by the scanning detector 2 with the scanning detector 2; detecting and scanning After the detector 2 is successfully matched, multi-point detection is performed according to the detection instruction sent by the scanner detector 2 to obtain wound parameter data; the wound parameter data is sent to the scanner detector 2, and the scanner detector 2 is used to send the wound parameter data to server 3, and record through the server 3, the server 3 is used to obtain the wound healing status according to the wound parameter data.

第三方面,本申请实施例提供了一种智能手术切口保持方法,应用于扫描检测仪2,包括:发送启动传感器指令至伤口缝合保持器1,伤口缝合保持器1用于根据启动传感器指令与扫描检测仪2进行匹配;检测到与伤口缝合保持器1匹配成功后,发送检测指令至伤口缝合保持器1,伤口缝合保持器1用于根据检测指令进行多点位检测,并将检测到的伤口参数数据发送至扫描检测仪2;接收伤口缝合保持器1发送的伤口参数数据,并发送获取传感器数据指令至服务器3,服务器3用于根据传感器数据指令接收伤口参数数据,并根据伤口参数数据得到伤口愈合状况。In the third aspect, the embodiment of the present application provides a method for maintaining an intelligent surgical incision, which is applied to the scanning detector 2, including: sending an activation sensor instruction to the wound suture holder 1, and the wound suture holder 1 is used to communicate with the activation sensor instruction. Scan the detector 2 for matching; after detecting that it is successfully matched with the wound suture holder 1, send a detection instruction to the wound suture holder 1, and the wound suture holder 1 is used for multi-point detection according to the detection instruction, and the detected The wound parameter data is sent to the scanning detector 2; the wound parameter data sent by the wound suture holder 1 is received, and the sensor data acquisition instruction is sent to the server 3, and the server 3 is used to receive the wound parameter data according to the sensor data instruction, and according to the wound parameter data Get wound healing status.

第四方面,本申请实施例提供了一种智能手术切口保持方法,应用于服务器3,包括:接收扫描检测仪2发送的获取传感器数据指令,根据获取传感器数据指令接收伤口参数数据,并根据伤口参数数据得到伤口愈合状况。In the fourth aspect, the embodiment of the present application provides an intelligent surgical incision maintenance method, which is applied to the server 3, including: receiving the sensor data acquisition instruction sent by the scanning detector 2, receiving wound parameter data according to the sensor data acquisition instruction, and according to the wound Parameter data were obtained for wound healing status.

本申请实施例中,扫描检测仪或服务器均可以获取伤口参数数据,并根据伤口参数数据得到实时检测的数据变化值,然后根据实时检测的数据变化值进行伤口感染预测,从而更为快速的实现伤口的内环境变化的识别。In the embodiment of the present application, the scanning detector or the server can obtain the wound parameter data, and obtain the real-time detected data change value according to the wound parameter data, and then predict the wound infection according to the real-time detected data change value, so as to achieve more rapid Recognition of changes in the internal environment of the wound.

本发明设置有伤口缝合保持器1,伤口缝合保持器1包括柔性底板4和敷料贴5;柔性底板4包括第一底板41和第二底板42,本发明通过第一底板41通过若干固定条6与第二底板42进行力度可调式粘贴,其中敷料贴5的一端与第一底板41连接,敷料贴5的另一端与第二底板42连接,敷料贴5包括智能检测层14,智能检测层14与扫描检测仪2连接,智能检测层14能够根据扫描检测仪2发送的检测指令检测伤口参数数据,并将伤口参数数据发送至扫描检测仪2,扫描检测仪2能够对智能检测层14发送检测指令,并将接收到的伤口参数数据上传至服务器3,服务器3能够对伤口参数数据进行记录,并根据伤口参数数据得到伤口愈合状况。本发明能精确调节保持器上的缝合力度达到个体化伤口缝合治疗;同时,及时检测伤口微环境,帮助患者伤口尽早愈合。The present invention is provided with a wound suture holder 1, and the wound suture holder 1 includes a flexible base plate 4 and a dressing 5; the flexible base plate 4 includes a first base plate 41 and a second base plate 42, and the present invention passes through a plurality of fixing strips 6 through the first base plate 41 It is pasted with the second bottom plate 42 with adjustable strength, wherein one end of the dressing 5 is connected to the first bottom plate 41, and the other end of the dressing 5 is connected to the second bottom plate 42. The dressing 5 includes an intelligent detection layer 14, an intelligent detection layer 14 Connected with the scanning detector 2, the intelligent detection layer 14 can detect the wound parameter data according to the detection instruction sent by the scanning detector 2, and send the wound parameter data to the scanning detector 2, and the scanning detector 2 can send detection data to the intelligent detection layer 14. command, and upload the received wound parameter data to the server 3, the server 3 can record the wound parameter data, and obtain the wound healing status according to the wound parameter data. The invention can precisely adjust the suturing force on the retainer to achieve individualized wound suturing treatment; meanwhile, it can timely detect the microenvironment of the wound and help the patient's wound to heal as soon as possible.

进一步地,本发明能够辅助医护人员判断伤口愈合情况并及尽早发现感染、尽早精准干预;同时准确控制保持伤口局部缝合力度统一,辅助伤口愈合,缩短伤口愈合时间;另外,本发明采用高分子柔性材料制成的柔性底板胶贴,底面具有自粘性,柔性底板与皮肤粘贴稳定可靠,且粘贴舒适性好;敷料的使用使得伤口不受病原体感染并加速伤口愈合,而且在敷料始终处于使用状态下本发明能够根据实时检测的数据变化值进行伤口感染预测,更为快速的实现伤口的内环境变化的识别。Furthermore, the present invention can assist medical personnel to judge the wound healing condition, detect infection as early as possible, and intervene accurately as early as possible; at the same time, it can accurately control and maintain the local suture force of the wound, assist wound healing, and shorten wound healing time; in addition, the present invention adopts polymer flexible The self-adhesive self-adhesive bottom surface of the flexible bottom plate made of materials, the flexible bottom plate and the skin are stable and reliable, and the sticking comfort is good; the use of the dressing prevents the wound from being infected by pathogens and accelerates wound healing, and the dressing is always in use. The invention can predict the wound infection according to the data change value detected in real time, and more quickly realize the identification of the internal environment change of the wound.

在本申请实施例中,服务器可以为云端服务器,可以是单一服务器,也可以是由多个服务器组成的服务器集群,还可以以终端的形式来实现。In this embodiment of the application, the server may be a cloud server, a single server, or a server cluster composed of multiple servers, and may also be implemented in the form of a terminal.

如图8所示,其示出了本申请实施例所涉及的服务器的结构示意图,具体来讲:As shown in Figure 8, it shows a schematic structural diagram of the server involved in the embodiment of the present application, specifically:

该服务器可以包括一个或者一个以上处理核心的处理器401、一个或一个以上计算机可读存储介质的存储器402、电源403、输入模块404以及通信模块405等部件。本领域技术人员可以理解,图4中示出的服务器结构并不构成对服务器的限定,可以包括比图示更多或更少的部件,或者组合某些部件,或者不同的部件布置。其中:The server may include a processor 401 of one or more processing cores, a memory 402 of one or more computer-readable storage media, a power supply 403, an input module 404, a communication module 405 and other components. Those skilled in the art can understand that the server structure shown in FIG. 4 is not limited to the server, and may include more or less components than shown in the figure, or combine some components, or arrange different components. in:

处理器401是该服务器的控制中心,利用各种接口和线路连接整个服务器的各个部分,通过运行或执行存储在存储器402内的软件程序和/或模块,以及调用存储在存储器402内的数据,执行服务器的各种功能和处理数据,从而对服务器进行整体监控。在一些实施例中,处理器401可包括一个或多个处理核心;在一些实施例中,处理器401可集成应用处理器和调制解调处理器,其中,应用处理器主要处理操作系统、用户界面和应用程序等,调制解调处理器主要处理无线通信。可以理解的是,上述调制解调处理器也可以不集成到处理器401中。The processor 401 is the control center of the server, and uses various interfaces and lines to connect various parts of the entire server, by running or executing software programs and/or modules stored in the memory 402, and calling data stored in the memory 402, Execute various functions of the server and process data to monitor the server as a whole. In some embodiments, the processor 401 may include one or more processing cores; in some embodiments, the processor 401 may integrate an application processor and a modem processor, wherein the application processor mainly processes the operating system, user Interfaces and applications, etc., the modem processor mainly handles wireless communications. It can be understood that the foregoing modem processor may not be integrated into the processor 401 .

存储器402可用于存储软件程序以及模块,处理器401通过运行存储在存储器402的软件程序以及模块,从而执行各种功能应用以及数据处理。存储器402可主要包括存储程序区和存储数据区,其中,存储程序区可存储操作系统、至少一个功能所需的应用程序(比如声音播放功能、图像播放功能等)等;存储数据区可存储根据服务器的使用所创建的数据等。此外,存储器402可以包括高速随机存取存储器,还可以包括非易失性存储器,例如至少一个磁盘存储器件、闪存器件、或其他易失性固态存储器件。相应地,存储器402还可以包括存储器控制器,以提供处理器401对存储器402的访问。The memory 402 can be used to store software programs and modules, and the processor 401 executes various functional applications and data processing by running the software programs and modules stored in the memory 402 . The memory 402 can mainly include a program storage area and a data storage area, wherein the program storage area can store an operating system, at least one application program required by a function (such as a sound playback function, an image playback function, etc.); The data created by the use of the server, etc. In addition, the memory 402 may include a high-speed random access memory, and may also include a non-volatile memory, such as at least one magnetic disk storage device, flash memory device, or other volatile solid-state storage devices. Correspondingly, the memory 402 may further include a memory controller to provide the processor 401 with access to the memory 402 .

服务器还包括给各个部件供电的电源403,在一些实施例中,电源403可以通过电源管理系统与处理器401逻辑相连,从而通过电源管理系统实现管理充电、放电、以及功耗管理等功能。电源403还可以包括一个或一个以上的直流或交流电源、再充电系统、电源故障检测电路、电源转换器或者逆变器、电源状态指示器等任意组件。The server also includes a power supply 403 for supplying power to various components. In some embodiments, the power supply 403 can be logically connected to the processor 401 through a power management system, so that functions such as charging, discharging, and power consumption management can be implemented through the power management system. The power supply 403 may also include one or more DC or AC power supplies, recharging systems, power failure detection circuits, power converters or inverters, power status indicators and other arbitrary components.

该服务器还可包括输入模块404,该输入模块404可用于接收输入的数字或字符信息,以及产生与用户设置以及功能控制有关的键盘、鼠标、操作杆、光学或者轨迹球信号输入。The server can also include an input module 404, which can be used to receive input digital or character information, and generate keyboard, mouse, joystick, optical or trackball signal input related to user settings and function control.

该服务器还可包括通信模块405,在一些实施例中通信模块405可以包括无线模块,服务器可以通过该通信模块405的无线模块进行短距离无线传输,从而为用户提供了无线的宽带互联网访问。比如,该通信模块405可以用于帮助用户收发电子邮件、浏览网页和访问流式媒体等。The server can also include a communication module 405. In some embodiments, the communication module 405 can include a wireless module. The server can perform short-distance wireless transmission through the wireless module of the communication module 405, thereby providing users with wireless broadband Internet access. For example, the communication module 405 can be used to help users send and receive emails, browse web pages, access streaming media, and so on.

尽管未示出,服务器还可以包括显示单元等,在此不再赘述。具体在本实施例中,服务器中的处理器401会按照如下的指令,将一个或一个以上的应用程序的进程对应的可执行文件加载到存储器402中,并由处理器401来运行存储在存储器402中的应用程序,从而实现智能手术切口保持装置中的各种功能。Although not shown, the server may also include a display unit, etc., which will not be repeated here. Specifically, in this embodiment, the processor 401 in the server will load the executable file corresponding to the process of one or more application programs into the memory 402 according to the following instructions, and the processor 401 will run the executable file stored in the memory. 402, thereby realizing various functions in the intelligent surgical incision keeping device.

本领域普通技术人员可以理解,上述实施例的各种方法中的全部或部分步骤可以通过指令来完成,或通过指令控制相关的硬件来完成,该指令可以存储于一计算机可读存储介质中,并由处理器进行加载和执行。Those of ordinary skill in the art can understand that all or part of the steps in the various methods of the above embodiments can be completed by instructions, or by instructions controlling related hardware, and the instructions can be stored in a computer-readable storage medium, and is loaded and executed by the processor.

为此,本申请实施例提供一种计算机可读存储介质,其中存储有多条指令,该指令能够被处理器进行加载,以执行本申请实施例所提供的任一种智能手术切口保持方法中的步骤。例如,该指令可以执行如下步骤:接收扫描检测仪发送的获取传感器数据指令,根据获取传感器数据指令接收伤口参数数据,并根据伤口参数数据得到伤口愈合状况等。To this end, an embodiment of the present application provides a computer-readable storage medium, which stores a plurality of instructions that can be loaded by a processor to perform any of the intelligent surgical incision maintenance methods provided in the embodiments of the present application. A step of. For example, the instruction may execute the following steps: receiving the sensor data acquisition instruction sent by the scanning detector, receiving wound parameter data according to the sensor data acquisition instruction, and obtaining wound healing status according to the wound parameter data.

其中,该存储介质可以包括:只读存储器(ROM,Read Only Memory)、随机存取记忆体(RAM,Random Access Memory)、磁盘或光盘等。Wherein, the storage medium may include: a read only memory (ROM, Read Only Memory), a random access memory (RAM, Random Access Memory), a magnetic disk or an optical disk, and the like.

根据本申请的一个方面,提供了一种计算机程序产品或计算机程序,该计算机程序产品或计算机程序包括计算机指令,该计算机指令存储在计算机可读存储介质中。计算机设备的处理器从计算机可读存储介质读取该计算机指令,处理器执行该计算机指令,使得该计算机设备执行上述实施例中提供的智能手术切口保持的各种可选实现方式中提供的方法。According to an aspect of the present application there is provided a computer program product or computer program comprising computer instructions stored in a computer readable storage medium. The processor of the computer device reads the computer instructions from the computer-readable storage medium, and the processor executes the computer instructions, so that the computer device performs the methods provided in various optional implementations of intelligent surgical incision maintenance provided in the above embodiments .

由于该存储介质中所存储的指令,可以执行本申请实施例所提供的任一种智能手术切口保持装置中的步骤,因此,可以实现本申请实施例所提供的任一种智能手术切口保持装置所能实现的有益效果,详见前面的实施例,在此不再赘述。Due to the instructions stored in the storage medium, the steps in any intelligent surgical incision maintenance device provided by the embodiments of the present application can be executed, therefore, any intelligent surgical incision maintenance device provided by the embodiments of the application can be realized For the beneficial effects that can be achieved, refer to the previous embodiments for details, and will not be repeated here.

以上对本申请实施例所提供的一种智能手术切口保持方法、装置、服务器和计算机可读存储介质进行了详细介绍,本文中应用了具体个例对本申请的原理及实施方式进行了阐述,以上实施例的说明只是用于帮助理解本申请的方法及其核心思想;同时,对于本领域的技术人员,依据本申请的思想,在具体实施方式及应用范围上均会有改变之处,综上,本说明书内容不应理解为对本申请的限制。A kind of intelligent surgical incision maintenance method, device, server and computer-readable storage medium provided by the embodiment of the present application has been introduced in detail above. In this paper, specific examples are used to illustrate the principle and implementation of the present application. The above implementation The description of the example is only used to help understand the method of the present application and its core idea; at the same time, for those skilled in the art, according to the idea of the application, there will be changes in the specific implementation and scope of application. In summary, The contents of this specification should not be understood as limiting the application.

Claims (10)

1.一种智能手术切口保持装置,其特征在于,包括伤口缝合保持器、扫描检测仪和服务器,所述伤口缝合保持器包括柔性底板和敷料贴;所述柔性底板包括第一底板和第二底板,所述第一底板通过若干固定条与所述第二底板进行力度可调式粘贴,所述敷料贴的一端与所述第一底板连接,所述敷料贴的另一端与所述第二底板连接,所述敷料贴包括智能检测层,所述智能检测层与所述扫描检测仪连接,所述扫描检测仪与所述服务器连接,所述智能检测层用于根据所述扫描检测仪发送的检测指令检测伤口参数数据,并将所述伤口参数数据发送至所述扫描检测仪,所述扫描检测仪用于对所述智能检测层发送检测指令,并将接收到的所述伤口参数数据上传至所述服务器,所述服务器用于对所述伤口参数数据进行记录,并根据所述伤口参数数据得到伤口愈合状况。1. An intelligent surgical incision holding device is characterized in that it comprises a wound suture retainer, a scanning detector and a server, and the wound suture retainer comprises a flexible base plate and a dressing stick; the flexible base plate comprises a first base plate and a second Bottom plate, the first bottom plate is pasted with the second bottom plate with adjustable strength through several fixing strips, one end of the dressing is connected to the first bottom plate, and the other end of the dressing is connected to the second bottom plate connected, the dressing includes an intelligent detection layer, the intelligent detection layer is connected to the scanning detector, the scanning detector is connected to the server, and the intelligent detection layer is used for The detection instruction detects the wound parameter data, and sends the wound parameter data to the scanning detector, and the scanning detector is used to send the detection instruction to the intelligent detection layer, and upload the received wound parameter data To the server, the server is used to record the wound parameter data, and obtain the wound healing status according to the wound parameter data. 2.如权利要求1的智能手术切口保持装置,其特征在于,所述智能检测层包括若干检测层,所述若干检测层包括蓝牙芯片传输层、集成传感器层以及点位传感层,所述点位传感层包括电路接口以及若干传感器检测点,所述若干个传感器检测点处分别设有用于检测伤口参数数据的传感器,所述点位传感层与所述集成传感器层连接,所述点位传感层用于对所述纱布层进行多点位检测,并将检测到的伤口参数数据发送至集成传感器层;所述集成传感器层包括贴合加压组件,所述贴合加压组件为抗菌供电集成器件,所述抗菌供电集成器件包括抗菌工作电极;所述集成传感器层与所述蓝牙芯片传输层连接;所述集成传感器层将所述伤口参数数据发送至所述蓝牙芯片传输层,所述蓝牙芯片传输层与所述扫描检测仪连接,所述蓝牙芯片传输层用于接收所述集成传感器层发送的所述伤口参数数据,并将所述伤口参数数据发送至所述扫描检测仪。2. The intelligent surgical incision maintenance device according to claim 1, characterized in that, said intelligent detection layer comprises several detection layers, said several detection layers comprising bluetooth chip transmission layer, integrated sensor layer and point sensing layer, said The point sensing layer includes a circuit interface and a number of sensor detection points, the several sensor detection points are respectively provided with sensors for detecting wound parameter data, the point sensing layer is connected with the integrated sensor layer, the The point sensing layer is used for multi-point detection on the gauze layer, and sends the detected wound parameter data to the integrated sensor layer; The component is an antibacterial power supply integrated device, and the antibacterial power supply integrated device includes an antibacterial working electrode; the integrated sensor layer is connected to the Bluetooth chip transmission layer; the integrated sensor layer sends the wound parameter data to the Bluetooth chip for transmission Layer, the bluetooth chip transmission layer is connected with the scanning detector, the bluetooth chip transmission layer is used to receive the wound parameter data sent by the integrated sensor layer, and send the wound parameter data to the scanning detector Detector. 3.如权利要求1或2的智能手术切口保持装置,其特征在于,所述第一底板上设有固定板,所述若干固定条的一端与所述固定板连接,所述若干固定条之间相互平行且相隔预设距离,所述若干固定条的另一端设有若干刺毛端魔术贴块,所述第二底板设有若干圆毛端魔术贴块,所述刺毛端魔术贴块与所述圆毛端魔术贴块相互贴合;所述圆毛端魔术贴块设有若干个大小一致的力度格,所述力度格用于调整伤口缝合力度,并且当所述刺毛端魔术贴块与所述圆毛端魔术贴块贴合时通过保持格数统一以示拉力一致。3. The intelligent surgical incision maintenance device according to claim 1 or 2, wherein a fixed plate is provided on the first base plate, one end of the fixed strips is connected with the fixed plate, and one of the fixed strips is connected to the fixed plate. parallel to each other and separated by a preset distance, the other ends of the fixed strips are provided with a number of bristle-end Velcro blocks, the second bottom plate is provided with a number of round-hair end Velcro blocks, and the bristle-end Velcro blocks It fits with the Velcro block at the round hair end; the Velcro block at the round hair end is provided with several force grids of the same size, and the force grid is used to adjust the strength of wound suturing, and when the Velcro at the bristle end When the sticker block is attached to the round-haired Velcro block, the number of grids is kept uniform to show that the pulling force is consistent. 4.如权利要求3的智能手术切口保持装置,其特征在于,所述第一底板以及所述第二底板均设有圆毛端魔术贴条,所述敷料贴的一端设有第一刺毛端魔术贴条,所述敷料贴的另一端设有第二刺毛端魔术贴条,所述敷料贴的一端通过所述第一刺毛端魔术贴条与所述第一底板的圆毛端魔术贴条贴合,所述敷料贴的另一端通过所述第二刺毛端魔术贴条与所述第二底板的圆毛端魔术贴条贴合。4. The intelligent surgical incision maintenance device according to claim 3, characterized in that, the first base plate and the second base plate are provided with round-haired Velcro strips, and one end of the dressing is provided with first bristles One end Velcro strip, the other end of the dressing is provided with a second bristle end Velcro strip, and one end of the dressing is passed through the first bristle end Velcro strip and the round hair end of the first bottom plate The Velcro strip is attached, and the other end of the dressing is attached to the Velcro strip at the round-hair end of the second bottom plate through the second bristle-end Velcro strip. 5.如权利要求4的智能手术切口保持装置,其特征在于,所述敷料贴还包括纱布层和无纺布层,所述纱布层为所述敷料贴中靠近伤口的一侧,所述无纺布层为所述敷料贴中远离伤口的一侧,所述智能检测层位于所述纱布层和所述无纺布层之间。5. The intelligent surgical incision maintenance device according to claim 4, characterized in that, the dressing also includes a gauze layer and a non-woven layer, and the gauze layer is the side near the wound in the dressing, and the non-woven The woven fabric layer is the side of the dressing patch away from the wound, and the intelligent detection layer is located between the gauze layer and the non-woven fabric layer. 6.如权利要求5的智能手术切口保持装置,其特征在于,所述第一底板或所述第二底板设有温度感应条,所述温度感应条包括液晶显示器,所述温度感应条用于显示伤口近切缘处皮肤温度,所述温度感应条的表面为可视化液晶感温变色;所述若干固定条上开设有若干个透气孔;所述扫描检测仪设有若干个按钮,所述若干个按钮包括启动传感器按钮、检测敷料数据按钮和获取传感器数据按钮。6. The intelligent surgical incision maintenance device according to claim 5, characterized in that, the first base plate or the second base plate are provided with a temperature sensing strip, and the temperature sensing strip comprises a liquid crystal display, and the temperature sensing strip is used for The temperature of the skin near the cut edge of the wound is displayed, and the surface of the temperature sensing strip is a visual liquid crystal temperature-sensitive discoloration; several air holes are provided on the several fixed strips; the scanning detector is provided with several buttons, and the several The buttons include the Start Sensor button, the Detect Dressing Data button, and the Get Sensor Data button. 7.如权利要求6的智能手术切口保持装置,其特征在于,所述柔性底板由高分子柔性材料制成,且所述柔性底板贴近伤口侧有柔性底板胶贴;所述温度感应条由高柔韧度材料PET制成,所述固定板由高分子柔性材料制成,所述固定条由透气亲肤透明TPU材料制成,所述纱布层由医用纱布制成,所述无纺布层由透气亲肤无纺布制成。7. The intelligent surgical incision maintenance device according to claim 6, characterized in that, the flexible base plate is made of a polymer flexible material, and the flexible base plate has a flexible base plate adhesive on the side close to the wound; the temperature sensing strip is made of high The flexible material PET is made, the fixed plate is made of polymer flexible material, the fixed strip is made of breathable skin-friendly transparent TPU material, the gauze layer is made of medical gauze, and the non-woven fabric layer is made of Made of breathable and skin-friendly non-woven fabric. 8.一种智能手术切口保持方法,应用于伤口缝合保持器,其特征在于,包括:8. A method for maintaining an intelligent surgical incision, applied to a wound suture retainer, characterized in that it comprises: 通过扫描检测仪发送的启动传感器指令与所述扫描检测仪进行匹配;The start sensor command sent by the scanning detector is matched with the scanning detector; 检测到与所述扫描检测仪匹配成功后,根据所述扫描检测仪发送的检测指令进行多点位检测,得到伤口参数数据;After detecting that the matching with the scanning detector is successful, perform multi-point detection according to the detection instruction sent by the scanning detector to obtain wound parameter data; 将所述伤口参数数据发送至扫描检测仪,所述扫描检测仪用于将所述伤口参数数据发送至服务器,并通过所述服务器进行记录,所述服务器用于根据所述伤口参数数据得到伤口愈合状况。Send the wound parameter data to a scanning detector, the scanning detector is used to send the wound parameter data to a server, and record it through the server, and the server is used to obtain the wound parameter data according to the wound parameter data healing status. 9.一种智能手术切口保持方法,应用于扫描检测仪,其特征在于,包括:9. A method for maintaining an intelligent surgical incision, applied to a scanning detector, characterized in that it comprises: 发送启动传感器指令至伤口缝合保持器,所述伤口缝合保持器用于根据启动传感器指令与所述扫描检测仪进行匹配;sending an activation sensor instruction to the wound suture holder, and the wound suture holder is used to match the scanning detector according to the activation sensor instruction; 检测到与所述伤口缝合保持器匹配成功后,发送检测指令至伤口缝合保持器,所述伤口缝合保持器用于根据所述检测指令进行多点位检测,并将检测到的伤口参数数据发送至扫描检测仪;After detecting that it is successfully matched with the wound suture holder, a detection instruction is sent to the wound suture holder, and the wound suture holder is used for multi-point detection according to the detection instruction, and the detected wound parameter data is sent to Scanner; 接收伤口缝合保持器发送的伤口参数数据,并发送获取传感器数据指令至服务器,所述服务器用于根据传感器数据指令接收伤口参数数据,并根据伤口参数数据得到伤口愈合状况。Receive the wound parameter data sent by the wound suture holder, and send the sensor data acquisition instruction to the server, the server is used to receive the wound parameter data according to the sensor data instruction, and obtain the wound healing status according to the wound parameter data. 10.一种智能手术切口保持方法,应用于服务器,其特征在于,包括:接收扫描检测仪发送的获取传感器数据指令;根据所述获取传感器数据指令接收伤口参数数据,并根据所述伤口参数数据得到伤口愈合状况。10. A method for maintaining an intelligent surgical incision, applied to a server, comprising: receiving an instruction for obtaining sensor data sent by a scanning detector; receiving wound parameter data according to the instruction for obtaining sensor data, and receiving wound parameter data according to the instruction for obtaining sensor data; Get wound healing status.
CN202310257678.7A 2023-03-16 2023-03-16 An intelligent surgical incision maintenance device and method Pending CN116327291A (en)

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