CN118319308A - A bladder monitoring method and system - Google Patents
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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,具体为一种膀胱监护方法及其系统。The present invention relates to the technical field of medical devices, in particular to a bladder monitoring method and a system thereof.
背景技术Background technique
目前在临床上多采用人工读取尿袋内尿液存量乘以倾倒次数的方式来计量排尿量。这种计量方式不仅在记录时容易发生错漏,还受限于有限的医护力量致使病人排尿异常无法被及时发现。此外,长期留置导尿管的患者或存在神经源性膀胱等病理性膀胱功能障碍的患者在临床上需要通过膀胱功能训练以降低尿失禁、尿潴留的风险。目前在医疗机构中膀胱功训练依赖于医护人员人工夹闭导尿管。但由于患者身体素质差异,人工操作无法掌控合适的排尿间期并过度依赖医护人员操作经验,易致使膀胱长期处于高压状态或导致频繁排尿。Currently, the amount of urine voided is measured clinically by manually reading the amount of urine in the urine bag multiplied by the number of times it is dumped. This method of measurement is not only prone to errors and omissions when recording, but is also limited by the limited medical staff, resulting in the patient's abnormal urination not being discovered in time. In addition, patients with long-term indwelling catheters or patients with pathological bladder dysfunction such as neurogenic bladder need bladder function training in clinical practice to reduce the risk of urinary incontinence and urine retention. Currently, bladder function training in medical institutions relies on medical staff to manually clamp the catheter. However, due to differences in the physical fitness of patients, manual operation cannot control the appropriate urination interval and relies too much on the operating experience of medical staff, which can easily cause the bladder to be in a high-pressure state for a long time or lead to frequent urination.
目前基于电子器件及相关处理算法的新型膀胱监护系统的技术生态已经成熟。在尿量与尿流率计量方面,在专利CN215536942U和专利CN103598943A中均出现了使用光电传感器检测滴落尿滴来进行尿流率或尿量计量的装置。专利CN215424669U则公开了一种使用上下探头丝实现接触式尿滴计量的装置。但是由于尿液密度、排尿压力等因素的影响,在未对尿液液滴进行流速和液滴大小调控而直接进行尿滴监测易出现连滴、液滴大小不一致的问题;此外,在实际临床工作中由于患者的肢体活动,监护仪器不可避免地会发生小幅度无规律的摆动,这也会对液滴计量的结果造成误差。在排尿压力与膀胱功能训练方面,专利CN213311386U公开了一种利用定时控制器与电磁铁来带动夹具开合以此实现自动化的膀胱功能训练。但未能根据患者身体素质差异和膀胱实时容量等因素来自行调节开放导尿管的时间。目前也有通过压力传感器感知导尿管压力,并将其作为开闭导尿管时机生理指征的技术方案。排尿压力相关的生理指征有膀胱内压、腹内压、膀胱逼尿肌收缩压和尿道压力,除逼尿肌收缩压外其余三个指征都需要向人体内置入测压导管,并且只能在检查时短期滞留。专利CN216294807U提出了一种以液体为传输媒介的导尿管压力感知方法,并将压力传感器感知的压力信息作为控制夹闭机构在指定的生理状态开闭导尿管的生理指征。类似的导尿管压力感知方案还出现在专利CN103598943B中。但是这种压力感知方式受到引流管壁和液体传输媒介外壳形变的影响,其反映膀胱内部压力的准确度仍然有待商榷。At present, the technical ecology of the new bladder monitoring system based on electronic devices and related processing algorithms has matured. In terms of urine volume and urine flow rate measurement, patents CN215536942U and CN103598943A both use photoelectric sensors to detect dripping urine drops to measure urine flow rate or urine volume. Patent CN215424669U discloses a device that uses upper and lower probe wires to achieve contact urine drop measurement. However, due to the influence of factors such as urine density and urination pressure, direct urine drop monitoring without regulating the flow rate and drop size of urine droplets is prone to problems such as continuous drops and inconsistent drop size; in addition, in actual clinical work, due to the patient's limb activities, the monitoring instrument will inevitably have a small and irregular swing, which will also cause errors in the results of droplet measurement. In terms of urination pressure and bladder function training, patent CN213311386U discloses a method of using a timing controller and an electromagnet to drive the clamp to open and close to achieve automated bladder function training. However, it fails to adjust the time of opening the catheter according to factors such as differences in the patient's physical fitness and the real-time bladder capacity. At present, there is also a technical solution that uses a pressure sensor to sense the catheter pressure and uses it as a physiological indicator of the timing of opening and closing the catheter. The physiological indicators related to urination pressure include intravesical pressure, intra-abdominal pressure, bladder detrusor contraction pressure and urethral pressure. Except for the detrusor contraction pressure, the other three indicators require the insertion of a pressure measuring catheter into the human body and can only be retained for a short period of time during the examination. Patent CN216294807U proposes a catheter pressure sensing method using liquid as a transmission medium, and uses the pressure information sensed by the pressure sensor as a physiological indicator for controlling the clamping mechanism to open and close the catheter in a specified physiological state. A similar catheter pressure sensing scheme also appears in patent CN103598943B. However, this pressure sensing method is affected by the deformation of the drainage tube wall and the outer shell of the liquid transmission medium, and its accuracy in reflecting the internal bladder pressure remains to be discussed.
现有产品中尚未出现能够同时为患者提供尿量与尿流率监测功能和膀胱训练功能的技术方案或装置。而具备膀胱训练功能的产品或技术方案大都通过定时功能来控制引尿管开闭进而实现排尿和憋尿的功能,或是通过定时装置提醒医护人员开闭引流管。但不同患者的膀胱容量不同,同一患者在不同时期需要的膀胱训练强度也会变化。简单地依靠时间间隔进行膀胱功能训练过于依靠医护人员的经验,也会影响膀胱功能训练的疗效。There is no technical solution or device in the existing products that can provide patients with urine volume and urine flow rate monitoring functions and bladder training functions at the same time. Most products or technical solutions with bladder training functions use a timing function to control the opening and closing of the urinary catheter to achieve the functions of urination and urine retention, or use a timing device to remind medical staff to open and close the drainage tube. However, the bladder capacity of different patients is different, and the intensity of bladder training required by the same patient at different times will also change. Simply relying on time intervals for bladder function training is too dependent on the experience of medical staff, which will also affect the efficacy of bladder function training.
发明内容Summary of the invention
(一)解决的技术问题1. Technical issues to be solved
针对现有技术的不足,本发明提供了一种膀胱监护方法及其系统,解决了上述背景技术中所提出的尿滴计量存在的误差、非侵入式排尿压力感知和人工夹闭导尿管影响膀胱功能训练效率问题。In view of the deficiencies in the prior art, the present invention provides a bladder monitoring method and system thereof, which solves the problems of errors in urine drop measurement, non-invasive urination pressure sensing and manual clamping of the catheter affecting the efficiency of bladder function training proposed in the above background technology.
(二)技术方案(II) Technical solution
本发明为了实现上述目的具体采用以下技术方案:In order to achieve the above-mentioned purpose, the present invention specifically adopts the following technical solutions:
一种膀胱监护方法,包括以下步骤,A bladder monitoring method comprises the following steps:
S1、将导尿管接入膀胱监护系统尿管入口,随即进行系统自检并使用基于气压计的非侵入式排尿压力感知技术进行排尿压力初始化;S1. Connect the urinary catheter to the bladder monitoring system catheter inlet, then perform a system self-check and use the barometer-based non-invasive urination pressure sensing technology to initialize the urination pressure;
S2、系统自检和排尿压力初始化完成后手动选择进入监护模式,使用以非侵入式排尿压力感知辅助光电液滴传感器的尿液成滴技术和基于陀螺仪的微扰动对抗技术提升尿液液滴计量精度;S2. After the system self-check and urination pressure initialization are completed, manually select to enter the monitoring mode, and use the urine droplet formation technology assisted by the photoelectric droplet sensor with non-invasive urination pressure sensing and the gyroscope-based micro-disturbance countermeasure technology to improve the urine droplet measurement accuracy;
S3、系统自检和排尿压力初始化完成后手动选择进入膀胱训练模式,使用以非侵入式排尿压力感知辅助液位传感器的自主排尿技术实现全体膀胱功能训练维护。S3. After the system self-check and urination pressure initialization are completed, manually select to enter the bladder training mode, and use the autonomous urination technology with non-invasive urination pressure sensing and auxiliary liquid level sensor to achieve overall bladder function training and maintenance.
进一步地,所述S1具体步骤如下,Furthermore, the specific steps of S1 are as follows:
S11、对气压计、缓存室液位感知光栅、热电偶、电机、计量室光电液滴传感器、尿袋重力传感器、陀螺仪的自检;S11. Self-test of the barometer, liquid level sensing grating in the buffer chamber, thermocouple, motor, photoelectric droplet sensor in the metering chamber, gravity sensor in the urine bag, and gyroscope;
S12、气压计对缓存室初始气压的测量(即大气压力)、止尿阀驱动电机的行程自检、尿袋称量重力传感器对空载的测量、陀螺仪对初始位姿的标定;S12, the barometer measures the initial air pressure of the buffer chamber (i.e., atmospheric pressure), the urine stop valve drive motor stroke self-check, the urine bag weighing gravity sensor measures the empty load, and the gyroscope calibrates the initial posture;
S13、将导尿管接入尿路入口(此时止尿阀完全开放),随着尿液的注入缓存室水位逐渐上涨,记录气压计的实时读数,待缓存室水位线停止上涨后,保留最高数值作为第一排尿压力,同时开放膀胱训练尿路软管,使尿液快速泄放,将缓存室液面下降至目标水位线之下,当尿袋重力传感器读数不再变化时视为膀胱内尿液排空,记录此时气压计读数作为第二排尿压力,并关闭膀胱训练尿路软管;S13, connect the urinary catheter to the entrance of the urinary tract (at this time, the urine stop valve is fully open), and as the urine is injected, the water level in the buffer chamber gradually rises, and the real-time reading of the barometer is recorded. After the water level in the buffer chamber stops rising, the highest value is retained as the first urination pressure, and at the same time, the bladder training urinary tract hose is opened to allow urine to be discharged quickly, and the liquid level in the buffer chamber is lowered below the target water level. When the reading of the urine bag gravity sensor no longer changes, it is considered that the urine in the bladder is emptied, and the barometer reading at this time is recorded as the second urination pressure, and the bladder training urinary tract hose is closed;
S14、其中利用基于气压计的非侵入式排尿压力感知技术计算第一排尿压和第二排尿压的方法如下式所示:S14, wherein the method for calculating the first urination pressure and the second urination pressure using the non-invasive urination pressure sensing technology based on a barometer is as follows:
P=K×Psensor#(1)P=K×P sensor #(1)
P是拟合后的排尿压力,K是拟合因子,Psensor是气压计读数;P is the fitted urination pressure, K is the fitting factor, and P sensor is the barometer reading;
S15、初始化完毕后,手动选择开启动态监测模式或者尿动力训练模式。S15. After initialization is completed, manually select to start the dynamic monitoring mode or the urine dynamics training mode.
进一步地,所述S2具体步骤如下:Furthermore, the specific steps of S2 are as follows:
S21、系统进入监测模式后;电机控制膀胱训练尿路软管闭合;尿滴计量尿路软管开放;由于从导尿管中流出的尿液流速较小;在计量室中会形成匀速下落的液滴。此时的气压计读数应与大气压持平或略高于大气压;S21, after the system enters the monitoring mode, the motor controls the bladder training urinary tract hose to close, and the urine drop metering urinary tract hose to open. Since the urine flowing out of the catheter has a low flow rate, uniformly falling drops will form in the metering chamber. The barometer reading at this time should be equal to or slightly higher than the atmospheric pressure.
S22、主控芯片对光电传感器和尿袋重力传感器的读数保持监控;以达到监控尿流率的目的;S22, the main control chip keeps monitoring the readings of the photoelectric sensor and the urine bag gravity sensor, so as to achieve the purpose of monitoring the urine flow rate;
S23、主控芯片对热电偶的读数保持监控;以达到监控尿液温度的目的。S23. The main control chip keeps monitoring the reading of the thermocouple to achieve the purpose of monitoring the urine temperature.
S24、主控芯片对陀螺仪的读数保持监控;以达到监控装置位姿是否沿铅锤线方向的目的。基于陀螺仪的微扰动对抗技术的核心计量指标为仪器偏移量F;定义如下:S24. The main control chip keeps monitoring the reading of the gyroscope to achieve the purpose of monitoring whether the posture of the device is along the plumb line. The core measurement indicator of the gyroscope-based micro-disturbance countermeasure technology is the instrument offset F; it is defined as follows:
F=a||αyaw+αpitch+αroll||+b||vyaw+vpitch+vroll||#(2)F=a||α yaw +α pitch +α roll ||+b||v yaw +v pitch +v roll ||#(2)
其中;a和b是拟合因子;||·||是第二范数;αyaw,αpitch,αroll是三轴偏离角;vyaw,vpitch,vroll是三轴角度变化速度。膀胱监护系统通过监测偏离量F;去除异常时的尿滴计量信息;Among them, a and b are fitting factors; ||·|| is the second norm; α yaw , α pitch , α roll are the three-axis deviation angles; v yaw , v pitch , v roll are the three-axis angle change speeds. The bladder monitoring system monitors the deviation F and removes the urine drop measurement information when it is abnormal;
S25、主控芯片对液滴光电传感器和气压计的读数保持监控;配合尿滴计量止尿阀电机实现控制计量室内尿滴下落速度和尿滴大小的目的。使用基于排尿压力感知辅助光电液滴传感器的尿液成滴技术计算用于尿滴大小和流速调控的尿滴评估因子σ;其计算方法如下式所示:S25. The main control chip keeps monitoring the readings of the droplet photoelectric sensor and the barometer; cooperates with the urine drop metering stop valve motor to achieve the purpose of controlling the falling speed and size of urine drops in the metering chamber. The urine droplet formation technology based on urination pressure sensing auxiliary photoelectric droplet sensor is used to calculate the urine droplet evaluation factor σ for urine droplet size and flow rate control; the calculation method is shown in the following formula:
σ=k1×P+k2×v#(3)σ=k 1 ×P+k 2 ×v#(3)
其中k1和k2是影响因子;P是排尿压力;v是液滴流速。膀胱监护系统通过尿滴评估因子对尿滴计量止尿阀电机作出反馈;改变软管的开放程度;进而达到调制尿滴大小和流速的目的。Where k1 and k2 are influencing factors; P is the urination pressure; v is the droplet flow rate. The bladder monitoring system uses the urine droplet evaluation factor to give feedback to the urine droplet metering stop valve motor; change the degree of opening of the hose; and thus achieve the purpose of modulating the urine droplet size and flow rate.
进一步地,所述S3具体步骤如下:Furthermore, the specific steps of S3 are as follows:
S31、膀胱训练尿路软管和尿滴计量尿路软管闭合,尿液在膀胱中积蓄;由于缓存室内气体的存在,气压计测量的气体压力与膀胱内压呈正相关;通过公式(1)即可计算出反映膀胱内蓄尿水平的排尿压力;S31, the bladder training urinary tract hose and the urine drop measurement urinary tract hose are closed, and urine accumulates in the bladder; due to the presence of gas in the buffer chamber, the gas pressure measured by the barometer is positively correlated with the bladder pressure; the urination pressure reflecting the urine storage level in the bladder can be calculated by formula (1);
S32、在膀胱压力初始化结束后手动选择膀胱训练模式,预设高压时长、压力阈值;S32, manually selecting a bladder training mode after the bladder pressure initialization is completed, and presetting the high pressure duration and pressure threshold;
S33、默认选择第一排尿压力为压力阈值;S33, selecting the first urination pressure as the pressure threshold by default;
S34、主控芯片对气压计和液位感知光栅的读数保持监控,当液位临近警戒值且排尿压力维持高压时长达到警戒值后配合膀胱训练尿路软管电机开放膀胱训练尿路,以达到快速排尿的目的;S34, the main control chip keeps monitoring the readings of the barometer and the liquid level sensing grating, and when the liquid level approaches the warning value and the urination pressure maintains the high pressure for a long time reaching the warning value, the bladder training urinary tract hose motor is used to open the bladder training urinary tract to achieve the purpose of rapid urination;
S35、在排尿压力维持在第一排尿压和第二排尿压之间时,使用非侵入式压力感知辅助液位传感器的自主排尿技术控制患者自主排尿;核心在于使用膀胱压力感知结合液位传感器信息评价患者的蓄尿水平,评价因数G定义如下:S35. When the urination pressure is maintained between the first urination pressure and the second urination pressure, the autonomous urination technology using the non-invasive pressure sensing auxiliary liquid level sensor is used to control the patient's autonomous urination; the core is to use bladder pressure sensing combined with liquid level sensor information to evaluate the patient's urine storage level, and the evaluation factor G is defined as follows:
其中,P是排尿压力,H是缓存室液位高度,t是监测时间;膀胱监护系统通过评价因子对膀胱训练软管电机作出反馈,控制尿路软管开闭,实现符合人体生理需求的蓄尿排尿功能;Among them, P is the urination pressure, H is the height of the buffer chamber liquid level, and t is the monitoring time; the bladder monitoring system gives feedback to the bladder training hose motor through the evaluation factor, controls the opening and closing of the urinary hose, and realizes the urine storage and urination function that meets the physiological needs of the human body;
S36、主控芯片对尿袋重力传感器保持监控,以达到监控尿流率的目的;S36, the main control chip keeps monitoring the urine bag gravity sensor to achieve the purpose of monitoring urine flow rate;
S37、主控芯片对热电偶的读数保持监控,以达到监控尿液温度的目的;S37, the main control chip keeps monitoring the reading of the thermocouple to achieve the purpose of monitoring the urine temperature;
S38、主控芯片对陀螺仪的读数保持监控,以达到监控装置位姿是否沿铅锤线方向的目的;S38, the main control chip keeps monitoring the reading of the gyroscope to achieve the purpose of monitoring whether the posture of the device is along the plumb line direction;
S39、主控芯片对气压计、液位感知光栅和尿袋重力传感器的读数保持监控,当气压计读数临近第二排尿压力、液位远离警戒值、同时尿流率下降至预设值时,闭合膀胱训练尿路软管重新进入蓄尿流程。S39. The main control chip keeps monitoring the readings of the barometer, the liquid level sensing grating and the urine bag gravity sensor. When the barometer reading is close to the second urination pressure, the liquid level is far away from the warning value, and the urine flow rate drops to the preset value, the bladder is closed and the urinary tract hose re-enters the urine storage process.
进一步地,一种膀胱监护系统,所述膀胱监护系统包括:Furthermore, a bladder monitoring system is provided, the bladder monitoring system comprising:
主控芯片:用于各个电子器件信息采集,控制电机反馈,控制低功耗蓝牙BLE信息传输;Main control chip: used for information collection of various electronic devices, control motor feedback, and control low-power Bluetooth BLE information transmission;
气压计:与主控芯片相连,用于测量缓存室内气体压力,进而在嵌入式设备中拟合排尿压力;Barometer: connected to the main control chip, used to measure the gas pressure in the buffer chamber, and then fit the urination pressure in the embedded device;
热电偶:在缓存室内,与主控芯片相连,用于测量尿液温度;Thermocouple: In the buffer room, connected to the main control chip, used to measure urine temperature;
陀螺仪:与主控芯片相连,用于测量监测装置的位姿;Gyroscope: connected to the main control chip, used to measure the position and posture of the monitoring device;
尿滴计量止尿阀电机:与主控芯片相连,用于控制尿滴计量尿路软管的开放与夹闭;Urine drop metering stop valve motor: connected to the main control chip, used to control the opening and closing of the urine drop metering urinary tract hose;
膀胱训练止尿阀电机:与主控芯片相连,用于控制膀胱训练尿路软管的开放与夹闭;Bladder training urine stop valve motor: connected to the main control chip, used to control the opening and closing of the bladder training urinary tract hose;
尿袋重力传感器:与主控芯片相连,用于测量尿袋的实时重量;Urine bag gravity sensor: connected to the main control chip, used to measure the real-time weight of the urine bag;
光电液滴传感器:与主控芯片相连,用于测量计量室内的尿液液滴数量;Photoelectric droplet sensor: connected to the main control chip, used to measure the number of urine droplets in the metering chamber;
液面感知光栅:与主控芯片相连,用于测量缓存室内的实时液面高度;Liquid level sensing grating: connected to the main control chip, used to measure the real-time liquid level in the buffer chamber;
显示模块:与主控芯片相连,用于显示尿液测量仪的监测信息;Display module: connected to the main control chip, used to display the monitoring information of the urine measuring instrument;
语音模块:与主控芯片相连,用于告警和提示;Voice module: connected to the main control chip for alarms and prompts;
控制器:与主控芯片相连,用于设定参数和紧急停止;Controller: connected to the main control chip, used to set parameters and emergency stop;
低功耗蓝牙BLE:与主控芯片相连,用于与移动终端同步信息;Low-power Bluetooth BLE: connected to the main control chip and used to synchronize information with the mobile terminal;
供电模块:用于编号至的电子器件供电;Power supply module: used to supply power to the electronic devices numbered to;
尿袋挂架:与尿袋重力传感器相连,用于悬挂尿袋;Urine bag hanger: connected to the urine bag gravity sensor, used to hang the urine bag;
缓存室:侧面有液面感知光栅,医用刚性塑料材质,用于尿液短时储存、排尿压力计量;Buffer chamber: There is a liquid level sensing grating on the side, made of medical rigid plastic, used for short-term storage of urine and measurement of urination pressure;
计量室:侧面有光电液滴传感器,医用刚性塑料材质,用于尿滴计量;Metering chamber: There is a photoelectric droplet sensor on the side, made of medical rigid plastic, used for urine droplet measurement;
尿滴计量尿路软管:连接计量室,医用橡胶材质直径较小,在2-4mm;用于控制尿滴计量通路的开闭;Urine drop metering urinary hose: connected to the metering chamber, made of medical rubber with a small diameter of 2-4mm; used to control the opening and closing of the urine drop metering passage;
膀胱训练尿路软管:连接缓存室,医用橡胶材质,直径较大,在5-8mm;用于膀胱训练通路的开闭。Bladder training urinary tract hose: connected to the buffer chamber, made of medical rubber material, with a larger diameter of 5-8mm; used for opening and closing the bladder training pathway.
(三)有益效果(III) Beneficial effects
与现有技术相比,本发明提供了一种膀胱监护方法及其系统,具备以下有益效果:Compared with the prior art, the present invention provides a bladder monitoring method and system thereof, which have the following beneficial effects:
本发明,可以降低导尿软管因为尿液异常成分导致堵塞的风险;可以实现更精确的尿液液滴计量;可以非侵入式全天感知排尿压力;可实现全天自动化尿流率与尿量计量功能和全天个性化的膀胱维护和恢复功能;能够在整个监护过程中实现计量标准化、流程规范化、最大程度降低人工参与度,在减轻医护工作强度的同时避免人工操作差异对治疗效果的影响The present invention can reduce the risk of clogging of the catheter hose due to abnormal urine components; can achieve more accurate urine droplet measurement; can sense urination pressure non-invasively throughout the day; can achieve all-day automatic urine flow rate and urine volume measurement functions and all-day personalized bladder maintenance and recovery functions; can achieve measurement standardization and process standardization in the entire monitoring process, minimize manual participation, reduce the intensity of medical work while avoiding the impact of manual operation differences on treatment effects
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1膀胱监护系统硬件框图;Figure 1 is a hardware block diagram of the bladder monitoring system;
图2膀胱监护系统结构图;Fig. 2 is a block diagram of the bladder monitoring system;
图3膀胱监护系统总体流程图;Figure 3 is a general flow chart of the bladder monitoring system;
图4监护模式工作流程图;Figure 4 Monitoring mode workflow diagram;
图5膀胱训练模式工作流程图。Fig. 5 Workflow diagram of bladder training mode.
图中:1.主控芯片、2.气压计、3.热电偶、4.陀螺仪、5.尿滴计量止尿阀电机、6.膀胱训练止尿阀电机、7.尿袋重力传感器、8.光电液滴传感器、9.液面感知光栅、10.显示模块、11.语音模块、12.控制器、13.低功耗蓝牙、BLE 14.供电模块、15.尿袋挂架、16.缓存室、17.计量室、18.尿滴计量尿路软管、19.膀胱训练尿路软管。In the figure: 1. Main control chip, 2. Barometer, 3. Thermocouple, 4. Gyroscope, 5. Urine drop metering stop valve motor, 6. Bladder training stop valve motor, 7. Urine bag gravity sensor, 8. Photoelectric drop sensor, 9. Liquid level sensing grating, 10. Display module, 11. Voice module, 12. Controller, 13. Low power Bluetooth, BLE 14. Power supply module, 15. Urine bag hanger, 16. Cache chamber, 17. Measuring chamber, 18. Urine drop metering urinary tract hose, 19. Bladder training urinary tract hose.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明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 following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
实施例1Example 1
如图1-5所示,本发明一个实施例提出的一种膀胱监护方法,包括以下步骤,As shown in FIGS. 1-5 , a bladder monitoring method provided by an embodiment of the present invention comprises the following steps:
S1、将导尿管接入膀胱监护系统尿管入口,随即进行系统自检并使用基于气压计2的非侵入式排尿压力感知技术进行排尿压力初始化;S1. Connect the urinary catheter to the bladder monitoring system catheter inlet, then perform a system self-check and use the non-invasive urination pressure sensing technology based on the barometer 2 to initialize the urination pressure;
S2、系统自检和排尿压力初始化完成后手动选择进入监护模式,使用以非侵入式排尿压力感知辅助光电液滴传感器8的尿液成滴技术和基于陀螺仪4的微扰动对抗技术提升尿液液滴计量精度;S2, after the system self-check and urination pressure initialization are completed, manually select to enter the monitoring mode, and use the urine droplet formation technology of the photoelectric droplet sensor 8 assisted by non-invasive urination pressure sensing and the micro-disturbance countermeasure technology based on the gyroscope 4 to improve the urine droplet measurement accuracy;
S3、系统自检和排尿压力初始化完成后手动选择进入膀胱训练模式,使用以非侵入式排尿压力感知辅助液位传感器的自主排尿技术实现全体膀胱功能训练维护。S3. After the system self-check and urination pressure initialization are completed, manually select to enter the bladder training mode, and use the autonomous urination technology with non-invasive urination pressure sensing and auxiliary liquid level sensor to achieve overall bladder function training and maintenance.
如图1、图2和图3所示,在一些实施例中,所述S1具体步骤如下,As shown in FIG. 1 , FIG. 2 and FIG. 3 , in some embodiments, the specific steps of S1 are as follows:
S11、对气压计2、液面感知光栅9、热电偶3、电机、计量室17光电液滴传感器8、尿袋重力传感器7、陀螺仪4的自检;S11, self-test of the barometer 2, liquid level sensing grating 9, thermocouple 3, motor, photoelectric droplet sensor 8 in metering chamber 17, urine bag gravity sensor 7, and gyroscope 4;
S12、气压计2对缓存室16初始气压的测量即大气压力、止尿阀驱动电机的行程自检、尿袋称量重力传感器对空载的测量、陀螺仪4对初始位姿的标定;S12, the barometer 2 measures the initial air pressure of the buffer chamber 16, i.e., the atmospheric pressure, the travel self-check of the urine stop valve drive motor, the urine bag weighing gravity sensor measures the empty load, and the gyroscope 4 calibrates the initial position;
S13、将导尿管接入尿路入口此时止尿阀完全开放,随着尿液的注入缓存室16水位逐渐上涨,记录气压计2的实时读数,待缓存室16水位线停止上涨后,保留最高数值作为第一排尿压力,同时开放膀胱训练尿路软管19,使尿液快速泄放,将缓存室16液面下降至目标水位线之下,当尿袋重力传感器7读数不再变化时视为膀胱内尿液排空,记录此时气压计2读数作为第二排尿压力,并关闭膀胱训练尿路软管19;S13, connect the urinary catheter to the entrance of the urinary tract, and then the urine stop valve is fully opened. As the urine is injected into the buffer chamber 16, the water level gradually rises, and the real-time reading of the barometer 2 is recorded. After the water level line of the buffer chamber 16 stops rising, the highest value is retained as the first urination pressure, and at the same time, the bladder training urinary tract hose 19 is opened to allow urine to be discharged quickly, and the liquid level of the buffer chamber 16 is lowered below the target water level line. When the reading of the urine bag gravity sensor 7 no longer changes, it is considered that the urine in the bladder is emptied, and the reading of the barometer 2 at this time is recorded as the second urination pressure, and the bladder training urinary tract hose 19 is closed;
S14、其中利用基于气压计2的非侵入式排尿压力感知技术计算第一排尿压和第二排尿压的方法如下式所示:S14, wherein the method for calculating the first urination pressure and the second urination pressure using the non-invasive urination pressure sensing technology based on the barometer 2 is as follows:
P=K×Psensor#(1)P=K×P sensor #(1)
P是拟合后的排尿压力,K是拟合因子,Psensor是气压计2读数;P is the fitted urination pressure, K is the fitting factor, and P sensor is the barometer 2 reading;
S15、初始化完毕后,手动选择开启动态监测模式或者尿动力训练模式。S15. After initialization is completed, manually select to start the dynamic monitoring mode or the urine dynamics training mode.
如图4所示,在一些实施例中,所述S2具体步骤如下:As shown in FIG. 4 , in some embodiments, the specific steps of S2 are as follows:
S21、系统进入监护模式后;电机控制膀胱训练尿路软管19闭合;尿滴计量尿路软管18开放;由于从导尿管中流出的尿液流速较小;在计量室17中会形成匀速下落的液滴。此时的气压计2读数应与大气压持平或略高于大气压;S21, after the system enters the monitoring mode, the motor controls the bladder training urinary tract hose 19 to close, and the urine drop metering urinary tract hose 18 to open. Since the urine flow rate out of the catheter is low, uniformly falling drops will form in the metering chamber 17. At this time, the reading of the barometer 2 should be equal to or slightly higher than the atmospheric pressure.
S22、主控芯片对光电传感器和尿袋重力传感器7的读数保持监控;以达到监控尿流率的目的;S22, the main control chip keeps monitoring the readings of the photoelectric sensor and the urine bag gravity sensor 7, so as to achieve the purpose of monitoring the urine flow rate;
S23、主控芯片对热电偶3的读数保持监控;以达到监控尿液温度的目的。S23, the main control chip keeps monitoring the reading of the thermocouple 3, so as to achieve the purpose of monitoring the urine temperature.
S24、主控芯片1对陀螺仪4的读数保持监控;以达到监控装置位姿是否沿铅锤线方向的目的。基于陀螺仪4的微扰动对抗技术的核心计量指标为仪器偏移量F;定义如下:S24, the main control chip 1 keeps monitoring the reading of the gyroscope 4, so as to achieve the purpose of monitoring whether the posture of the device is along the plumb line. The core measurement indicator of the micro-disturbance countermeasure technology based on the gyroscope 4 is the instrument offset F, which is defined as follows:
F=a||αyaw+αpitch+αroll||+b||vyaw+vpitch+vroll||#(2)F=a||α yaw +α pitch +α roll ||+b||v yaw +v pitch +v roll ||#(2)
其中;a和b是拟合因子;||·||是第二范数;αyaw,αpitch,αroll是三轴偏离角;vyaw,vpitch,vroll是三轴角度变化速度。膀胱监护系统通过监测偏离量F;去除异常时的尿滴计量信息;Among them, a and b are fitting factors; ||·|| is the second norm; α yaw , α pitch , α roll are the three-axis deviation angles; v yaw , v pitch , v roll are the three-axis angle change speeds. The bladder monitoring system monitors the deviation F and removes the urine drop measurement information when it is abnormal;
S25、主控芯片1对液滴光电传感器和气压计2的读数保持监控;配合尿滴计量止尿阀电机5实现控制计量室17内尿滴下落速度和尿滴大小的目的。使用基于排尿压力感知辅助光电液滴传感器8的尿液成滴技术计算用于尿滴大小和流速调控的尿滴评估因子σ;其计算方法如下式所示:S25, the main control chip 1 keeps monitoring the readings of the drop photoelectric sensor and the barometer 2; cooperates with the urine drop metering and urine stop valve motor 5 to achieve the purpose of controlling the falling speed and size of urine drops in the metering chamber 17. The urine droplet formation technology based on urination pressure sensing auxiliary photoelectric droplet sensor 8 is used to calculate the urine droplet evaluation factor σ for urine droplet size and flow rate control; the calculation method is shown in the following formula:
σ=k1×P+k2×v#(3)σ=k 1 ×P+k 2 ×v#(3)
其中k1和k2是影响因子;P是排尿压力;v是液滴流速。膀胱监护系统通过尿滴评估因子对尿滴计量尿路软管18电机作出反馈;改变软管的开放程度;进而达到调制尿滴大小和流速的目的。Where k1 and k2 are influencing factors; P is the urination pressure; v is the droplet flow rate. The bladder monitoring system uses the urine droplet evaluation factor to give feedback to the urine droplet metering urinary tract hose 18 motor; change the degree of opening of the hose; and thus achieve the purpose of modulating the urine droplet size and flow rate.
如图5所示,在一些实施例中,所述S3具体步骤如下:As shown in FIG. 5 , in some embodiments, the specific steps of S3 are as follows:
S31、膀胱训练尿路软管19和尿滴计量尿路软管18闭合,尿液在膀胱中积蓄;由于缓存室16内气体的存在,气压计2测量的气体压力与膀胱内压呈正相关;通过公式1即可计算出反映膀胱内蓄尿水平的排尿压力;S31, the bladder training urinary tract hose 19 and the urine drop metering urinary tract hose 18 are closed, and urine is accumulated in the bladder; due to the presence of gas in the buffer chamber 16, the gas pressure measured by the barometer 2 is positively correlated with the bladder pressure; the urination pressure reflecting the urine storage level in the bladder can be calculated by formula 1;
S32、在膀胱压力初始化结束后手动选择膀胱训练模式,预设高压时长、压力阈值;S32, manually selecting a bladder training mode after the bladder pressure initialization is completed, and presetting the high pressure duration and pressure threshold;
S33、默认选择第一排尿压力为压力阈值;S33, selecting the first urination pressure as the pressure threshold by default;
S34、主控芯片1对气压计2和液面感知光栅9的读数保持监控,当液位临近警戒值且排尿压力维持高压时长达到警戒值后配合膀胱训练止尿阀电机6开放膀胱训练尿路,以达到快速排尿的目的;S34, the main control chip 1 keeps monitoring the readings of the barometer 2 and the liquid level sensing grating 9, and when the liquid level approaches the warning value and the urination pressure maintains the high pressure for a long time reaching the warning value, the bladder training urine stop valve motor 6 is cooperated to open the bladder training urinary tract to achieve the purpose of rapid urination;
S35、在排尿压力维持在第一排尿压和第二排尿压之间时,使用非侵入式压力感知辅助液位传感器的自主排尿技术控制患者自主排尿;核心在于使用膀胱压力感知结合液面感知光栅9信息评价患者的蓄尿水平,评价因数G定义如下:S35. When the urination pressure is maintained between the first urination pressure and the second urination pressure, the autonomous urination technology using the non-invasive pressure sensing auxiliary liquid level sensor is used to control the patient's autonomous urination; the core is to use bladder pressure sensing combined with liquid level sensing grating 9 information to evaluate the patient's urine storage level, and the evaluation factor G is defined as follows:
其中,P是排尿压力,H是缓存室16液位高度,t是监测时间;膀胱监护系统通过评价因子对膀胱训练软管电机作出反馈,控制尿路软管开闭,实现符合人体生理需求的蓄尿排尿功能;Wherein, P is the urination pressure, H is the height of the liquid level in the buffer chamber 16, and t is the monitoring time; the bladder monitoring system gives feedback to the bladder training hose motor through the evaluation factor, controls the opening and closing of the urinary hose, and realizes the urine storage and urination function that meets the physiological needs of the human body;
S36、主控芯片1对尿袋重力传感器7保持监控,以达到监控尿流率的目的;S36, the main control chip 1 keeps monitoring the urine bag gravity sensor 7 to achieve the purpose of monitoring the urine flow rate;
S37、主控芯片1对热电偶3的读数保持监控,以达到监控尿液温度的目的;S37, the main control chip 1 keeps monitoring the reading of the thermocouple 3 to achieve the purpose of monitoring the urine temperature;
S38、主控芯片1对陀螺仪4的读数保持监控,以达到监控装置位姿是否沿铅锤线方向的目的;S38, the main control chip 1 keeps monitoring the reading of the gyroscope 4 to achieve the purpose of monitoring whether the posture of the device is along the plumb line direction;
S39、主控芯片1对气压计2、液位感知光栅和尿袋重力传感器7的读数保持监控,当气压计2读数临近第二排尿压力、液位远离警戒值、同时尿流率下降至预设值时,闭合膀胱训练尿路软管19重新进入蓄尿流程。S39, the main control chip 1 keeps monitoring the readings of the barometer 2, the liquid level sensing grating and the urine bag gravity sensor 7. When the reading of the barometer 2 is close to the second urination pressure, the liquid level is far away from the warning value, and the urine flow rate drops to the preset value, the bladder training urinary tract hose 19 is closed to re-enter the urine storage process.
一种膀胱监护系统,所述膀胱监护系统包括:A bladder monitoring system, comprising:
主控芯片1:用于各个电子器件信息采集,控制电机反馈,控制低功耗蓝牙BLE信息传输;Main control chip 1: used for information collection of various electronic devices, control motor feedback, and control low-power Bluetooth BLE information transmission;
气压计2:与主控芯片1相连,用于测量缓存室16内气体压力,进而在嵌入式设备中拟合排尿压力;Barometer 2: connected to the main control chip 1, used to measure the gas pressure in the buffer chamber 16, and then fit the urination pressure in the embedded device;
热电偶3:在缓存室16内,与主控芯片1相连,用于测量尿液温度;Thermocouple 3: in the buffer chamber 16, connected to the main control chip 1, used to measure the urine temperature;
陀螺仪4:与主控芯片1相连,用于测量监测装置的位姿;Gyroscope 4: connected to the main control chip 1, used to measure the position and posture of the monitoring device;
尿滴计量止尿阀电机5:与主控芯片1相连,用于控制尿滴计量尿路软管18的开放与夹闭;Urine drop metering and urine stopping valve motor 5: connected to the main control chip 1, used to control the opening and closing of the urine drop metering urinary tract hose 18;
膀胱训练止尿阀电机6:与主控芯片1相连,用于控制膀胱训练尿路软管19的开放与夹闭;Bladder training urine stopping valve motor 6: connected to the main control chip 1, used to control the opening and closing of the bladder training urinary tract hose 19;
尿袋重力传感器7:与主控芯片1相连,用于测量尿袋的实时重量;Urine bag gravity sensor 7: connected to the main control chip 1, used to measure the real-time weight of the urine bag;
光电液滴传感器8:与主控芯片1相连,用于测量计量室17内的尿液液滴数量;Photoelectric droplet sensor 8: connected to the main control chip 1, used to measure the number of urine droplets in the metering chamber 17;
液面感知光栅9:与主控芯片1相连,用于测量缓存室16内的实时液面高度;Liquid level sensing grating 9: connected to the main control chip 1, used to measure the real-time liquid level height in the buffer chamber 16;
显示模块10:与主控芯片1相连,用于显示尿液测量仪的监测信息;Display module 10: connected to the main control chip 1, used to display the monitoring information of the urine measuring instrument;
语音模块11:与主控芯片1相连,用于告警和提示;Voice module 11: connected to the main control chip 1, used for alarm and prompt;
控制器12:与主控芯片1相连,用于设定参数和紧急停止;Controller 12: connected to the main control chip 1, used for setting parameters and emergency stop;
低功耗蓝牙BLE13:与主控芯片1相连,用于与移动终端同步信息;Low-power Bluetooth BLE13: connected to the main control chip 1, used to synchronize information with the mobile terminal;
供电模块14:用于编号1至13的电子器件供电;Power supply module 14: used to supply power to the electronic devices numbered 1 to 13;
尿袋挂架15:与尿袋重力传感器7相连,用于悬挂尿袋;Urine bag hanger 15: connected to the urine bag gravity sensor 7, used for hanging the urine bag;
缓存室16:侧面有液面感知光栅9,医用刚性塑料材质,用于尿液短时储存、排尿压力计量;Buffer chamber 16: There is a liquid level sensing grating 9 on the side, made of medical rigid plastic material, used for short-term storage of urine and measurement of urination pressure;
计量室17:侧面有光电液滴传感器8,医用刚性塑料材质,用于尿滴计量;Measuring chamber 17: There is a photoelectric droplet sensor 8 on the side, made of medical rigid plastic material, used for urine droplet measurement;
尿滴计量尿路软管18:连接计量室17,医用橡胶材质直径较小,在2-4mm;用于控制尿滴计量通路的开闭;Urine drop metering urinary tract hose 18: connected to the metering chamber 17, made of medical rubber with a small diameter of 2-4 mm; used to control the opening and closing of the urine drop metering passage;
膀胱训练尿路软管19:连接缓存室16,医用橡胶材质,直径较大,在5-8mm;用于膀胱训练通路的开闭。Bladder training urinary tract hose 19: connected to the buffer chamber 16, made of medical rubber material, with a larger diameter of 5-8mm; used for opening and closing the bladder training passage.
实施例2Example 2
在本实施例中患者膀胱功能受损,丧失自主排尿能力,使用膀胱监护系统的监护模式实现全天的尿量信息监测。在本实施例中本发明提出的的一种膀胱监护方法包括以下步骤:In this embodiment, the patient's bladder function is impaired and the patient loses the ability to urinate autonomously. The monitoring mode of the bladder monitoring system is used to monitor urine volume information throughout the day. In this embodiment, a bladder monitoring method proposed by the present invention includes the following steps:
S1、将导尿管接入膀胱监护系统尿管入口,随即进行系统自检并使用基于气压计2的非侵入式排尿压力感知技术进行排尿压力初始化;S1. Connect the urinary catheter to the bladder monitoring system catheter inlet, then perform a system self-check and use the non-invasive urination pressure sensing technology based on the barometer 2 to initialize the urination pressure;
S2、系统自检和排尿压力初始化完成后手动选择进入监护模式,使用以非侵入式排尿压力感知辅助光电液滴传感器8的尿液成滴技术和基于陀螺仪4的微扰动对抗技术提升尿液液滴计量精度;S2, after the system self-check and urination pressure initialization are completed, manually select to enter the monitoring mode, and use the urine droplet formation technology of the photoelectric droplet sensor 8 assisted by non-invasive urination pressure sensing and the micro-disturbance countermeasure technology based on the gyroscope 4 to improve the urine droplet measurement accuracy;
如图1、图2和图3所示,在本实施例中,所述S1具体步骤如下,As shown in FIG. 1 , FIG. 2 and FIG. 3 , in this embodiment, the specific steps of S1 are as follows:
S11、对气压计2、缓存室液面感知光栅9、热电偶3、电机、计量室17光电液滴传感器8、尿袋重力传感器7、陀螺仪4的自检;S11, self-checking the barometer 2, the liquid level sensing grating 9 in the buffer chamber, the thermocouple 3, the motor, the photoelectric droplet sensor 8 in the metering chamber 17, the urine bag gravity sensor 7, and the gyroscope 4;
S12、气压计2对缓存室16初始气压的测量即大气压力、止尿阀驱动电机的行程自检、尿袋称量重力传感器对空载的测量、陀螺仪4对初始位姿的标定;S12, the barometer 2 measures the initial air pressure of the buffer chamber 16, i.e., the atmospheric pressure, the travel self-check of the urine stop valve drive motor, the urine bag weighing gravity sensor measures the empty load, and the gyroscope 4 calibrates the initial position;
S13、将导尿管接入尿路入口此时止尿阀完全开放,随着尿液的注入缓存室16水位逐渐上涨,记录气压计2的实时读数,待缓存室16水位线停止上涨后,保留最高数值作为第一排尿压力,同时开放膀胱训练尿路软管19,使尿液快速泄放,将缓存室16液面下降至目标水位线之下,当尿袋重力传感器7读数不再变化时视为膀胱内尿液排空,记录此时气压计2读数作为第二排尿压力,并关闭膀胱训练尿路软管19;S13, connect the urinary catheter to the entrance of the urinary tract, and then the urine stop valve is fully opened. As the urine is injected into the buffer chamber 16, the water level gradually rises, and the real-time reading of the barometer 2 is recorded. After the water level line of the buffer chamber 16 stops rising, the highest value is retained as the first urination pressure, and at the same time, the bladder training urinary tract hose 19 is opened to allow urine to be discharged quickly, and the liquid level of the buffer chamber 16 is lowered below the target water level line. When the reading of the urine bag gravity sensor 7 no longer changes, it is considered that the urine in the bladder is emptied, and the reading of the barometer 2 at this time is recorded as the second urination pressure, and the bladder training urinary tract hose 19 is closed;
S14、其中利用基于气压计2的非侵入式排尿压力感知技术计算第一排尿压和第二排尿压的方法如下式所示:S14, wherein the method for calculating the first urination pressure and the second urination pressure using the non-invasive urination pressure sensing technology based on the barometer 2 is as follows:
P=K×Psensor#(1)P=K×P sensor #(1)
P是拟合后的排尿压力,K是拟合因子,Psensor是气压计2读数;P is the fitted urination pressure, K is the fitting factor, and P sensor is the barometer 2 reading;
S15、初始化完毕后,手动选择开启动态监测模式或者尿动力训练模式。S15. After initialization is completed, manually select to start the dynamic monitoring mode or the urine dynamics training mode.
如图4所示,在一些实施例中,所述S2具体步骤如下:As shown in FIG. 4 , in some embodiments, the specific steps of S2 are as follows:
S21、系统进入监护模式后;电机控制膀胱训练尿路软管19闭合;尿滴计量尿路软管18开放;由于从导尿管中流出的尿液流速较小;在计量室17中会形成匀速下落的液滴。此时的气压计2读数应与大气压持平或略高于大气压;S21, after the system enters the monitoring mode, the motor controls the bladder training urinary tract hose 19 to close, and the urine drop metering urinary tract hose 18 to open. Since the urine flow rate out of the catheter is low, uniformly falling drops will form in the metering chamber 17. At this time, the reading of the barometer 2 should be equal to or slightly higher than the atmospheric pressure.
S22、主控芯片1对光电传感器和尿袋重力传感器7的读数保持监控;以达到监控尿流率的目的;S22, the main control chip 1 keeps monitoring the readings of the photoelectric sensor and the urine bag gravity sensor 7, so as to achieve the purpose of monitoring the urine flow rate;
S23、主控芯片1对热电偶3的读数保持监控;以达到监控尿液温度的目的。S24、主控芯片1对陀螺仪4的读数保持监控;以达到监控装置位姿是否沿铅锤线方向的目的。基于陀螺仪4的微扰动对抗技术的核心计量指标为仪器偏移量F;定义如下:S23, the main control chip 1 keeps monitoring the reading of the thermocouple 3, so as to monitor the urine temperature. S24, the main control chip 1 keeps monitoring the reading of the gyroscope 4, so as to monitor whether the posture of the device is along the plumb line. The core measurement indicator of the micro-disturbance countermeasure technology based on the gyroscope 4 is the instrument offset F, which is defined as follows:
F=a||αyaw+αpitch+αroll||+b||vyaw+vpitch+vroll||#(2)F=a||α yaw +α pitch +α roll ||+b||v yaw +v pitch +v roll ||#(2)
其中;a和b是拟合因子;||·||是第二范数;αyaw,αpitch,αroll是三轴偏离角;vyaw,vpitch,vroll是三轴角度变化速度。膀胱监护系统通过监测偏离量F;去除异常时的尿滴计量信息;Among them, a and b are fitting factors; ||·|| is the second norm; α yaw , α pitch , α roll are the three-axis deviation angles; v yaw , v pitch , v roll are the three-axis angle change speeds. The bladder monitoring system monitors the deviation F and removes the urine drop measurement information when it is abnormal;
S25、主控芯片1对液滴光电传感器和气压计2的读数保持监控;配合尿滴计量止尿阀电机5实现控制计量室17内尿滴下落速度和尿滴大小的目的。使用基于排尿压力感知辅助光电液滴传感器8的尿液成滴技术计算用于尿滴大小和流速调控的尿滴评估因子σ;其计算方法如下式所示:S25, the main control chip 1 keeps monitoring the readings of the drop photoelectric sensor and the barometer 2; cooperates with the urine drop metering and urine stop valve motor 5 to achieve the purpose of controlling the falling speed and size of urine drops in the metering chamber 17. The urine droplet formation technology based on urination pressure sensing auxiliary photoelectric droplet sensor 8 is used to calculate the urine droplet evaluation factor σ for urine droplet size and flow rate control; the calculation method is shown in the following formula:
σ=k1×P+k2×v#(3)σ=k 1 ×P+k 2 ×v#(3)
其中k1和k2是影响因子;P是排尿压力;v是液滴流速。膀胱监护系统通过尿滴评估因子对尿滴计量止尿阀电机5作出反馈;改变软管的开放程度;进而达到调制尿滴大小和流速的目的。Where k1 and k2 are influencing factors; P is the urination pressure; v is the droplet flow rate. The bladder monitoring system uses the urine droplet evaluation factor to give feedback to the urine droplet metering stop valve motor 5, change the degree of opening of the hose, and thereby achieve the purpose of modulating the urine droplet size and flow rate.
实施例3Example 3
在本实施案例中,患者具备自主排尿能力但需要卧床留置导尿管,使用膀胱监护系统的膀胱训练功能实现膀胱功能的维护和训练。在本实施例中本发明提出的的一种膀胱监护方法包括以下步骤:In this embodiment, the patient has the ability to urinate autonomously but needs to stay in bed with a urinary catheter, and the bladder training function of the bladder monitoring system is used to maintain and train the bladder function. In this embodiment, a bladder monitoring method proposed by the present invention includes the following steps:
S1、将导尿管接入膀胱监护系统尿管入口,随即进行系统自检并使用基于气压计2的非侵入式排尿压力感知技术进行排尿压力初始化;S1. Connect the urinary catheter to the bladder monitoring system catheter inlet, then perform a system self-check and use the non-invasive urination pressure sensing technology based on the barometer 2 to initialize the urination pressure;
S3、系统自检和排尿压力初始化完成后手动选择进入膀胱训练模式,使用以非侵入式排尿压力感知辅助液位传感器的自主排尿技术实现全体膀胱功能训练维护。S3. After the system self-check and urination pressure initialization are completed, manually select to enter the bladder training mode, and use the autonomous urination technology with non-invasive urination pressure sensing and auxiliary liquid level sensor to achieve overall bladder function training and maintenance.
如图1、图2和图3所示,在本实施例中,所述S1具体步骤如下,As shown in FIG. 1 , FIG. 2 and FIG. 3 , in this embodiment, the specific steps of S1 are as follows:
S11、对气压计2、缓存室16液位感知光栅、热电偶3、电机、计量室17光电液滴传感器8、尿袋重力传感器7、陀螺仪4的自检;S11, self-checking the barometer 2, the liquid level sensing grating in the buffer chamber 16, the thermocouple 3, the motor, the photoelectric droplet sensor 8 in the metering chamber 17, the urine bag gravity sensor 7, and the gyroscope 4;
S12、气压计2对缓存室16初始气压的测量即大气压力、止尿阀驱动电机的行程自检、尿袋称量重力传感器对空载的测量、陀螺仪4对初始位姿的标定;S12, the barometer 2 measures the initial air pressure of the buffer chamber 16, i.e., the atmospheric pressure, the travel self-check of the urine stop valve drive motor, the urine bag weighing gravity sensor measures the empty load, and the gyroscope 4 calibrates the initial position;
S13、将导尿管接入尿路入口此时止尿阀完全开放,随着尿液的注入缓存室16水位逐渐上涨,记录气压计2的实时读数,待缓存室16水位线停止上涨后,保留最高数值作为第一排尿压力,同时开放膀胱训练尿路软管19,使尿液快速泄放,将缓存室16液面下降至目标水位线之下,当尿袋重力传感器7读数不再变化时视为膀胱内尿液排空,记录此时气压计2读数作为第二排尿压力,并关闭膀胱训练尿路软管19;S13, connect the urinary catheter to the entrance of the urinary tract, and then the urine stop valve is fully opened. As the urine is injected into the buffer chamber 16, the water level gradually rises, and the real-time reading of the barometer 2 is recorded. After the water level line of the buffer chamber 16 stops rising, the highest value is retained as the first urination pressure, and at the same time, the bladder training urinary tract hose 19 is opened to allow urine to be discharged quickly, and the liquid level of the buffer chamber 16 is lowered below the target water level line. When the reading of the urine bag gravity sensor 7 no longer changes, it is considered that the urine in the bladder is emptied, and the reading of the barometer 2 at this time is recorded as the second urination pressure, and the bladder training urinary tract hose 19 is closed;
S14、其中利用基于气压计2的非侵入式排尿压力感知技术计算第一排尿压和第二排尿压的方法如下式所示:S14, wherein the method for calculating the first urination pressure and the second urination pressure using the non-invasive urination pressure sensing technology based on the barometer 2 is as follows:
P=K×Psensor#(1)P=K×P sensor #(1)
P是拟合后的排尿压力,K是拟合因子,Psensor是气压计2读数;P is the fitted urination pressure, K is the fitting factor, and P sensor is the barometer 2 reading;
S15、初始化完毕后,手动选择开启动态监测模式或者尿动力训练模式。S15. After initialization is completed, manually select to start the dynamic monitoring mode or the urine dynamics training mode.
如图5所示,在本实施例中,所述S3具体步骤如下:As shown in FIG. 5 , in this embodiment, the specific steps of S3 are as follows:
S31、膀胱训练尿路软管19和尿滴计量尿路软管18闭合,尿液在膀胱中积蓄;由于缓存室16内气体的存在,气压计2测量的气体压力与膀胱内压呈正相关;通过公式1即可计算出反映膀胱内蓄尿水平的排尿压力;S31, the bladder training urinary tract hose 19 and the urine drop metering urinary tract hose 18 are closed, and urine is accumulated in the bladder; due to the presence of gas in the buffer chamber 16, the gas pressure measured by the barometer 2 is positively correlated with the bladder pressure; the urination pressure reflecting the urine storage level in the bladder can be calculated by formula 1;
S32、在膀胱压力初始化结束后手动选择膀胱训练模式,预设高压时长、压力阈值;S32, manually selecting a bladder training mode after the bladder pressure initialization is completed, and presetting the high pressure duration and pressure threshold;
S33、默认选择第一排尿压力为压力阈值;S33, selecting the first urination pressure as the pressure threshold by default;
S34、主控芯片1对气压计2和液位感知光栅的读数保持监控,当液位临近警戒值且排尿压力维持高压时长达到警戒值后膀胱训练止尿阀电机6开放膀胱训练尿路,以达到快速排尿的目的;S34, the main control chip 1 keeps monitoring the readings of the barometer 2 and the liquid level sensing grating. When the liquid level approaches the warning value and the urination pressure maintains the high pressure for a period of time that reaches the warning value, the bladder training urination stop valve motor 6 opens the bladder training urinary tract to achieve the purpose of rapid urination;
S35、在排尿压力维持在第一排尿压和第二排尿压之间时,使用非侵入式压力感知辅助液位传感器的自主排尿技术控制患者自主排尿;核心在于使用膀胱压力感知结合液位传感器信息评价患者的蓄尿水平,评价因数G定义如下:S35. When the urination pressure is maintained between the first urination pressure and the second urination pressure, the autonomous urination technology using the non-invasive pressure sensing auxiliary liquid level sensor is used to control the patient's autonomous urination; the core is to use bladder pressure sensing combined with liquid level sensor information to evaluate the patient's urine storage level, and the evaluation factor G is defined as follows:
其中,P是排尿压力,H是缓存室16液位高度,t是监测时间;膀胱监护系统通过评价因子对膀胱训练软管电机作出反馈,控制尿路软管开闭,实现符合人体生理需求的蓄尿排尿功能;Wherein, P is the urination pressure, H is the height of the liquid level in the buffer chamber 16, and t is the monitoring time; the bladder monitoring system gives feedback to the bladder training hose motor through the evaluation factor, controls the opening and closing of the urinary hose, and realizes the urine storage and urination function that meets the physiological needs of the human body;
S36、主控芯片1对尿袋重力传感器7保持监控,以达到监控尿流率的目的;S36, the main control chip 1 keeps monitoring the urine bag gravity sensor 7 to achieve the purpose of monitoring the urine flow rate;
S37、主控芯片1对热电偶3的读数保持监控,以达到监控尿液温度的目的;S37, the main control chip 1 keeps monitoring the reading of the thermocouple 3 to achieve the purpose of monitoring the urine temperature;
S38、主控芯片1对陀螺仪4的读数保持监控,以达到监控装置位姿是否沿铅锤线方向的目的;S38, the main control chip 1 keeps monitoring the reading of the gyroscope 4 to achieve the purpose of monitoring whether the posture of the device is along the plumb line direction;
S39、主控芯片1对气压计2、液位感知光栅和尿袋重力传感器7的读数保持监控,当气压计2读数临近第二排尿压力、液位远离警戒值、同时尿流率下降至预设值时,闭合膀胱训练尿路软管19重新进入蓄尿流程。S39, the main control chip 1 keeps monitoring the readings of the barometer 2, the liquid level sensing grating and the urine bag gravity sensor 7. When the reading of the barometer 2 is close to the second urination pressure, the liquid level is far away from the warning value, and the urine flow rate drops to the preset value, the bladder training urinary tract hose 19 is closed to re-enter the urine storage process.
最后应说明的是:以上所述仅为本发明的优选实施例而已,并不用于限制本发明,尽管参照前述实施例对本发明进行了详细的说明,对于本领域的技术人员来说,其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。Finally, it should be noted that the above is only a preferred embodiment of the present invention and is not intended to limit the present invention. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art can still modify the technical solutions described in the aforementioned embodiments or replace some of the technical features therein by equivalents. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.
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