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CN113289255B - Medical device and control method thereof - Google Patents

Medical device and control method thereof Download PDF

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Publication number
CN113289255B
CN113289255B CN202110680157.3A CN202110680157A CN113289255B CN 113289255 B CN113289255 B CN 113289255B CN 202110680157 A CN202110680157 A CN 202110680157A CN 113289255 B CN113289255 B CN 113289255B
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information
patient
real
position information
controller
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CN113289255A (en
Inventor
高宇
赵旭明
周捷
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Zhenlu Medical Technology Shanghai Co ltd
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Zhenlu Medical Technology Shanghai Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • A61N1/39044External heart defibrillators [EHD] in combination with cardiopulmonary resuscitation [CPR] therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/004Heart stimulation
    • A61H31/007Manual driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3918Heart defibrillators characterised by shock pathway, e.g. by electrode configuration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3925Monitoring; Protecting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/08Trunk
    • A61H2205/084Chest

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Emergency Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Critical Care (AREA)
  • Rehabilitation Therapy (AREA)
  • Physiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

The invention discloses a medical device and a control method thereof, wherein the method comprises the following steps: the camera acquires first real-time position information of the defibrillation component and sends the first real-time position information to the controller, the controller judges whether the first real-time position information is consistent with the first target position information according to the first target position information, and if the first real-time position information is inconsistent with the first target position information, the display screen and/or the loudspeaker are controlled to send first prompt information to prompt emergency personnel to adjust the real-time position of the defibrillation component; the camera acquires second real-time position information of the cardiopulmonary resuscitation detection component and sends the second real-time position information to the controller, the controller judges whether the second real-time position information is consistent with the second target position information according to the second target position information, and if the second real-time position information is inconsistent with the second target position information, the display screen and/or the loudspeaker are controlled to send second prompt information to prompt emergency personnel to adjust the real-time position of the cardiopulmonary resuscitation detection component. The device can guide emergency personnel to accurately set the positions of the defibrillation component and the cardiopulmonary resuscitation detection component when using the medical device, and improves the success rate of treatment of patients.

Description

Medical device and control method thereof
Technical Field
The invention relates to the technical field of medical treatment, in particular to a medical device and a control method thereof.
Background
The automatic external defibrillator is also called as automatic external electric shock device, automatic defibrillator, cardiac defibrillator and fool electric shock device, etc. it is a portable medical equipment, and can diagnose specific arrhythmia, and can deliver electric shock to defibrillate, so that it is a medical equipment for rescuing sudden cardiac death patient. The automatic external defibrillation device comprises two electrode plates, the two electrode plates are in contact with the body of a patient, the automatic external defibrillation device carries out electric shock defibrillation on the patient through the electrode plates, the two electrode plates are respectively arranged on the upper right chest and the outer left chest of the patient, and specific positions can be described by referring to pictures on the electrode plates.
However, the automatic external defibrillation device on the market still needs professional medical staff to operate, most emergency scenes often lack the professional medical staff, the emergency staff can only refer to the patterns on the shell of the automatic external defibrillation device and the picture description on the electrode plate to paste the electrode plate to a patient, and the situation that the electrode plate is not pasted accurately exists can be caused, so that the defibrillation effect can be influenced, and the emergency success rate is too low. In addition, the specialist considers that the sudden cardiac death patient needs to have higher success rate of electric shock defibrillation and cardiopulmonary resuscitation combined rescue, but cardiopulmonary resuscitation is also operated by special medical personnel, and the problem that the operation such as the pressing position, the pressing frequency and the pressing depth is inaccurate often exists when the first-aid personnel perform cardiopulmonary resuscitation operation on the patient, so that the success rate of first-aid is too low.
Disclosure of Invention
The invention aims to solve the problems that in the prior art, when emergency personnel rescue a patient sudden cardiac death by using a medical device, the pasting position of an electrode plate is often inaccurate, and the operation is inaccurate when the patient is subjected to cardiopulmonary resuscitation, so that the success rate of emergency is too low. The invention provides a medical device and a control method thereof, which can be used for guiding emergency personnel to accurately set the position of a defibrillation component when the medical device is used and determining the pressing position when the patient is subjected to cardiopulmonary resuscitation, and guiding the emergency personnel to timely adjust the pressing frequency and the pressing depth when the patient is subjected to cardiopulmonary resuscitation, so that the success rate of patient treatment is improved.
In order to solve the technical problems, the embodiment of the invention discloses a control method based on a medical device, wherein the medical device comprises a controller, a defibrillation component, a cardiopulmonary resuscitation detection component, a camera, a display screen and a loudspeaker; wherein, defibrillation part, cardiopulmonary resuscitation detection part, camera, display screen and speaker are connected with the controller respectively. The method comprises the following steps:
the camera acquires first real-time position information of the defibrillation component and sends the first real-time position information to the controller, wherein the first real-time position information is information of a contact position of the defibrillation component and a patient body.
The controller receives the first real-time position information, judges whether the first real-time position information is consistent with the first target position information according to the first real-time position information and the first target position information stored in the controller, and if the first real-time position information is inconsistent with the first target position information, the controller controls the display screen and/or the loudspeaker to send out first prompt information to prompt emergency personnel to adjust the position of the defibrillation component contacted with the body of the patient so that the first real-time position information is consistent with the first target position information; if the defibrillation operation is consistent, the controller controls the defibrillation component to execute the defibrillation operation.
The camera acquires second real-time position information of the cardiopulmonary resuscitation detection component and sends the second real-time position information to the controller, wherein the second real-time position information is information of a contact position of the cardiopulmonary resuscitation detection component and the patient body.
The controller receives the second real-time position information, judges whether the second real-time position information is consistent with the second target position information according to the second real-time position information and the second target position information stored in the controller, and if the second real-time position information is inconsistent with the second target position information, the controller controls the display screen and/or the loudspeaker to send out second prompt information to prompt emergency personnel to adjust the contact position of the cardiopulmonary resuscitation detection component and the patient body so as to enable the second real-time position information to be consistent with the second target position information; if the cardiopulmonary resuscitation detection part is judged to be consistent, the controller controls the cardiopulmonary resuscitation detection part to acquire compression parameter information when the emergency personnel perform cardiopulmonary resuscitation operation on the patient, and acquires the compression parameter information from the cardiopulmonary resuscitation detection part, wherein the compression parameter information comprises compression frequency and compression depth.
The controller judges whether the pressing parameter information is consistent with the pressing parameter threshold according to the pressing parameter information and a preset pressing parameter threshold, and if the pressing parameter information is inconsistent with the pressing parameter threshold, the controller controls the display screen and/or the loudspeaker to send out third prompt information so as to prompt emergency personnel to adjust cardiopulmonary resuscitation operation.
By adopting the scheme, the camera acquires the real-time position of the defibrillation component in contact with the body of the patient and sends the real-time position to the controller, the controller judges whether the real-time position of the defibrillation component is consistent with the target defibrillation position, if not, the display screen and/or the loudspeaker are controlled to send out first prompt information, and emergency personnel can be guided to accurately set the defibrillation component at the target defibrillation position of the body of the patient when using the medical device according to the first prompt information, so that the defibrillation effect is improved.
The camera acquires the real-time position of the cardiopulmonary resuscitation detection component in contact with the patient body and sends the real-time position to the controller, the controller judges whether the real-time position of the cardiopulmonary resuscitation detection component is consistent with the target cardiopulmonary resuscitation position, if not, the display screen and/or the loudspeaker are controlled to send out second prompt information, and emergency personnel can be guided to accurately set the cardiopulmonary resuscitation detection component at the target cardiopulmonary resuscitation position of the patient body according to the second prompt information, so that the cardiopulmonary resuscitation effect is improved.
In addition, the cardiopulmonary resuscitation detection part is pressed when the emergency personnel perform cardiopulmonary resuscitation operation on the patient, and the cardiopulmonary resuscitation detection part acquires compression parameter information such as compression depth and compression frequency of the patient and sends the compression parameter information to the controller. The controller judges whether the pressing parameter information is consistent with the pressing parameter threshold value, if not, the display screen and/or the loudspeaker are controlled to send out third prompt information, and emergency personnel can be guided to timely adjust the pressing frequency and the pressing depth when carrying out cardiopulmonary resuscitation operation on a patient according to the third prompt information, so that the cardiopulmonary resuscitation effect is improved, and the treatment success rate of the patient can be improved finally.
According to another embodiment of the present invention, a medical device-based control method is disclosed, the method further comprising the controller determining first target position information by:
the camera acquires patient body contour information and sends the patient body contour information to the controller.
The controller receives patient body contour information and determines first target location information based on the patient body contour information, preset standard phantom contour information, and standard location information for the defibrillation component in the preset standard phantom contour.
Because the pasting position of the defibrillation component of the patient with different body types is different from the pasting position of the defibrillation component in the standard human body model, the defibrillation effect of the patient can be reduced by pasting the defibrillation component according to the pasting position in the standard human body model.
According to another embodiment of the present invention, a medical device-based control method is disclosed, which further includes the controller determining second target location information based on patient body contour information.
By adopting the scheme, the controller determines the target pressing position of the emergency personnel for carrying out cardiopulmonary resuscitation on the patient according to the body contour information of the patient, and then the emergency personnel carry out cardiopulmonary resuscitation on the patient according to the target pressing position, so that the pressing position of the emergency personnel for carrying out cardiopulmonary resuscitation on the patient is more accurate, the effect of the emergency personnel for carrying out cardiopulmonary resuscitation on the patient is improved, and the success rate of patient treatment is improved.
According to another embodiment of the present invention, the controller determines whether the second real-time location information is consistent with the second target location information by:
if d 2 When the thickness is less than or equal to 10mm, the controller judges that the second real-time position information is consistent with the second target position information; if d 2 When the distance is more than 10mm, the controller judges that the second real-time position information is inconsistent with the second target position information. Wherein d 2 Is the distance between the real-time position of the cardiopulmonary resuscitation detection component and the target position of the cardiopulmonary resuscitation detection component.
By adopting the scheme, whether the second real-time position information of the cardiopulmonary resuscitation detection component is consistent with the second target position information can be accurately judged, and emergency personnel can be guided to more accurately adjust the real-time position of the cardiopulmonary resuscitation detection component contacted with the body of the patient.
According to another embodiment of the present invention, the medical device-based control method disclosed in the embodiment of the present invention, the first prompt information, the second prompt information, and the third prompt information are at least one of picture prompt information, video prompt information, and voice prompt information.
By adopting the scheme, the picture prompt information, the video prompt information and the voice prompt information can more accurately and clearly guide emergency personnel to adjust the real-time position of the defibrillation component in contact with the body of the patient, adjust the real-time position of the cardiopulmonary resuscitation detection component in contact with the body of the patient, and adjust the compression frequency and the compression depth when carrying out cardiopulmonary resuscitation operation on the patient, so that the effects of defibrillation of the patient and carrying out cardiopulmonary resuscitation operation on the patient by the emergency personnel are improved.
According to another embodiment of the present invention, a medical device-based control method is disclosed, the method further comprising the defibrillation component performing a defibrillation operation comprising: the defibrillation component acquires heart rate information of the patient and sends the heart rate information to the controller; the controller receives heart rate information and sets electric shock energy of the defibrillation component according to the heart rate information; the defibrillation component defibrillates the patient in accordance with the shock energy.
By adopting the scheme, the electric shock energy of discharging defibrillation is set according to the heart rate information of the patient obtained by the defibrillation component, and the electric shock energy suitable for the patient can be determined according to the heart rate information of the patient, so that the defibrillation effect of the patient is improved.
According to another embodiment of the present invention, a medical device-based control method disclosed in an embodiment of the present invention further comprises: the controller stores the heart rate information and transmits the heart rate information to a cloud backend server of the medical device.
By adopting the scheme, the heart rate information of the patient can be transmitted to the cloud background server of the medical device in real time, so that the heart rate information of the patient can be used as the information storage for the patient admission treatment, and when the patient is convenient to admit treatment, a doctor can quickly acquire the heart rate information of the patient and timely know the physical condition of the patient.
According to another embodiment of the present invention, a medical device-based control method is disclosed, wherein the shock energy includes a shock voltage, a shock current, and a shock time.
According to another specific embodiment of the present invention, the medical device-based control method disclosed in the embodiment of the present invention, the compression parameter threshold includes a compression frequency threshold and a compression depth threshold, the compression frequency threshold has a value range of 100 to 120 times/min, and the compression depth threshold has a value range of 5 to 6cm.
The embodiment of the invention also discloses a medical device, which comprises: the device comprises a defibrillation component, a cardiopulmonary resuscitation detection component, a camera, a display screen, a loudspeaker and a controller, wherein the defibrillation component, the cardiopulmonary resuscitation detection component, the camera, the display screen and the loudspeaker are respectively connected with the controller.
Wherein, the defibrillation component is used for contacting with the body of the patient to defibrillate the patient; and for acquiring heart rate information of the patient and transmitting the heart rate information to the controller.
The cardiopulmonary resuscitation detection component is used for contacting with the body of a patient, acquiring compression parameter information when emergency personnel perform cardiopulmonary resuscitation operation on the patient, and sending the compression parameter information to the controller, wherein the compression parameter information comprises compression frequency and compression depth.
The camera is used for acquiring the body contour information of the patient, acquiring the first real-time position information of the defibrillation component and the second real-time position information of the cardiopulmonary resuscitation detection component, and sending the body contour information of the patient, the first real-time position information and the second real-time position information to the controller, wherein the first real-time position information is information of the contact position of the defibrillation component and the body of the patient, and the second real-time position information is information of the contact position of the cardiopulmonary resuscitation detection component and the body of the patient.
The controller is configured to perform the following: the method comprises the steps of receiving body contour information of a patient, and determining first target position information of a defibrillation component according to the body contour information of the patient, preset standard mannequin contour information and standard position information of the defibrillation component in the preset standard mannequin contour.
The method comprises the steps of receiving first real-time position information and judging whether the first real-time position information is consistent with first target position information or not; if the first real-time position information is inconsistent with the first target position information, the display screen and/or the loudspeaker are/is controlled to send out first prompt information to prompt emergency personnel to adjust the position of the defibrillation component in contact with the body of the patient so that the first real-time position information is consistent with the first target position information; and if the heart rate information is consistent, controlling the defibrillation component to acquire the heart rate information of the patient.
The device is used for receiving heart rate information sent by the defibrillation component and determining electric shock energy according to the heart rate information.
For determining second target location information of the cardiopulmonary resuscitation detection component based on the patient body contour information.
The method comprises the steps of receiving second real-time position information and judging whether the second real-time position information is consistent with second target position information or not; if the information is inconsistent, the display screen and/or the loudspeaker are/is controlled to send out second prompt information to prompt emergency personnel to adjust the contact position of the cardiopulmonary resuscitation detection component and the patient body so as to enable the second real-time position information to be consistent with the second target position information; and if the information is consistent, controlling the cardiopulmonary resuscitation detection component to acquire the pressing parameter information when the emergency personnel perform cardiopulmonary resuscitation operation on the patient.
And the device is used for receiving the pressing parameter information, judging whether the pressing parameter information is consistent with the pressing parameter threshold according to the pressing parameter information and a preset pressing parameter threshold, and if the pressing parameter information is inconsistent with the pressing parameter threshold, controlling the display screen and/or the loudspeaker to send out third prompt information to prompt emergency personnel to adjust cardiopulmonary resuscitation operation.
By adopting the technical scheme, the control method can be realized by using the medical device. The device helps emergency personnel to accurately set the target defibrillation position of the defibrillation component contacted with the body of the patient and the cardiopulmonary resuscitation detection position of the cardiopulmonary resuscitation detection component contacted with the body of the patient for patients of different sizes, and timely adjusts the compression frequency and compression depth when cardiopulmonary resuscitation operation is carried out on the patient, so that the success rate of patient treatment is improved.
The beneficial effects of the invention are as follows:
the invention provides a medical device and a control method thereof. The controller judges whether the real-time position of the defibrillation component is consistent with the target defibrillation position, and if not, the controller controls the display screen and/or the loudspeaker to send out first prompt information. According to the first prompt information, emergency personnel can be guided to accurately set the defibrillation component at the target defibrillation position of the patient body when the medical device is used, so that the defibrillation effect is improved.
The camera acquires the real-time position of the cardiopulmonary resuscitation detection component in contact with the patient's body and sends the real-time position to the controller. The controller judges whether the real-time position of the cardiopulmonary resuscitation detection component is consistent with the target cardiopulmonary resuscitation position, and if not, the controller controls the display screen and/or the loudspeaker to send out second prompt information. According to the second prompt information, emergency personnel can be guided to accurately set the cardiopulmonary resuscitation detection component at the target cardiopulmonary resuscitation position of the patient body, so that the cardiopulmonary resuscitation effect is improved.
In addition, the cardiopulmonary resuscitation detection part is pressed when the emergency personnel perform cardiopulmonary resuscitation operation on the patient, and the cardiopulmonary resuscitation detection part acquires compression parameter information such as compression depth and compression frequency of the patient and sends the compression parameter information to the controller. The controller judges whether the pressing parameter information is consistent with the pressing parameter threshold value, and if not, controls the display screen and/or the loudspeaker to send out third prompt information. According to the third prompt information, emergency personnel can be guided to timely adjust the pressing frequency and the pressing depth when the cardiopulmonary resuscitation operation is carried out on the patient, so that the cardiopulmonary resuscitation effect is improved, and finally the treatment success rate of the patient can be improved.
Drawings
FIG. 1 is a block diagram of a medical device according to an embodiment of the present invention;
FIG. 2 is a view of a medical device according to an embodiment of the present invention;
FIG. 3 is a schematic view of a display screen of a medical device according to an embodiment of the present invention;
FIG. 4 is a schematic diagram showing a comparison of a forward profile of a patient's body with a standard phantom forward profile in a medical device-based control method according to an embodiment of the present invention;
fig. 5 is a schematic diagram showing a comparison between a left profile of a patient's body and a left profile of a standard phantom in a medical device-based control method according to an embodiment of the present invention.
Reference numerals illustrate:
100: a defibrillation component; 200: cardiopulmonary resuscitation detection means; 300: a camera; 400: a controller; 500: a display screen; 600: a speaker; a is that 11 : target position of electrode plate at upper part of right chest of patient; a is that 12 : target position of electrode plate outside left chest of patient; a is that 21 : the real-time position of the electrode plate at the upper part of the right chest of the patient; a is that 22 : the real-time position of the electrode plate outside the left chest of the patient; b (B) 1 : a target position of the cardiopulmonary resuscitation detection component; b (B) 2 : real-time location of cardiopulmonary resuscitation detection component.
Detailed Description
Further advantages and effects of the present invention will become apparent to those skilled in the art from the disclosure of the present specification, by describing the embodiments of the present invention with specific examples. While the description of the invention will be described in connection with the preferred embodiments, it is not intended to limit the inventive features to the implementation. Rather, the purpose of the invention described in connection with the embodiments is to cover other alternatives or modifications, which may be extended by the claims based on the invention. The following description contains many specific details for the purpose of providing a thorough understanding of the present invention. The invention may be practiced without these specific details. Furthermore, some specific details are omitted from the description in order to avoid obscuring the invention. It should be noted that, without conflict, the embodiments of the present invention and features of the embodiments may be combined with each other.
It should be noted that in this specification, like reference numerals and letters denote like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
In the description of the present embodiment, it should be noted that the azimuth or positional relationship indicated by the terms "upper", "lower", "inner", "bottom", etc. are based on the azimuth or positional relationship shown in the drawings, or the azimuth or positional relationship in which the inventive product is conventionally put in use, are merely for convenience of describing the present invention and simplifying the description, and are not indicative or implying that the apparatus or element to be referred to must have a specific azimuth, be configured and operated in a specific azimuth, and therefore should not be construed as limiting the present invention.
The terms "first," "second," and the like are used merely to distinguish between descriptions and are not to be construed as indicating or implying relative importance.
In the description of the present embodiment, it should also be noted that, unless explicitly specified and limited otherwise, the terms "disposed," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present embodiment can be understood in a specific case by those of ordinary skill in the art.
For the purpose of making the objects, technical solutions and advantages of the present invention more apparent, embodiments of the present invention will be described in further detail below with reference to the accompanying drawings.
The invention aims to solve the problems that in the prior art, when emergency personnel rescue a sudden cardiac death patient by using a medical device, the pasting position of an electrode sheet for defibrillation is often inaccurate, and the operation is inaccurate when the patient is subjected to cardiopulmonary resuscitation operation, so that the success rate of emergency is too low. The medical device and the control method thereof disclosed by the embodiment of the invention can be used for guiding emergency personnel to accurately set the position of the defibrillation component and the pressing position when the cardiopulmonary resuscitation operation is performed on a patient when the medical device is used, guiding the emergency personnel to timely adjust the pressing frequency and the pressing depth when the cardiopulmonary resuscitation operation is performed on the patient, and therefore the success rate of the treatment of the patient is improved.
The embodiment of the invention discloses a medical device and a control method based on the medical device, which can realize defibrillation and cardiopulmonary resuscitation detection functions, as shown in fig. 1 and 2, in one implementation of the embodiment, the medical device comprises:
the defibrillation component 100, the cardiopulmonary resuscitation detection component 200, the camera 300, the display screen 500, the speaker 600 and the controller 400, wherein the defibrillation component 100, the cardiopulmonary resuscitation detection component 200, the camera 300, the display screen 500 and the speaker 600 are respectively connected with the controller 400.
In one embodiment of the present application, as shown in fig. 2, the defibrillation component 100 comprises two electrode pads, both of which are electrically connected to the controller 400 via electrical connection lines. When defibrillation is required for a patient, emergency personnel are required to adhere two electrode plates to target defibrillation positions on the upper part of the right chest and the outer side of the left chest of the patient respectively. After both electrode pads are affixed to the target defibrillation site, both electrode pads begin to acquire heart rate information of the patient and send the heart rate information to the controller 400. The controller 400 sets shock energy according to heart rate information, the shock energy including a shock voltage, a shock current, and a shock time, and the controller 400 outputs the shock energy to the electrode pads to control the electrode pads to defibrillate the patient according to the shock energy.
As shown in fig. 2, in one embodiment of the present application, cardiopulmonary resuscitation detection component 200 may include a compression patch and sensors disposed within the compression patch for detecting compression parameters such as compression depth and compression frequency when an emergency personnel performs cardiopulmonary resuscitation on a patient. In performing cardiopulmonary resuscitation, an emergency personnel can perform cardiopulmonary resuscitation compression on the patient by pressing the cardiopulmonary resuscitation detection component 200.
In one embodiment of the application, the sensor may be an acceleration sensor. The sensor can acquire an acceleration signal and pressing time when the emergency personnel performs pressing operation by detecting the pressing operation of the emergency personnel on the sensor. And the pressing depth can be calculated according to the acceleration signal and the pressing time, and the pressing frequency of the emergency personnel can be determined according to the times of detecting the acceleration signal within the preset time (for example, 1 minute or 30 seconds, etc.). The sensor sends the compression depth and compression frequency to the controller 400.
In other embodiments of the present application, the cardiopulmonary resuscitation detection component 200 may be other types of sensors or detection components for obtaining compression information such as compression depth and compression frequency when the first-aid person performs cardiopulmonary resuscitation, which may be set as required.
As shown in fig. 2, in one embodiment of the present application, cardiopulmonary resuscitation detection component 200 is electrically connected to a controller 400 via electrical connection lines. When cardiopulmonary resuscitation is required to be performed on a patient, an emergency personnel adheres the cardiopulmonary resuscitation detection component 200 to a target cardiopulmonary resuscitation detection position in front of the chest of the patient, and the adhering position is a pressing position when the emergency personnel perform cardiopulmonary resuscitation on the patient. After the cardiopulmonary resuscitation detection section 200 is attached to the target cardiopulmonary resuscitation detection position, the emergency personnel starts performing cardiopulmonary resuscitation operation on the patient, and then the cardiopulmonary resuscitation detection section 200 starts acquiring compression parameters such as compression depth and compression frequency when the emergency personnel performs cardiopulmonary resuscitation operation on the patient, and transmits the compression depth and compression frequency to the controller 400.
In another embodiment of the present application, the CPR detection unit 200 and the controller 400 may also be connected wirelessly. Specifically, the cardiopulmonary resuscitation detection unit 200 and the controller 400 respectively include a wireless communication module, and the wireless communication module in the cardiopulmonary resuscitation detection unit 200 is in wireless communication connection with the wireless communication module in the controller 400. The wireless communication module may be a bluetooth communication module, a wireless fidelity (wireless fidelity, wi-Fi) communication module, a near field communication (near field communication, NFC) module. In a specific implementation, the wireless communication module is preferably a bluetooth communication module, in particular a WT41 bluetooth module, in view of low power consumption of the device, because the communication distance is short, i.e. the distance between the controller 400 and the cardiopulmonary resuscitation detection component 200 is only a few meters. Of course, in other implementations, the wireless communication module may also be other wireless communication modules, such as a wireless fidelity communication module or a near field communication module.
In this implementation manner, the camera 300 is electrically connected to the controller 400, the camera 300 obtains body contour information of a patient, the controller 400 determines target positions of the two electrode slices and the cardiopulmonary resuscitation detection component 200 according to the body contour information of the patient, when defibrillation and cardiopulmonary resuscitation pressing operation are required to be performed on the patient, emergency personnel adhere the two electrode slices to the upper right chest and the outer left chest of the patient respectively according to the target positions of the two electrode slices and the cardiopulmonary resuscitation detection component 200, and adhere the cardiopulmonary resuscitation detection component 200 to the chest of the patient. The camera 300 acquires the real-time positions of the two electrode pads and the cardiopulmonary resuscitation detection component 200, and then the controller 400 judges whether the real-time positions of the two electrode pads and the cardiopulmonary resuscitation detection component 200 are consistent with the respective target positions. The display screen 500 and the speaker 600 are electrically connected to the controller 400, respectively. If the controller 400 determines that the two electrode plates are inconsistent, the controller 400 controls the display screen 500 and/or the loudspeaker 600 to send out prompt information to prompt emergency personnel to adjust the contact positions of the two electrode plates and the cardiopulmonary resuscitation detection part 200 with the patient body respectively, so that the contact positions of the two electrode plates and the cardiopulmonary resuscitation detection part 200 with the patient body are consistent with the respective target positions.
Specifically, the camera 300 acquires patient body contour information including patient body front contour information and patient body left contour information, wherein the patient body front contour information is patient chest-up body contour information, and transmits the patient body front contour information and the patient body left contour information to the controller 400.
The controller 400 receives the front outline information of the patient's body and determines the target position of the electrode sheet on the upper right chest of the patient, specifically a as shown in fig. 3, based on the front outline information of the patient's body, the front outline information of the preset standard phantom, and the standard position information of the electrode sheet on the upper right chest of the preset standard phantom 11 And the target position A of the electrode plate at the upper part of the right chest of the patient 11 Stored in the controller 400.
The controller 400 receives the left profile information of the patient's body, and determines the target position of the electrode sheet disposed outside the left chest of the patient, specifically a as shown in fig. 3, based on the left profile information of the patient's body, the preset standard phantom left profile information, and the standard position information of the electrode sheet disposed outside the left chest of the preset standard phantom 12 And the target position A of the electrode plate outside the left chest of the patient 12 Stored in the controller 400.
Target position A 11 And A 12 As the first target position information, a process of the controller 400 determining the first target position information will be described in detail later.
Target position A of two electrode sheets 11 And A 12 Target defibrillation locations for the two electrode pads in contact with the patient's body and both displayed in the display screen 500 for indicating to emergency personnel the target location a of the two electrode pads in the display screen 500 11 And A 12 Two electrode plates are respectively stuck on the upper part of the right chest and the outer side of the left chest of a patient.
The camera 300 acquires information of the contact positions of the two electrode pads with the patient body as first real-time position information, and the camera 300 transmits the first real-time position information to the controller 400. As shown in fig. 3, in the actual operation process, the emergency personnel adhere the two electrode plates to the real-time position A 21 And A 22
The controller 400 receives the first real-time position information of the two electrode slices, and respectively determines whether the first real-time position information of the two electrode slices is consistent with the respective first target position information; if the first real-time position information is inconsistent with the first target position information, the display screen 500 and/or the loudspeaker 600 are/is controlled to send out first prompt information to prompt emergency personnel to respectively adjust the contact positions of the two electrode plates and the body of the patient until the first real-time position information of the two electrode plates is consistent with the first target position information.
In one embodiment of the present application, if the controller 400 determines that the first real-time position information of the two electrode pads is inconsistent with the first target position information, the display screen 500 may send out the first prompt message. Specifically, the first prompt information is one of picture prompt information and video prompt information. When the first prompt is a picture prompt, a directional arrow may appear in the display screen 500, for example, a real-time position a of an electrode sheet outside the left chest in the display screen 500 22 Nearby the electrode plate, an upward arrow and a letter prompting message for "please move the electrode plate on the outer side of the left chest upwards by 10mm" appearAnd (3) prompting emergency personnel to adjust the contact position of the electrode plate and the body of the patient according to the arrow indication direction.
In another embodiment of the present application, the first prompt is a video prompt, and the display 500 may have a dynamic arrow, for example, a real-time position a of an electrode pad on the outer side of the left chest in the display 500 22 An upward dynamic arrow and a text prompt message of 'please move the electrode plate on the outer side of the left chest upwards by 10 mm' appear nearby, so as to prompt emergency personnel to adjust the electrode plate on the outer side of the left chest to move upwards by 10mm.
In another embodiment of the present application, the first prompt message sent by the speaker 600 may be a voice prompt message. Specifically, the speaker 600 emits a voice, for example, a voice prompt message "please move the electrode pad on the outer side of the left chest upward by 10mm" to prompt the emergency personnel to adjust the electrode pad on the outer side of the left chest upward by 10mm according to the voice prompt message.
In another embodiment of the present application, the display screen 500 and the speaker 600 may be combined to send out the first prompt information. The first prompt message is a combined prompt message of voice and video, as shown in fig. 3, an icon of a dynamic arrow and a voice prompt appears in the display screen 500, for example, the voice prompt message is "please move the electrode sheet outside the left chest up by 10mm", and the real-time position a of the electrode sheet outside the left chest in the display screen 500 22 An upward dynamic arrow appears nearby, and the electrode plate on the outer side of the left chest is adjusted to move upwards by 10mm according to arrow prompt information and voice prompt information to prompt emergency personnel.
If the controller 400 determines that the first real-time position information of the two electrode slices is consistent with the respective first target position information, the electrode slices are controlled to start acquiring heart rate information of the patient. The controller 400 receives heart rate information of the patient and determines shock energy based on the heart rate information. The controller 400 outputs the shock energy to the electrode pads to control the electrode pads to defibrillate the patient in accordance with the shock energy.
After the electrode slice is used for defibrillation the patient or in the defibrillation process, emergency personnel can perform cardiopulmonary resuscitation operation on the patient. To make cardiopulmonary resuscitation more effective, it is possible to determine whether the cardiopulmonary resuscitation pressing operation is accurate by attaching the cardiopulmonary resuscitation detection part 200 to a position where an emergency personnel performs the cardiopulmonary resuscitation pressing operation on the patient.
The controller 400 determines the target position B of the cardiopulmonary resuscitation detection component 200 based on the patient body forward profile information 1 And the target position B of the cardiopulmonary resuscitation detection unit 200 1 Is stored in the controller 400 as second target position information and displayed in the display screen 500. Target position B 1 Is a target cardiopulmonary resuscitation detection location where the cardiopulmonary resuscitation detection component 200 is in contact with the patient's body. Target position B of pulmonary resuscitation detection component 200 at the center of display screen 500 for emergency personnel 1 The cardiopulmonary resuscitation detection component 200 is attached to the chest of a patient.
The camera 300 acquires information of the position where the cardiopulmonary resuscitation detection component 200 is in contact with the patient's body as second real-time position information, and the camera 300 transmits the second real-time position information to the controller 400. As shown in fig. 3, during the actual operation, the emergency personnel affix the cardiopulmonary resuscitation detection component 200 to the real-time position B 2
The controller 400 receives the second real-time position information and determines whether the second real-time position information is consistent with the second target position information; if it is determined that the first real-time position information is inconsistent with the second real-time position information, the display screen 500 and/or the speaker 600 are controlled to send out a second prompt message to prompt the emergency personnel to adjust the position of the cardiopulmonary resuscitation detection component 200 in contact with the patient's body so that the second real-time position information is consistent with the second target position information.
As before, in one embodiment of the present application, if the controller 400 determines that the second real-time position information of the cardiopulmonary resuscitation detection component 200 is inconsistent with the second target position information, the display screen 500 may send out the second prompt message. Specifically, the second prompt information is one of picture prompt information and video prompt information. If the second prompt is a picture prompt, a directional arrow will appear in the display screen 500, prompting the emergency personnel to adjust the position of the cardiopulmonary resuscitation detection component 200 in contact with the patient's body according to the direction indicated by the arrow. If the second prompt is a video prompt, a dynamic arrow may appear on the display screen 500, prompting the emergency personnel to adjust the position of the cardiopulmonary resuscitation detection component 200 in contact with the patient's body according to the direction indicated by the arrow.
In another embodiment of the present application, the second prompt sent by the speaker 600 may be a voice prompt. Specifically, the speaker 600 sounds, for example, "move 10mm left", prompting the emergency personnel to move 10mm left in accordance with the direction and distance of the voice prompt to adjust the position of the cardiopulmonary resuscitation detection component 200 in contact with the patient's body.
In another embodiment of the present application, the display screen 500 and the speaker 600 may be combined to send out the second prompt information. For example, the second prompt information is a combined prompt information of voice and video, as shown in fig. 3, an icon of a dynamic arrow and a voice prompt appears on the display screen 500, so that the emergency personnel is prompted to adjust the position where the cardiopulmonary resuscitation detecting component 200 contacts with the patient according to the direction indicated by the arrow and the direction and distance of the voice prompt.
If the controller 400 determines that the second real-time position information is consistent with the second target position information, the emergency personnel starts performing cardiopulmonary resuscitation on the patient, and the controller 400 controls the cardiopulmonary resuscitation detection unit 200 to acquire compression parameters such as compression depth and compression frequency when the emergency personnel performs cardiopulmonary resuscitation on the patient, and sends the compression depth and compression frequency to the controller 400.
The controller 400 receives the compression parameter information and determines whether the compression parameter information is consistent with the compression parameter threshold according to the compression parameter information and a preset compression parameter threshold; if it is determined that the cardiopulmonary resuscitation is inconsistent, the controller 400 controls the display screen 500 and/or the speaker 600 to send out a third prompting message to prompt the emergency personnel to adjust the cardiopulmonary resuscitation operation. The compression parameter threshold includes a compression frequency threshold and a compression depth threshold. The value of the pressing frequency threshold ranges from 100 to 120 times/min, and in specific embodiments, the pressing frequency threshold may be 100 times/min, 110 times/min or 120 times/min, or may be other values within the range of 100 to 120 times/min. The compression depth threshold may be in the range of 5 to 6cm, and in particular embodiments, the compression depth threshold may be 5cm, 5.5cm, or 6cm, or may be other values in the range of 5 to 6 cm.
As before, in one embodiment of the present application, the display 500 may send out the third prompting message. Specifically, the third prompt information is one of picture prompt information and video prompt information.
In another embodiment of the present application, the speaker 600 may also send out a third prompt message, that is, the third prompt is a voice prompt message.
In another embodiment of the present application, the display screen 500 and the speaker 600 may be combined to send out the third prompt information. That is, the third prompt information is a combined prompt information of voice and video, and may also be a combined prompt information of voice and picture.
By adopting the scheme, when the medical device is used by emergency personnel, the defibrillation component 100, namely the two electrode plates, can be accurately arranged on the target defibrillation position of the patient body according to the prompt information, so that the defibrillation effect is improved. The emergency personnel can accurately set the cardiopulmonary resuscitation detection component 200 at the target cardiopulmonary resuscitation detection position of the patient body according to the prompt information, and the pressing frequency and the pressing depth when the cardiopulmonary resuscitation operation is carried out on the patient are timely adjusted according to the prompt information, so that the pressing frequency is consistent with a pressing frequency threshold value, and the pressing depth is consistent with a pressing depth threshold value, thereby improving the cardiopulmonary resuscitation effect, and finally improving the treatment success rate of the patient.
The embodiment of the invention also provides a control method based on the medical device, which comprises the following steps:
s100, as before, when defibrillation is performed on the patient, the camera 300 acquires the real-time position A of the two electrode plates after the two electrode plates are respectively adhered to the upper part of the right chest and the outer side of the left chest of the patient 21 And A 22 As first real-time position information, and transmits the first real-time position information of the two electrode pads to the controller 400.
The first aid person needs to determine the target position A of the two electrode plates 11 And A 12 Two electrode plates are respectively stuck on the upper part of the right chest and the outer side of the left chest of a patient, and the target positions A of the two electrode plates 11 And A 12 The controller 400 is required to determine, and determine, the target positions a of the two electrode sheets 11 And A 12 Will be displayed in the display screen 500.
The controller 400 determines the target positions a of the two electrode pads by 11 And A 12
The camera 300 acquires patient body contour information including patient body forward contour information and patient body left contour information, and the camera 300 transmits the patient body forward contour information and the patient body left contour information to the controller 400.
It should be noted that, before the camera 300 obtains the body contour information of the patient, the standard mannequin will be displayed in the display screen 500, and the emergency personnel needs to put the body of the patient according to the standard mannequin on the display screen 500, so that the camera 300 can obtain more accurate body contour information of the patient.
The controller 400 receives the patient body forward profile information and determines the target position A of the electrode sheet at the upper right chest of the patient based on the patient body forward profile information, the preset standard phantom forward profile information, and the standard position information of the electrode sheet at the upper right chest of the preset standard phantom forward profile 11 . The controller 400 receives the left profile information of the patient's body and determines the target position A of the electrode sheet outside the left chest of the patient based on the left profile information of the patient's body, the preset standard phantom left profile information, and the standard position information of the electrode sheet outside the left chest of the preset standard phantom left profile 12 . Target position A 11 And A 12 As first target position information is stored in the controller 400.
Specifically, the controller 400 reduces or enlarges the received forward profile of the patient body in the length direction and the width direction of the patient body according to the x-y ratio, so that the forward profile of the patient body coincides with the forward profile of the preset standard manikin. The controller 400 then determines according to the following formulaTarget position A of electrode plate at upper right chest of patient 11
d=D/x,d′=D′/y
Wherein x is the scaling of the patient's body forward profile in the length direction of the patient's body; y is the scaling of the patient's body forward profile in the width direction of the patient's body; as shown in fig. 4, D is a distance from a standard position of the electrode sheet at the upper right chest to a straight line passing through the navel in the width direction of a standard human body model forward contour, which is a solid human body forward contour as shown in fig. 4; d' is the distance from the standard position of the electrode plate at the upper part of the right chest to the center axis of the navel, which is penetrated by the positive outline of the standard human body model; d is the target position A of the electrode plate at the upper part of the right chest 11 Distance to a straight line passing through the navel in the width direction of the patient body forward profile, which is a dotted line human body forward profile as shown in fig. 4; d' is the target position A of the electrode plate at the upper part of the right chest 11 Distance to the central axis of the patient's body forward contour through the navel.
The controller 400 reduces or enlarges the received left profile of the patient's body in the length direction and the thickness direction of the patient's body according to the x-z ratio, so that the left profile of the patient's body coincides with the left profile of the preset standard manikin. The controller 400 then determines the target position A of the electrode pad outside the left chest of the patient according to the following formula 12
d″=D″/x,d″′=D″′/z
Wherein x is the scaling of the left side contour of the patient's body in the length direction of the patient's body; z is the scaling of the contour of the left side of the patient's body in the thickness direction of the patient's body; as shown in fig. 5, D "is the distance from the standard position of the electrode sheet on the outer side of the left chest to the straight line passing through the navel in the thickness direction of the standard mannequin left side contour, which is the solid human body left side contour shown in fig. 5; d' "is the distance from the standard position of the electrode plate on the outer side of the left chest to the central axis of the left side contour of the standard human model; d' is the target position A of the electrode plate outside the left chest 12 To the thickness direction of the left outline of the patient body and through the abdomenThe distance of the straight line of the umbilicus, the left outline of the patient's body is the left outline of the human body with the broken line as shown in fig. 5; d' "is the target position A of the electrode plate outside the left chest 12 Distance to the central axis of the left contour of the patient's body.
When defibrillation is performed on patients with different body types, as the pasting positions of the two electrode plates of the patients with different body types are different from the pasting positions of the two electrode plates in the standard human body model, the pasting positions of the electrode plates in the standard human body model can reduce the defibrillation effect of the patients, in the scheme, the controller 400 can determine the target defibrillation positions of the electrode plates, which are to be pasted on the body of the patient, according to the body contour information of the patient, the preset standard human body model contour information and the pasting position information of the electrode plates in the preset standard human body model contour, and emergency personnel paste the electrode plates according to the target defibrillation positions of the electrode plates, which are to be pasted on the body of the patient, so that the defibrillation effect can be improved, and the patient treatment success rate is improved.
S200, the controller 400 receives the first real-time position information of the two electrode plates, determines whether the first real-time position information of the two electrode plates is consistent with the first target position information according to the first real-time position information of the two electrode plates and the first target position information of the two electrode plates stored in the controller 400, and if the first real-time position information of the two electrode plates is inconsistent with the first target position information, the controller 400 controls the display screen 500 and/or the speaker 600 to send first prompt information to prompt emergency personnel to adjust the positions of the two electrode plates in contact with the body of the patient so that the first real-time position information is consistent with the first target position information. If the electrode pads are determined to be consistent, the controller 400 controls the electrode pads to perform defibrillation operation.
After receiving the first real-time position information, the controller 400 determines whether the first real-time position information of the two electrode pads is consistent with the first target position information by:
if d 1 When the thickness is less than or equal to 10mm, the controller 400 judges that the first real-time position information of the electrode sheet is consistent with the first target position information of the electrode sheet; if d 1 When the distance is more than 10mm, the controller 400 judges that the first real-time position information of the electrode slice is inconsistent with the first target position information of the electrode slice, and d 1 Real-time position A of electrode plate at upper right chest 21 With target position A 11 The distance between them or the real-time position A of the electrode plate outside the left chest 22 With the target position A of the electrode plate 12 Distance between them.
If the controller 400 determines that the first real-time position information of the two electrode slices is inconsistent with the first target position information, the first prompt message may be sent by the display screen 500, the first prompt message sent by the speaker 600, or the first prompt message sent by the combination of the display screen 500 and the speaker 600. That is, the first prompt information is at least one of picture prompt information, video prompt information and voice prompt information, and specifically may be one of the prompt information, or may be any combination of two or three of the prompt information.
In one embodiment of the present application, the first prompt information is a picture prompt information, and a directional arrow appears in the display screen 500 to prompt the emergency personnel to adjust the real-time position a according to the direction indicated by the arrow 21 And A 22 . In another embodiment of the present application, the first prompt is a video prompt, and the display screen 500 presents a dynamic arrow to prompt the emergency personnel to adjust the real-time position a according to the direction indicated by the arrow 21 And A 22 . In another embodiment of the present application, the first prompt is a voice prompt, and the speaker 600 emits voice, for example, "please move the electrode pad on the upper right chest 3mm to the left", prompts the emergency personnel to adjust the real-time position a according to the direction and distance of the voice prompt 21 . In another embodiment of the present application, the first prompt information is a combined prompt information of voice and video, as shown in fig. 3, the display screen 500 may present icons of dynamic arrows and voice prompts, and prompt emergency personnel to adjust the real-time position a according to the direction indicated by the arrows and the direction and distance of the voice prompt information 21 And A 22
If the controller 400 determines that the first real-time position information is consistent with the first target position information, the display screen 500 prompts the electrode pads to be positioned correctly through video or pictures, or the speaker 600 prompts the electrode pads to be positioned correctly through voice, and the two electrode pads perform defibrillation operation.
The two electrode pads perform defibrillation operation comprising the steps of:
the electrode pads acquire heart rate information of the patient and transmit the heart rate information to the controller 400. The controller 400 receives and stores heart rate information and transmits the heart rate information to a cloud backend server of the medical device. Therefore, heart rate information of the patient can be used as information storage for the patient admission treatment, and when the patient is convenient to admit treatment, a doctor can quickly acquire heart rate information of the patient and timely know the physical condition of the patient.
The controller 400 determines whether the patient can accept defibrillation according to the heart rate information, and if the patient can not accept defibrillation, the controller 400 controls the loudspeaker 600 to send out voice prompt information; if it is determined that the patient is able to receive defibrillation, the controller 400 sets shock energy based on the heart rhythm information to perform defibrillation operation on the patient. The shock energy includes a shock voltage, a shock current, and a shock time.
The heart rate information is information such as the number of heart beats and the heart beat intensity of the patient in a certain time, and can reflect the heart beat condition of the patient and the type of the heart occurrence problem of the patient, wherein the type of the heart occurrence problem is ventricular fibrillation, atrial fibrillation, ventricular flutter and the like.
The controller 400 determines the type of heart problem of the patient based on the heart rate information, thereby determining the shock energy. For example, if the controller 400 determines that the patient is ventricular fibrillation, i.e., disordered activation of the ventricles, based on the heart rate information, which is a lethal arrhythmia, the controller 400 needs to set a shock energy of 250-300J. If the controller 400 determines that the patient is atrial fibrillation, i.e., a common tachyarrhythmia, based on the heart rate information, the controller 400 sets an electrical shock energy of 120-200J. If the controller 400 determines that the patient is ventricular flutter according to the heart rate information, namely, the patient is a serious ventricular ectopic heart rhythm, the heart rate is 150-300 times/min, and the electric shock energy set by the controller 400 is 50-100J.
Generally, the shock voltage is 1000-3700V, the shock current is 50-60A, and the one-time shock time is 3-10 ms. The shock energy may be determined by a shock voltage, a shock current, and a shock time, in particular, shock energy = shock voltage x shock current x shock time. For example, if the shock energy to be set is 150J, a shock voltage of 1000V, a shock current of 50A, and a shock time of 3ms may be set.
The controller 400 outputs the shock energy to the electrode pads to control the electrode pads to defibrillate the patient in accordance with the shock energy. When the electrode pad is defibrillation the patient, the speaker 600 sends out a voice prompt, such as "defibrillation is being performed, please get away from the patient", prompting the emergency personnel and surrounding people to get away from the patient, preventing the emergency personnel and surrounding people from being electrically injured.
When the electrode pad completes defibrillation of the patient once, the electrode pad again acquires heart rate information of the patient and sends the heart rate information to the controller 400. After the controller 400 receives the heart rate information, it can determine whether the patient needs to perform cardiopulmonary resuscitation according to the heart rate information of the patient, and if the patient needs to perform cardiopulmonary resuscitation, the speaker 600 prompts the emergency personnel to start performing cardiopulmonary resuscitation on the patient through voice or video.
S300, as before, before performing cardiopulmonary resuscitation on the patient, the first-aid staff adheres the cardiopulmonary resuscitation detection component 200 to the chest of the patient, and the camera 300 acquires the real-time position B of the cardiopulmonary resuscitation detection component 200 2 As second real-time location information, and transmits the second real-time location information to the controller 400.
The emergency personnel need to detect the target position B of the component 200 according to the cardiopulmonary resuscitation 1 The cardiopulmonary resuscitation detection component 200 is attached to the chest of a patient. While the target position B of the cardiopulmonary resuscitation detection component 200 1 The controller 400 is required to determine, and determine, the target position B of the cardiopulmonary resuscitation detection component 200 1 Will be displayed in the display screen 500 and the emergency personnel will be presented with the target position B in the display screen 500 1 Determining real-time position B of cardiopulmonary resuscitation detection component 200 2
The controller 400 determines the target position B from the patient body forward profile information 1 Specifically, the controller 400 determines the midpoint of the two-sided nipple in the forward contour of the patient's body as the cardiopulmonary bypassTarget position B of threo detecting means 200 1 . And the target position B of the cardiopulmonary resuscitation detection component 200 1 As second target position information is stored in the controller 400.
By adopting the above scheme, the controller 400 determines the pasting position of the cardiopulmonary resuscitation detection component 200 according to the body contour information of the patient, namely, the pressing position of the emergency personnel when performing cardiopulmonary resuscitation on the patient, and then the emergency personnel performs cardiopulmonary resuscitation operation on the patient according to the target pressing position, so that the pressing position of the emergency personnel when performing cardiopulmonary resuscitation operation on the patient is more accurate, the effect of the emergency personnel on performing cardiopulmonary resuscitation operation on the patient is improved, and the success rate of patient treatment is improved.
And S400, the controller 400 receives the second real-time position information, judges whether the second real-time position information is consistent with the second target position information according to the second real-time position information and the second target position information stored in the controller 400, and if the second real-time position information is inconsistent with the second target position information, the controller 400 controls the display screen 500 and/or the loudspeaker 600 to send out second prompt information to prompt emergency personnel to adjust the position of the cardiopulmonary resuscitation detection component 200 contacted with the patient body so that the second real-time position information is consistent with the second target position information. If the determination is consistent, the controller 400 controls the cardiopulmonary resuscitation detection unit 200 to acquire compression parameter information including compression frequency and compression depth when the emergency personnel perform cardiopulmonary resuscitation operation on the patient, and acquires compression parameter information from the cardiopulmonary resuscitation detection unit 200.
After receiving the second real-time position information of the cardiopulmonary resuscitation detection unit 200, the controller 400 determines whether the second real-time position information of the cardiopulmonary resuscitation detection unit 200 is consistent with the second target position information according to the second real-time position information and the second target position information stored in the controller 400 by:
if d 2 When the thickness is less than or equal to 10mm, the controller 400 judges that the second real-time position information of the cardiopulmonary resuscitation detection component 200 is consistent with the second target position information; if d 2 When the second real-time position information is more than 10mm, the controller 400 determines that the second real-time position information is inconsistent with the second target position information. Wherein d is 2 For cardiopulmonary resuscitation detection member 20Real-time position B of 0 2 Target position B with cardiopulmonary resuscitation detection component 200 1 Distance between them.
If the controller 400 determines that the second real-time location information is inconsistent with the second target location information, the display screen 500 may send out the second prompt message, or the second prompt message sent out by the speaker 600, or the second prompt message sent out by the combination of the display screen 500 and the speaker 600. That is, the second prompt information is at least one of picture prompt information, video prompt information and voice prompt information, and can be one of the prompt information or any two or three of the prompt information.
In one embodiment of the present application, the first prompt is a picture prompt, and a directional arrow appears in the display screen 500, so as to prompt the emergency personnel to adjust the real-time position B of the cardiopulmonary resuscitation detection component 200 according to the direction indicated by the arrow 2 If the left arrow prompts the rescuer to move the cardiopulmonary resuscitation detection unit 200 to the left.
In another embodiment of the present application, the first prompt is a video prompt, and the display screen 500 presents a dynamic arrow to prompt the emergency personnel to adjust the real-time position B according to the direction indicated by the arrow 2
In another embodiment of the present application, the first prompt is a voice prompt, and the speaker 600 sounds, for example, "please move the cardiopulmonary resuscitation detection component up by 3mm", prompt the emergency personnel to adjust the real-time position B according to the direction and distance of the voice prompt 2
In another embodiment of the present application, the first prompt information is a combined prompt information of voice and video, as shown in fig. 3, the display screen 500 may present icons of dynamic arrows and voice prompts, and prompt emergency personnel to adjust the real-time position B according to the direction indicated by the arrows and the direction and distance of the voice prompt information 2
S500, the controller 400 determines whether the compression parameter information is consistent with the compression parameter threshold according to the compression parameter information and the preset compression parameter threshold, and if it is determined that the compression parameter information is inconsistent with the compression parameter threshold, the controller 400 controls the display screen 500 and/or the speaker 600 to send out a third prompting message to prompt the emergency personnel to adjust the cardiopulmonary resuscitation operation.
The compression parameter information includes compression frequency and compression depth. The pressing parameter threshold includes a pressing frequency threshold and a pressing depth threshold, wherein the pressing frequency threshold has a value ranging from 100 to 120 times/min, and in a specific embodiment, the pressing frequency threshold may be 100 times/min, 110 times/min or 120 times/min, or may be other values ranging from 100 to 120 times/min, which is not limited in this embodiment. The value range of the pressing depth threshold is 5-6 cm, and the pressing depth threshold may be 5cm, 5.5cm, or 6cm, or may be other values within the range of 5-6 cm, which is not particularly limited in this embodiment.
The controller 400 determines whether the compression frequency is consistent with the compression frequency threshold according to the compression frequency and a preset compression frequency threshold, and if the compression frequency is inconsistent with the compression frequency threshold, the controller 400 controls the display screen 500 and/or the speaker 600 to send out third prompting information to prompt emergency personnel to adjust the compression frequency during cardiopulmonary resuscitation operation so that the compression frequency is consistent with the compression frequency threshold.
The controller 400 determines whether the compression depth is consistent with the compression depth threshold according to the compression depth and a preset compression depth threshold, and if the compression depth is inconsistent with the compression depth threshold, the controller 400 controls the display screen 500 and/or the speaker 600 to send out third prompt information to prompt emergency personnel to adjust the compression depth during cardiopulmonary resuscitation operation so that the compression depth is consistent with the compression depth threshold.
If the controller 400 determines that the pressing parameter information is inconsistent with the pressing parameter threshold, it may be that the display screen 500 sends out the third prompting message, or may be that the speaker 600 sends out the third prompting message, or may be that the display screen 500 and the speaker 600 combine to send out the third prompting message. That is, the third prompt information is at least one of picture prompt information, video prompt information and voice prompt information, and can be one of the prompt information or any two or three of the prompt information.
In one embodiment of the present application, the third prompt is a voice prompt and a video prompt. The display screen 500 may present a dynamic arrow and a dynamic text, for example, an upward dynamic arrow prompts the emergency personnel to decrease the pressing depth, a downward dynamic arrow prompts the emergency personnel to increase the real-time pressing depth, the dynamic text is "pressing depth is too deep, please decrease the pressing depth", and prompts the emergency personnel to decrease the pressing depth. Speaker 600 emits a voice prompt, e.g., speaker 600 emits a voice prompt of "depth of compression is too deep, please decrease the depth of compression" to prompt emergency personnel to adjust the decrease of depth of compression. For example, speaker 600 may send a voice prompt to "press frequency too fast, please decrease press frequency" to prompt emergency personnel to adjust the decrease press frequency.
In another embodiment of the present application, the third prompting message is a picture prompting message, and an upward or downward arrow and a picture appear in the display screen 500, the upward arrow prompts the emergency personnel to decrease the pressing depth, the downward arrow prompts the emergency personnel to increase the real-time pressing depth, and the text is "the pressing frequency is too fast, please decrease the pressing frequency", and prompts the emergency personnel to decrease the pressing frequency.
In another embodiment of the present application, the third prompting message is a video prompting message, and the display screen 500 may present an upward or downward dynamic arrow and dynamic text, so as to prompt the emergency personnel to adjust the pressing depth and the pressing frequency according to the direction indicated by the dynamic arrow and the dynamic text.
In this implementation, after one cardiopulmonary resuscitation is completed, the display screen 500 and/or the speaker 600 send a prompt message to prompt the emergency personnel that cardiopulmonary resuscitation is completed. The controller 400 starts to acquire the heart rate information of the patient again through the electrode sheet, judges whether the patient needs secondary defibrillation and secondary cardiopulmonary resuscitation according to the heart rate information of the patient, and performs defibrillation operation and cardiopulmonary resuscitation operation on the patient according to the above steps if the patient needs secondary defibrillation and secondary cardiopulmonary resuscitation, until the heart rate information of the patient is normal or medical staff arrives.
In this implementation, the camera 300 obtains the aforementioned patient body contour information, the first real-time position information of the two electrode slices, the second real-time position information of the cardiopulmonary resuscitation detection unit 200, and other information, and the camera 300 obtains the image information by photographing or capturing video, and then obtains the patient body contour information, the first real-time position information of the two electrode slices, the second real-time position information of the cardiopulmonary resuscitation detection unit 200, and other information by image analysis.
The present invention provides a medical device and a control method thereof, in which a camera 300 acquires a real-time position where two electrode pads are in contact with a patient's body and transmits the real-time position to a controller 400. The controller 400 determines whether the real-time positions of the two electrode pads are consistent with the target defibrillation position, and if not, controls the display screen 500 and/or the speaker 600 to send out first prompt information, and according to the first prompt information, can instruct emergency personnel to accurately set the two electrode pads on the target defibrillation position of the patient body when using the medical device, thereby improving the defibrillation effect.
The camera 300 acquires the real-time position of the cardiopulmonary resuscitation detection component 200 in contact with the patient body, and sends the real-time position to the controller 400, the controller 400 judges whether the real-time position of the cardiopulmonary resuscitation detection component 200 is consistent with the target cardiopulmonary resuscitation position, if not, the display screen 500 and/or the loudspeaker 600 are controlled to send out second prompt information, and emergency personnel can be guided to accurately set the cardiopulmonary resuscitation detection component 200 on the target cardiopulmonary resuscitation position of the patient body according to the second prompt information, so that the cardiopulmonary resuscitation effect is improved.
In addition, when the emergency personnel perform a cardiopulmonary resuscitation operation on the patient, the cardiopulmonary resuscitation detection unit 200 is pressed, and the cardiopulmonary resuscitation detection unit 200 acquires compression parameter information such as the compression depth and compression frequency of the patient, and transmits the compression parameter information to the controller 400. The controller 400 judges whether the pressing parameter information is consistent with the pressing parameter threshold value, if not, the display screen 500 and/or the loudspeaker 600 are controlled to send out third prompt information, and emergency personnel can be guided to timely adjust the pressing frequency and the pressing depth when carrying out cardiopulmonary resuscitation operation on a patient according to the third prompt information, so that the cardiopulmonary resuscitation effect is improved, and finally the treatment success rate of the patient can be improved.
While the invention has been shown and described with reference to certain preferred embodiments thereof, it will be understood by those skilled in the art that the foregoing is a further detailed description of the invention with reference to specific embodiments, and it is not intended to limit the practice of the invention to those descriptions. Various changes in form and detail may be made therein by those skilled in the art, including a few simple inferences or alternatives, without departing from the spirit and scope of the present invention.

Claims (10)

1. A control method based on a medical device, which is characterized in that the medical device comprises a controller, a defibrillation component, a cardiopulmonary resuscitation detection component, a camera, a display screen and a loudspeaker; the defibrillation component, the cardiopulmonary resuscitation detection component, the camera, the display screen and the loudspeaker are respectively connected with the controller; the method comprises the following steps:
the camera acquires first real-time position information of the defibrillation component and sends the first real-time position information to the controller, wherein the first real-time position information is information of a contact position of the defibrillation component and a patient body;
the controller receives the first real-time position information, judges whether the first real-time position information is consistent with the first target position information according to the first real-time position information and the first target position information stored in the controller, and if the first real-time position information is inconsistent with the first target position information, the controller controls the display screen and/or the loudspeaker to send out first prompt information to prompt emergency personnel to adjust the position of the defibrillation component contacted with the body of the patient so that the first real-time position information is consistent with the first target position information; if the defibrillation operation is consistent, the controller controls the defibrillation component to execute the defibrillation operation;
The camera acquires second real-time position information of the cardiopulmonary resuscitation detection component and sends the second real-time position information to the controller, wherein the second real-time position information is information of a contact position of the cardiopulmonary resuscitation detection component and a patient body;
the controller receives the second real-time position information, judges whether the second real-time position information is consistent with the second target position information according to the second real-time position information and the second target position information stored in the controller, and if the second real-time position information is inconsistent with the second target position information, the controller controls the display screen and/or the loudspeaker to send out second prompt information to prompt emergency personnel to adjust the position of the cardiopulmonary resuscitation detection component contacted with the patient body so as to enable the second real-time position information to be consistent with the second target position information; if the two types of information are consistent, the controller controls the cardiopulmonary resuscitation detection component to acquire the compression parameter information when the first-aid personnel perform cardiopulmonary resuscitation operation on the patient, and acquires the compression parameter information from the cardiopulmonary resuscitation detection component, wherein the compression parameter information comprises compression frequency and compression depth;
The controller judges whether the pressing parameter information is consistent with the pressing parameter threshold according to the pressing parameter information and a preset pressing parameter threshold, and if the pressing parameter information is inconsistent with the pressing parameter threshold, the controller controls the display screen and/or the loudspeaker to send out third prompt information so as to prompt emergency personnel to adjust cardiopulmonary resuscitation operation.
2. The medical device-based control method of claim 1, wherein the method further comprises the controller determining the first target location information by:
the camera acquires body contour information of a patient and sends the body contour information of the patient to the controller;
the controller receives the patient body contour information and determines the first target location information based on the patient body contour information, preset standard phantom contour information, and standard location information of the defibrillation component in the preset standard phantom contour.
3. The medical device-based control method of claim 2, further comprising the controller determining the second target location information from the patient body contour information.
4. The medical device-based control method of claim 3, wherein the controller determines whether the second real-time location information is consistent with the second target location information by:
if d 2 The controller judges that the second real-time position information is consistent with the second target position information;
if d 2 The controller judges that the second real-time position information is inconsistent with the second target position information;
wherein d 2 Is the distance between the real-time position of the cardiopulmonary resuscitation detection component and the target position of the cardiopulmonary resuscitation detection component.
5. The medical device-based control method of claim 1, wherein the first prompt message, the second prompt message, and the third prompt message are at least one of a picture prompt message, a video prompt message, and a voice prompt message.
6. The medical device-based control method of any one of claims 1-5, wherein the method further comprises the defibrillation component performing defibrillation operations comprising:
the defibrillation component acquires heart rate information of a patient and sends the heart rate information to the controller;
The controller receives the heart rate information and sets the electric shock energy of the defibrillation component according to the heart rate information;
the defibrillation component defibrillates the patient in accordance with the shock energy.
7. The medical device-based control method of claim 6, wherein the method further comprises: the controller stores the heart rate information and transmits the heart rate information to a cloud backend server of the medical device.
8. The medical device-based control method of claim 6, wherein the shock energy comprises a shock voltage, a shock current, and a shock time.
9. The medical device-based control method of any one of claims 1-5, wherein the compression parameter threshold comprises a compression frequency threshold and a compression depth threshold, the compression frequency threshold ranging from 100 to 120 times per minute, the compression depth threshold ranging from 5 to 6cm.
10. A medical device, comprising:
the device comprises a defibrillation component, a cardiopulmonary resuscitation detection component, a camera, a display screen, a loudspeaker and a controller, wherein the defibrillation component, the cardiopulmonary resuscitation detection component, the camera, the display screen and the loudspeaker are respectively connected with the controller; wherein the method comprises the steps of
The defibrillation component is used for contacting with the body of a patient to defibrillate the patient; and for obtaining heart rate information of the patient and transmitting the heart rate information to the controller;
the cardiopulmonary resuscitation detection component is used for contacting with the body of a patient, acquiring compression parameter information when an emergency personnel performs cardiopulmonary resuscitation operation on the patient, and sending the compression parameter information to the controller, wherein the compression parameter information comprises compression frequency and compression depth;
the camera is used for acquiring the body contour information of a patient, acquiring first real-time position information of the defibrillation component and second real-time position information of the cardiopulmonary resuscitation detection component, and sending the body contour information of the patient, the first real-time position information and the second real-time position information to the controller, wherein the first real-time position information is information of a contact position of the defibrillation component and the body of the patient, and the second real-time position information is information of a contact position of the cardiopulmonary resuscitation detection component and the body of the patient;
the controller is used for executing the following processes:
the method comprises the steps of receiving body contour information of a patient, and determining first target position information of the defibrillation component according to the body contour information of the patient, preset standard mannequin contour information and standard position information of the defibrillation component in the preset standard mannequin contour;
The method comprises the steps of receiving the first real-time position information and judging whether the first real-time position information is consistent with the first target position information or not; if the first real-time position information is inconsistent with the first target position information, the display screen and/or the loudspeaker are/is controlled to send out first prompt information to prompt emergency personnel to adjust the position of the defibrillation component in contact with the body of the patient, so that the first real-time position information is consistent with the first target position information; if the heart rate information is consistent, controlling the defibrillation component to acquire the heart rate information of the patient;
the device is used for receiving the heart rate information sent by the defibrillation component and determining electric shock energy according to the heart rate information;
determining second target location information for the cardiopulmonary resuscitation detection component based on the patient body contour information;
the real-time position information is used for receiving the second real-time position information and judging whether the second real-time position information is consistent with the second target position information or not; if the information is inconsistent, controlling the display screen and/or the loudspeaker to send out second prompt information to prompt emergency personnel to adjust the contact position of the cardiopulmonary resuscitation detection component and the patient body so as to enable the second real-time position information to be consistent with the second target position information; if the cardiopulmonary resuscitation detection parts are judged to be consistent, controlling the cardiopulmonary resuscitation detection parts to acquire pressing parameter information when emergency personnel perform cardiopulmonary resuscitation operation on a patient;
And the device is used for receiving the pressing parameter information, judging whether the pressing parameter information is consistent with the pressing parameter threshold according to the pressing parameter information and a preset pressing parameter threshold, and controlling the display screen and/or the loudspeaker to send out third prompt information to prompt emergency personnel to adjust cardiopulmonary resuscitation operation if the pressing parameter information is inconsistent with the pressing parameter threshold.
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