TW202508528A - Bleeding Hemostasis Feedback System - Google Patents
Bleeding Hemostasis Feedback System Download PDFInfo
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本發明係為一種出血止血回饋系統,特別是一種可模擬傷口出血,提供醫療救護學員練習準確止血,並可回饋是否正確操作及達到止血功效之出血止血回饋系統。The present invention is a bleeding hemostasis feedback system, in particular a bleeding hemostasis feedback system that can simulate wound bleeding, provide medical rescue trainees with accurate hemostasis training, and provide feedback on whether the operation is correct and the hemostasis effect is achieved.
按,不論是事故撞擊、斷肢、槍擊、切割、穿刺意外、…等意外創傷,其很容易因出血量過多、止血效果不佳…等因素,造成傷者因失血過多休克、身亡,進而使意外創傷出血的傷亡率居高不下;因此,除了減少意外事故之發生外,提高救護人員針對創傷傷口成功止血,減少失血過多情事發生,實乃醫護人員、醫療業者所急欲改進之課題。No matter it is accidental collision, amputation, gunshot, cutting, puncture, etc., it is easy to cause the victim to go into shock or die due to excessive bleeding, poor hemostasis, etc., which makes the mortality rate of accidental trauma bleeding remain high. Therefore, in addition to reducing the occurrence of accidents, improving the ability of rescue personnel to successfully stop bleeding from wounds and reducing the occurrence of excessive bleeding are indeed issues that medical staff and medical practitioners are eager to improve.
而為改善上述缺失,逐有業者設計出填塞止血練習組、穿戴式止血練習組、創傷模擬人、…等練習、模擬、教學系統,以供學員進行正確止血之練習;惟查,上述該些止血練習、模擬系統用來模擬血液的水液,其大多僅用單一馬達輸送,使得上述模擬系統之出血量為單一固定狀,因此無法針對動脈出血或靜脈出血進行模擬,同時因馬達輸送速度固定,因此無法模擬傷者因真實心跳頻率之間歇出血,造成練習模式單調,而無法符合實際狀況;而由於該些水液在每一次之止血練習後,必須將該些水液以人工方式倒回原處備用,而無法自動循環連續使用,在學員練習過程中若水液已全部輸出,學員必須中途倒回水液,而有練習中斷之缺失;尤其,上述之模擬、練習系統皆未設置有壓力、流量感測元件,使得學員在練習時無法準確得知是否施加適當之壓迫而可成功止血,造成學員容易有操作不確實之情事,使得在實際施救傷者時,並無法達到有效且成功的止血,造成傷者仍有失血過多之情事發生;另外,由於上述模擬系統並未設置有脈搏模擬裝置,學員以止血帶練習時,並無法確認止血狀態中之脈搏是否正確止血而停止跳動,因此上述模擬系統實有模擬不足而無法使學員達到最佳練習效果之缺失待改進。In order to improve the above shortcomings, some industry practitioners have designed training, simulation and teaching systems such as packing hemostasis training sets, wearable hemostasis training sets, trauma simulators, etc., so that trainees can practice correct hemostasis. However, it is found that the water used to simulate blood in the above hemostasis training and simulation systems is mostly transported by a single motor, so that the amount of bleeding in the above simulation system is a single fixed state. Therefore, it is impossible to simulate arterial or venous bleeding. At the same time, because the motor delivery speed is fixed, it is impossible to simulate the intermittent bleeding of the injured person due to the real heart rate, resulting in a monotonous training mode that cannot match the actual situation. And because the liquid must be manually returned to the original place for standby after each hemostasis exercise, and cannot be automatically circulated and used continuously, If all the liquid has been drained out during the training, the trainee must pour it back in the middle of the training, which results in the interruption of the training. In particular, the above-mentioned simulation and training systems are not equipped with pressure and flow sensors, so that the trainees cannot accurately know whether they have applied appropriate pressure to successfully stop the bleeding during the training, which makes it easy for the trainees to operate uncertainly, making it difficult for them to actually rescue the injured. It is not possible to achieve effective and successful hemostasis, resulting in excessive blood loss to the injured. In addition, since the above simulation system is not equipped with a pulse simulation device, when the trainees practice with a tourniquet, they cannot confirm whether the pulse in the hemostasis state has stopped bleeding correctly. Therefore, the above simulation system is insufficient in simulation and cannot enable the trainees to achieve the best training effect, which needs to be improved.
本發明之目的,即在於改善上述模擬系統之缺失,俾提供一種可模擬傷口出血,提供救護學員練習準確止血,並可回饋是否正確操作及達到止血功效之出血止血回饋系統。The purpose of the present invention is to improve the defects of the above-mentioned simulation system, so as to provide a bleeding hemostasis feedback system that can simulate wound bleeding, provide first aid trainees with training on accurate hemostasis, and provide feedback on whether the operation is correct and the hemostasis effect is achieved.
為達到上述目的,本發明之出血止血回饋系統,包含有一控制元件、脈衝寬度調變元件(PWM)、繼電器、馬達元件、水流感測元件、水壓感測元件、藍芽元件、電源供應器、儲水槽及仿真軀體;其中:To achieve the above-mentioned purpose, the hemostasis feedback system of the present invention comprises a control element, a pulse width modulation element (PWM), a relay, a motor element, a water flow sensing element, a water pressure sensing element, a Bluetooth element, a power supply, a water storage tank and a simulated body; wherein:
控制元件,係與脈衝寬度調變元件(PWM)、水流感測元件、水壓感測元件、藍芽元件及電源供應器連接,用以輸出控制訊號至脈衝寬度調變元件(PWM),並可接收水流感測元件及水壓感測元件所傳送之訊號;該控制元件並利用藍芽元件與行動裝置間相互接收、傳送訊號;The control element is connected with the pulse width modulation element (PWM), the water flow sensing element, the water pressure sensing element, the Bluetooth element and the power supply, and is used to output a control signal to the pulse width modulation element (PWM), and can receive signals sent by the water flow sensing element and the water pressure sensing element; the control element also uses the Bluetooth element to receive and transmit signals with the mobile device;
脈衝寬度調變元件(PWM),係與控制元件、繼電器及電源供應器電性連接,該脈衝寬度調變元件(PWM)用以接收控制元件所傳送之控制訊號,並將該控制訊號傳送至繼電器;A pulse width modulation element (PWM) is electrically connected to the control element, the relay and the power supply. The pulse width modulation element (PWM) is used to receive a control signal sent by the control element and send the control signal to the relay;
繼電器,係與脈衝寬度調變元件(PWM)、馬達元件及電源供應器電性連接,該繼電器係用以接收脈衝寬度調變元件(PWM)所傳送之控制訊號,並依據該控制訊號控制驅動馬達元件;The relay is electrically connected to the pulse width modulation element (PWM), the motor element and the power supply. The relay is used to receive the control signal transmitted by the pulse width modulation element (PWM) and control the driving motor element according to the control signal;
馬達元件,係與繼電器及電源供應器電性連接,該馬達元件並利用輸水管與儲水槽、仿真軀體連接,該馬達元件可依據繼電器之控制訊號將儲水槽中之水液輸送水液至仿真軀體,以模擬出血效果,且該些由仿真軀體輸出之水液可再循環輸送至儲水槽中;The motor element is electrically connected to the relay and the power supply. The motor element is also connected to the water tank and the simulated body through a water pipe. The motor element can transport the water in the water tank to the simulated body according to the control signal of the relay to simulate the bleeding effect. The water output from the simulated body can be recirculated and transported to the water tank.
水流感測元件,係與控制元件及電源供應器電性連接,並用以偵測馬達元件所連接輸水管之流量,並回傳所偵測之流量訊號至控制元件;The water flow sensing element is electrically connected to the control element and the power supply, and is used to detect the flow of the water pipe connected to the motor element, and return the detected flow signal to the control element;
水壓感測元件,係與控制元件及電源供應器電性連接,並用以偵測馬達元件所連接輸水管之壓力值,並回傳所偵測之壓力訊號至控制元件;The water pressure sensing element is electrically connected to the control element and the power supply, and is used to detect the pressure value of the water pipe connected to the motor element, and return the detected pressure signal to the control element;
藍芽元件,係與控制元件及電源供應器電性連接,用以提供控制元件與行動裝置間相互接收、傳送訊號;The Bluetooth component is electrically connected to the control component and the power supply to provide mutual reception and transmission of signals between the control component and the mobile device;
電源供應器,係與控制元件、脈衝寬度調變元件、繼電器、馬達元件、水流感測元件、水壓感測元件及藍芽元件電性連接,以提供電源供應使用;The power supply is electrically connected to the control element, the pulse width modulation element, the relay, the motor element, the water flow sensing element, the water pressure sensing element and the Bluetooth element to provide power supply;
藉由上述構造,俾提供一種可模擬傷口出血,提供救護學員練習準確止血,並可回饋是否正確操作及達到止血功效之出血止血回饋系統。The above structure provides a bleeding hemostasis feedback system that can simulate wound bleeding, provide first aid trainees with training on accurate hemostasis, and provide feedback on whether the operation is correct and the hemostasis effect is achieved.
有關本發明為達到目的所運用之技術手段及其構造,茲謹再配合圖1至圖2所示之實施例, 詳細說明如下:The technical means and structures used by the present invention to achieve the purpose are described in detail with reference to the embodiments shown in FIGS. 1 and 2 :
如圖1所示,本發明之出血止血回饋系統,包含有一控制元件10、脈衝寬度調變元件(PWM)20、繼電器30、馬達元件40、水流感測元件50、水壓感測元件60、藍芽元件70、電源供應器80、儲水槽100及仿真軀體200;其中:As shown in FIG1 , the hemostasis feedback system of the present invention comprises a
控制元件10(請參閱圖1所示),係與脈衝寬度調變元件(PWM)20、水流感測元件50、水壓感測元件60、藍芽元件70及電源供應器80連接,用以輸出控制訊號至脈衝寬度調變元件(PWM)20,並可接收水流感測元件50及水壓感測元件60所傳送之訊號;該控制元件10並利用藍芽元件80與行動裝置300間相互接收、傳送訊號。The control element 10 (see FIG. 1 ) is connected to a pulse width modulation element (PWM) 20, a water
脈衝寬度調變元件(PWM)20(請參閱圖1所示),係與控制元件10、繼電器30及電源供應器80電性連接,該脈衝寬度調變元件(PWM)20用以接收控制元件10所傳送之控制訊號,並將該控制訊號傳送至繼電器30。The pulse width modulation element (PWM) 20 (see FIG. 1 ) is electrically connected to the
繼電器30(請參閱圖1所示),係與脈衝寬度調變元件(PWM)20、馬達元件40及電源供應器80電性連接,該繼電器30係用以接收脈衝寬度調變元件(PWM)20所傳送之控制訊號,並依據該控制訊號控制驅動馬達元件40。The relay 30 (see FIG. 1 ) is electrically connected to the pulse width modulation element (PWM) 20, the
馬達元件40(請參閱圖1所示),係與繼電器30及電源供應器80電性連接,該馬達元件40並利用輸水管41與儲水槽100、仿真軀體200連接,該馬達元件40可依據繼電器30之控制訊號將儲水槽100中之水液輸送水液至仿真軀體200,以模擬出血效果,且該些由仿真軀體200輸出之水液可再循環輸送至儲水槽100中。The motor element 40 (see FIG. 1 ) is electrically connected to the
水流感測元件50(請參閱圖1所示),係與控制元件10及電源供應器80電性連接,並用以偵測馬達元件40所連接輸水管41之流量,並回傳所偵測之流量訊號至控制元件10。The water flow sensing element 50 (see FIG. 1 ) is electrically connected to the
水壓感測元件60(請參閱圖1所示),係與控制元件10及電源供應器80電性連接,並用以偵測馬達元件40所連接輸水管41之壓力值,並回傳所偵測之壓力訊號至控制元件10。The water pressure sensing element 60 (see FIG. 1 ) is electrically connected to the
藍芽元件70(請參閱圖1所示),係與控制元件10及電源供應器80電性連接,用以提供控制元件10與行動裝置300間相互接收、傳送訊號。The Bluetooth component 70 (see FIG. 1 ) is electrically connected to the
電源供應器80(請參閱圖1所示),係與控制元件10、脈衝寬度調變元件(PWM)20、繼電器30、馬達元件40、水流感測元件50、水壓感測元件60及藍芽元件70電性連接,以提供電源供應使用。The power supply 80 (see FIG. 1 ) is electrically connected to the
儲水槽100(請參閱圖1所示),係用以儲存水液,並與馬達元件40之輸水管41連接。The water storage tank 100 (see FIG. 1 ) is used to store water and is connected to the
仿真軀體200(請參閱圖1所示),係以矽膠材質所製成,該仿真軀體200設置有傷口201,該仿真軀體200並與馬達元件40之輸水管41銜接,令輸水管41之水液可由傷口201排出,以模擬出血效果。The simulated body 200 (see FIG. 1 ) is made of silicone material and is provided with a
藉由上述構造,利用行動裝置300可進行相關控制數值之設定,如:設定每分鐘水液輸出量為動脈出血(如:150cc)、靜脈出血(如:100cc)、微血管出血(如:30cc)或隨機出血,以及設定脈衝寬度調變元件(PWM)20、繼電器30之頻率輸出、馬達元件40之轉速,即可模擬預設之出血量、出血速度等,並同時設定止血壓力值及水液輸出量安全值;然後,如圖2所示,利用行動裝置300傳送設定之控制訊號,該控制元件10藉由藍芽元件70即可接收行動裝置300之控制訊號,並將該些控制訊號傳送至脈衝寬度調變元件(PWM)20、繼電器30及馬達元件40,令馬達元件40依據控制訊號運轉,然後,儲水槽100中之水液即依據設定輸送至仿真軀體200,並由仿真軀體200上之傷口201流出,以模擬人體出血的效果,藉由該脈衝寬度調變元件20與繼電器30之時序控制,使得馬達元件40得以模擬心跳頻率而可時大時小、間歇地將水液由仿真軀體200之傷口201輸出;另外,本發明之水流感測元件50及水壓感測元件60亦即時將所偵測之流量訊號、壓力訊號傳送至控制元件10,該控制元件10利用藍芽元件70即時傳送至行動裝置300,令行動裝置300可即時顯示目前之流量及壓力,並據以判斷整體流量是否已超過設定之水液輸出量安全值。Through the above structure, the
接者,學員可針對仿真軀體200之傷口201進行止血(如:直接加壓止血、包紮加壓止血…等),藉以阻擋水液不致由傷口201輸出,此時,藉由水流感測元件50及水壓感測元件60偵測流量及壓力,並將流量及壓力訊號傳送至控制元件10進行判斷;當控制元件10判斷壓力訊號已確實達到止血壓力值且維持一定時間,水液流量亦確實變小時,該控制元件10即控制驅動馬達元件40不再輸出水液至仿真軀體200,並利用藍芽元件70傳送止血成功訊號以及水液輸出量至行動裝置300紀錄、顯示,並令馬達元件40及伺服馬達90停止,完成本次止血練習;然後該馬達元件40將已輸出之水液循環回送至儲水槽100中以備使用。Next, the trainee can stop bleeding at the
而若學員針對仿真軀體200之傷口201止血,該水流感測元件50及水壓感測元件60偵測流量及壓力,並將流量及壓力訊號傳送至控制元件10進行判斷;當控制元件10判斷壓力訊號並未達到止血壓力值,水液流量亦未改變時,該控制元件10即控制驅動馬達元件40持續輸出水液至仿真軀體200之傷口201,待設定練習時間到達或水液輸出量已超出設定值後,若控制元件10判斷壓力訊號仍未達到止血壓力值,水液流量亦未改變,該控制元件10利用藍芽元件70傳送止血失敗訊號以及水液輸出量至行動裝置300紀錄、顯示,但功能會照常運作,直至人員經由藍芽元件70控制暫停,完成本次止血練習;然後該馬達元件40將已輸出之水液循環回送至儲水槽100中以備使用。If the trainee stops bleeding from the
承上述,本發明進一步包含有一伺服馬達90,該伺服馬達90係與控制元件10及電源供應器80電性連接,該伺服馬達90可依據控制元件10之控制模擬脈搏之跳動。Based on the above, the present invention further includes a
當開始止血練習時,該伺服馬達90係藉由控制元件10之控制訊號,隨馬達元件40輸出水液模擬出血之同時同步開始運轉以模擬脈搏;當學員針對仿真軀體200之傷口201以止血帶進行止血練習,若學員操作正確且止血帶確實對仿真軀體200之傷口201施加壓力,藉由水流感測元件50及水壓感測元件60將流量及壓力訊號傳送至控制元件10,該控制元件10據以判斷壓力訊號已確實達到止血壓力值且持續一段時間,同時水液流量確實變小時,該控制元件10即控制驅動馬達元件40不再輸出水液至仿真軀體200,並控制伺服馬達90不再運轉,此時,該控制元件10即利用藍芽元件70傳送止血成功訊號及水液輸出量至行動裝置300紀錄、顯示,並令馬達元件40及伺服馬達90停止,完成正確止血及摸不到脈搏之練習,達到完全截斷動脈和靜脈的血流模擬。When the hemostasis exercise begins, the
而若學員針對仿真軀體200之傷口201並未以止血帶正確止血,該水流感測元件50及水壓感測元件60將偵測之流量訊號及壓力訊號傳送至控制元件10,該控制元件10據以判斷壓力訊號並未達到止血壓力值,水液流量亦未改變時,該控制元件10即控制驅動馬達元件40持續輸出水液至仿真軀體200之傷口201,該伺服馬達90持續運轉,待設定練習時間到達或水液輸出量已超出設定值後,若控制元件10判斷壓力訊號仍未達到止血壓力值,水液流量亦未改變,該控制元件10利用藍芽元件70傳送止血失敗訊號以及水液輸出量至行動裝置300紀錄、顯示,但功能會照常運作,直至人員經由藍芽元件70控制暫停,完成本次止血練習;然後該馬達元件40將已輸出之水液循環回送至儲水槽100中以備使用。If the trainee fails to stop bleeding correctly with a tourniquet at the
由是,從以上所述可知,本發明具有如下之優點:Therefore, from the above description, it can be seen that the present invention has the following advantages:
(一)由於本發明設有脈衝寬度調變元件(PWM)20及繼電器30,因此該馬達元件40輸出水液時,可模擬隨心跳頻率時大時小、間歇性的真實出血效果,進而可增加學員止血練習之困難度與挑戰性,提高實際傷口之止血成功率。(i) Since the present invention is provided with a pulse width modulation element (PWM) 20 and a
(二)由於本發明設置有水流感測元件50用以偵測水液流量,其可穩定計算血液輸出流量(如:動脈出血、靜脈出血、微血管出血…等)並即時顯示於行動裝置300上;同時,可提供控制元件10判斷水液輸出量是否已超過安全值(如:1500毫升),作為傷患是否已達大出血危險之判斷標準;另外,本發明之水流感測元件50亦可即時將流量訊號傳送至控制元件10,該控制元件10即時傳送至行動裝置300,因此學員可利用行動裝置300即時顯示目前之流量訊號而可即時調整處理速度,提高止血練習之正確性及快速性。(ii) Since the present invention is provided with a water
(三)再,由於本發明設置有水壓感測元件60,其可提供學員進行加壓止血時的偵測判斷,且該水壓感測元件60可將所偵測之壓力訊號傳送至控制元件10進行判斷,因此可提高止血判斷之正確性與快速性;同時,本發明之水壓感測元件60亦可即時將壓力訊號傳送至控制元件10,該控制元件10即時傳送至行動裝置300,因此學員可利用行動裝置300即時顯示目前之壓力訊號而可即時調整所施加之止血壓力,提高止血練習之正確性及完成度。(III) Furthermore, since the present invention is provided with a water
(四)又, 由於本發明設置有伺服馬達 90,且該伺服馬達 90 與控制元件 10 電性連接,其可提供模擬脈搏跳動(如:橈動脈、足背動脈…等)之效果,當學員利用止血帶對下肢進行練習時,由於足背動脈位於腳掌背部而很難找到此動脈位置,且下肢創傷通常容易成為大量出血,因此本發明之伺服馬達90可做為學員判斷是否正確止血之依據及確認是否停止跳動之重點;相較於習用止血模擬系統並未有模擬脈搏跳動之裝置,本發明確實具有高度實用性與進步性。(iv) In addition, since the present invention is provided with a
(五)另,由於本發明所設置之馬達元件40,其不僅可將水液輸送至仿真軀體200之傷口201,該馬達元件40亦可將由傷口201流出之水液即時回抽循環使用,學員不需以人工方式倒回水液使用,因此本發明確實可節省水液倒回的時間,實具有省時省力與即時回抽循環之優點。(V) In addition, since the
(六)再,由於本發明係利用藍芽元件70與行動裝置300連接,因此本發明可利用行動裝置300即時調整、設置相關設定數值與啟閉控制,且可即時顯示各偵測數值,以及紀錄多項數據;因此,本發明確具有控制方便性、快速性及簡單性,且可將各項數值、成績紀錄儲存,使各學員可調整自身之止血能力。(VI) Furthermore, since the present invention utilizes the
因此,本發明確實具有進步性與實用性,且其方法確為未曾有過,誠已符合發明專利之要件,爰依法提出專利申請,並祈賜專利為禱,至感德便。Therefore, this invention is indeed progressive and practical, and its method is indeed unprecedented. It truly meets the requirements for invention patents. Therefore, we have filed a patent application in accordance with the law and pray for the grant of the patent. I am very grateful.
惟以上所述,僅為本發明之可行實施例,該實施例主要僅在於用以舉例說明本發明為達到目的所運用之技術手段及其構造,因此並不能以之限定本發明之保護範圍,舉凡依本發明說明書及申請專利範圍所為之等效變化或修飾,皆應仍屬本發明所涵蓋之保護範圍者。However, the above is only a feasible embodiment of the present invention. The embodiment is mainly used to illustrate the technical means and structure used by the present invention to achieve the purpose. Therefore, it cannot be used to limit the protection scope of the present invention. Any equivalent changes or modifications made according to the description of the present invention and the scope of the patent application should still fall within the protection scope covered by the present invention.
10:控制元件 20:脈衝寬度調變元件 30:繼電器 40:馬達元件 41:輸水管 50:水流感測元件 60:水壓感測元件 70:藍芽元件 80:電源供應器 90:伺服馬達 100:儲水槽 200:仿真軀體 201:傷口 300:行動裝置 10: Control element 20: Pulse width modulation element 30: Relay 40: Motor element 41: Water pipe 50: Water flow sensor element 60: Water pressure sensor element 70: Bluetooth element 80: Power supply 90: Servo motor 100: Water tank 200: Simulated body 201: Wound 300: Mobile device
〔圖1〕係本發明之系統圖。 〔圖2〕係本發明之系統圖,及流程示意圖。 [Figure 1] is a system diagram of the present invention. [Figure 2] is a system diagram of the present invention and a schematic diagram of the process.
10:控制元件 10: Control elements
20:脈衝寬度調變元件 20: Pulse Width Modulation Component
30:繼電器 30: Relay
40:馬達元件 40: Motor components
41:輸水管 41: Water pipe
50:水流感測元件 50: Water flow detection element
60:水壓感測元件 60: Water pressure sensing element
70:藍芽元件 70: Bluetooth component
80:電源供應器 80: Power supply
90:伺服馬達 90:Servo motor
100:儲水槽 100: Water storage tank
200:仿真軀體 200:Simulation body
201:傷口 201: Wounds
300:行動裝置 300: Mobile devices
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| TWI679963B (en) * | 2018-10-11 | 2019-12-21 | 逢甲大學 | Minimally invasive surgery simulation training device |
| CN114642473B (en) * | 2022-03-23 | 2024-10-29 | 首都医科大学宣武医院 | Pressure monitoring hemostasis device |
| CN219066307U (en) * | 2022-12-07 | 2023-05-23 | 中国消防救援学院 | Wound hemostasis principle presentation device |
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