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TWI858887B - Bleeding Hemostasis Feedback System - Google Patents

Bleeding Hemostasis Feedback System Download PDF

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Publication number
TWI858887B
TWI858887B TW112132299A TW112132299A TWI858887B TW I858887 B TWI858887 B TW I858887B TW 112132299 A TW112132299 A TW 112132299A TW 112132299 A TW112132299 A TW 112132299A TW I858887 B TWI858887 B TW I858887B
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water
control
power supply
motor
relay
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TW112132299A
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TW202508528A (en
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林禹丞
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艾克斯國際有限公司
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Abstract

一種出血止血回饋系統,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,該控制元件係用以控制脈衝寬度調變元件,並接收水流感測元件及水壓感測元件所傳送之訊號;該脈衝寬度調變元件係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;該繼電器係用以控制驅動馬達元件;該馬達元件係依據控制訊號輸送水液;該水流感測元件係用以偵測流量;該水壓感測元件係用以偵測壓力值;該藍芽元件係與控制元件連接,用以提供控制元件與行動裝置間相互接收、傳送訊號;該電源供應器用以提供電源供應使用;藉此,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。A hemostasis feedback system includes 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 the control element is used to control the pulse width modulation element and receive signals transmitted by the water flow sensing element and the water pressure sensing element; the pulse width modulation element is used to receive a control signal transmitted by the control element and transmit the control signal to the relay; the relay is used to The motor element is used to control the driving motor element; the motor element transports water according to the control signal; the water flow sensing element is used to detect the flow rate; the water pressure sensing element is used to detect the pressure value; the Bluetooth element is connected to the control element to provide mutual reception and transmission of signals between the control element and the mobile device; the power supply is used to provide power supply; thereby, a bleeding hemostasis feedback system is provided that can simulate wound bleeding, provide first aid trainees with accurate hemostasis training, and provide feedback on whether the correct operation and hemostasis effect are achieved.

Description

出血止血回饋系統Bleeding Hemostasis Feedback System

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。 According to the information, whether it is accidental collision, amputation, gunshot, cutting, puncture accident, etc., it is easy to cause the victim to go into shock or die due to excessive bleeding, poor hemostasis effect, etc., which makes the mortality rate of accidental trauma bleeding 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-mentioned shortcomings, some 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-mentioned hemostasis training and simulation systems is mostly transported by a single motor, so that the amount of bleeding in the above-mentioned simulation systems is a single fixed state. Therefore, it is not possible to simulate arterial or venous bleeding. At the same time, because the motor delivery speed is fixed, it is not possible to simulate the intermittent bleeding of the injured due to the real heart rate, resulting in a monotonous training mode that does not conform to the actual situation. And because the liquid must be manually returned to its original place for standby after each hemostasis exercise, and cannot be automatically circulated and used continuously, it is difficult to learn. If the liquid has been completely discharged during the training, the trainee must pour it back in the middle of the training, which results in the training being interrupted. In particular, the above-mentioned simulation and training systems are not equipped with pressure and flow sensing components, so that the trainee cannot accurately know whether the appropriate pressure is applied to successfully stop the bleeding during the training, which makes it easy for the trainee to operate uncertainly, and when actually rescuing the injured, It is impossible 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 trainees to achieve the best training effect. This defect 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 ambulance trainees with the opportunity to practice accurate hemostasis, and provide feedback on whether the operation is correct and whether 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: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;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; 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;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;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;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;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;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;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。 To achieve the above-mentioned purpose, the hemostasis feedback system of the present invention includes 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: 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 to output a control signal to the pulse width modulation element (PWM), and can receive the signals transmitted by the water flow sensing element and the water pressure sensing element; the control element also uses the Bluetooth The components and the mobile device receive and transmit signals to each other; the pulse width modulation component (PWM) is electrically connected to the control component, the relay and the power supply. The pulse width modulation component (PWM) is used to receive the control signal transmitted by the control component and transmit the control signal to the relay; the relay is electrically connected to the pulse width modulation component (PWM), the motor component and the power supply. The relay is used to receive the control signal transmitted by the pulse width modulation component (PWM) and control the drive motor component according to the control signal; the motor component is electrically connected to the relay and the power supply. The motor element is electrically connected to the water supply, and the motor element is connected to the water tank and the simulated body by a water pipe. The motor element can transfer the water in the water tank to the simulated body according to the control signal of the relay to simulate the bleeding effect, and the water output from the simulated body can be recirculated and transferred to the water tank; 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; the water pressure 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. The pressure value of the water pipe is detected and the detected pressure signal is sent back to the control element. The Bluetooth element is electrically connected to the control element and the power supply to provide mutual reception and transmission of signals between the control element and the mobile device. 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. Through the above structure, a bleeding hemostasis feedback system is provided that can simulate wound bleeding, provide ambulance trainees with accurate hemostasis training, and provide feedback on whether the correct operation and hemostasis effect are achieved.

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

〔圖1〕係本發明之系統圖。 [Figure 1] is a system diagram of the present invention.

〔圖2〕係本發明之系統圖,及流程示意圖。 [Figure 2] is a system diagram and process flow diagram of the present invention.

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 as follows in conjunction with the embodiments shown in Figures 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 includes a control element 10, a pulse width modulation element (PWM) 20, a relay 30, a motor element 40, a water flow sensing element 50, a water pressure sensing element 60, a Bluetooth element 70, a power supply 80, a water storage tank 100 and a simulation body 200; wherein:

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

Figure 112132299-A0305-02-0006-1
70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 the pulse width modulation element (PWM) 20, the water flow sensing element 50, the water pressure sensing element 60, the Bluetooth element 70 and the power supply 80 to output a control signal to the pulse width modulation element (PWM) 20 and receive signals transmitted by the water flow sensing element 50 and the water pressure sensing element 60. The control element 10 also uses the Bluetooth element
Figure 112132299-A0305-02-0006-1
70 and the mobile device 300 receive and transmit signals to each other.

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 control element 10, the relay 30 and the power supply 80. The pulse width modulation element (PWM) 20 is used to receive the control signal transmitted by the control element 10 and transmit the control signal to the relay 30.

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 motor element 40 and the power supply 80. The relay 30 is used to receive the control signal transmitted by the pulse width modulation element (PWM) 20 and control the drive motor element 40 according to the control signal.

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 relay 30 and the power supply 80 . The motor element 40 is also connected to the water tank 100 and the simulation body 200 via the water pipe 41 . The motor element 40 can transfer the water in the water tank 100 to the simulation body 200 according to the control signal of the relay 30 to simulate the bleeding effect. The water outputted from the simulation body 200 can be recirculated and transferred to the water tank 100 .

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 control element 10 and the power supply 80 , and is used to detect the flow of the water pipe 41 connected to the motor element 40 , and to return the detected flow signal to the control element 10 .

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 control element 10 and the power supply 80 , and is used to detect the pressure value of the water pipe 41 connected to the motor element 40 , and to return the detected pressure signal to the control element 10 .

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 control component 10 and the power supply 80 to provide mutual reception and transmission of signals between the control component 10 and the mobile device 300.

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 control element 10, the pulse width modulation element (PWM) 20, the relay 30, the motor element 40, the water flow sensing element 50, the water pressure sensing element 60 and the Bluetooth element 70 to provide power supply.

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 water pipe 41 of the motor element 40 .

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. The simulated body 200 is provided with a wound 201. The simulated body 200 is connected to the water pipe 41 of the motor element 40 so that the water in the water pipe 41 can be discharged from the wound 201 to simulate the bleeding effect.

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 mobile device 300 can be used to set the relevant control values, such as setting the fluid output per minute to arterial bleeding (such as: 150cc), venous bleeding (such as: 100cc), microvascular bleeding (such as: 30cc) or random bleeding, and setting the pulse width modulation element (PWM) 20, the frequency output of the relay 30, and the speed of the motor element 40, so as to simulate the prediction. The amount of bleeding, bleeding speed, etc. are set, and the hemostatic pressure value and the safe value of the fluid output are set at the same time; then, as shown in FIG2, the mobile device 300 is used to transmit the set control signal, and the control element 10 can receive the control signal of the mobile device 300 through the Bluetooth element 70, and transmit the control signal to the pulse width modulation element (PWM) 20, the relay 30 and the motor element 40, so that the motor The element 40 operates according to the control signal, and then the water in the water tank 100 is transported to the simulated body 200 according to the setting, and flows out from the wound 201 on the simulated body 200 to simulate the effect of human bleeding. Through the timing control of the pulse width modulation element 20 and the relay 30, the motor element 40 can simulate the heartbeat frequency and intermittently transfer the water from the simulated body 200 to the simulated body 200. In addition, the water flow sensing element 50 and the water pressure sensing element 60 of the present invention also transmit the detected flow signal and pressure signal to the control element 10 in real time, and the control element 10 transmits the detected flow signal and pressure signal to the mobile device 300 in real time using the Bluetooth element 70, so that the mobile device 300 can display the current flow rate and pressure in real time, and judge whether the overall flow rate has exceeded the set water output safety value.

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 wound 201 of the simulated body 200 (e.g., direct pressure hemostasis, bandage pressure hemostasis, etc.) to prevent water from flowing out of the wound 201. At this time, the flow rate and pressure are detected by the water flow sensing element 50 and the water pressure sensing element 60, and the flow rate and pressure signals are transmitted to the control element 10 for judgment. When the control element 10 determines that the pressure signal has indeed reached the hemostatic pressure value and maintained for a certain period of time, the control element 10 will stop bleeding. When the water flow rate does decrease, the control element 10 controls the driving motor element 40 to stop outputting water to the simulated body 200, and uses the Bluetooth element 70 to transmit the hemostasis success signal and the water output amount to the mobile device 300 for recording and display, and stops the motor element 40 and the servo motor 90 to complete the hemostasis exercise; then the motor element 40 circulates the output water back to the water storage tank 100 for use.

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 wound 201 of the simulated body 200, the water flow sensing element 50 and the water pressure sensing element 60 detect the flow rate and pressure, and transmit the flow rate and pressure signals to the control element 10 for judgment; when the control element 10 judges that the pressure signal has not reached the hemostatic pressure value and the water flow rate has not changed, the control element 10 controls the driving motor element 40 to continuously output water to the wound 201 of the simulated body 200 until the set training time is reached or the water flow rate is not changed. After the output exceeds the set value, if the control element 10 determines that the pressure signal has not reached the hemostatic pressure value and the water flow rate has not changed, the control element 10 uses the Bluetooth element 70 to transmit the hemostasis failure signal and the water output to the mobile device 300 for recording and display, but the function will operate as usual until the person controls the pause through the Bluetooth element 70 to complete the hemostasis exercise; then the motor element 40 circulates the output water back to the water storage tank 100 for use.

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 servo motor 90, which is electrically connected to the control element 10 and the power supply 80. The servo motor 90 can simulate the beating of the pulse according to the control of the control element 10.

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 servo motor 90 starts to operate synchronously with the motor element 40 outputting water to simulate bleeding to simulate the pulse through the control signal of the control element 10; when the trainee performs the hemostasis exercise on the wound 201 of the simulated body 200 with a tourniquet, if the trainee operates correctly and the tourniquet does exert pressure on the wound 201 of the simulated body 200, the flow rate and pressure signals are transmitted to the control element 10 through the water flow sensing element 50 and the water pressure sensing element 60, and the control element 10 judges that the pressure signal has been When the hemostasis pressure value is reached and lasts for a period of time, and the water flow rate is reduced, the control element 10 controls the driving motor element 40 to stop outputting water to the simulated body 200, and controls the servo motor 90 to stop running. At this time, the control element 10 uses the Bluetooth element 70 to transmit the hemostasis success signal and the water output volume to the mobile device 300 for recording and display, and stops the motor element 40 and the servo motor 90, completing the correct hemostasis and pulse-free exercise, achieving the complete blood flow simulation of cutting off the artery and vein.

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 properly stop bleeding with a tourniquet at the wound 201 of the simulated body 200, the water flow sensing element 50 and the water pressure sensing element 60 transmit the detected flow signal and pressure signal to the control element 10. The control element 10 determines that the pressure signal has not reached the hemostatic pressure value and the water flow rate has not changed. The control element 10 controls the drive motor element 40 to continuously output water to the wound 201 of the simulated body 200, and the servo motor 90 continues to operate. After the time is up or the water output exceeds the set value, if the control element 10 determines that the pressure signal has not reached the hemostatic pressure value and the water flow rate has not changed, the control element 10 uses the Bluetooth element 70 to transmit the hemostasis failure signal and the water output to the mobile device 300 for recording and display, but the function will operate as usual until the person controls the pause through the Bluetooth element 70 to complete the hemostasis exercise; then the motor element 40 circulates the output water back to the water storage tank 100 for use.

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 relay 30, the motor element 40 can simulate the intermittent bleeding effect of the heart rate when outputting water, thereby increasing the difficulty and challenge of the students' hemostasis training and improving the success rate of hemostasis of actual wounds.

(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 flow sensing element 50 for detecting water flow, it can stably calculate the blood output flow (such as arterial bleeding, venous bleeding, microvascular bleeding, etc.) and display it on the mobile device 300 in real time; at the same time, it can provide the control element 10 to determine whether the water output volume has exceeded the safety value (such as 1500 ml) as a judgment standard for whether the injury has reached the risk of massive bleeding; in addition, the water flow sensing element 50 of the present invention can also transmit the flow signal to the control element 10 in real time, and the control element 10 transmits it to the mobile device 300 in real time, so that the trainees can use the mobile device 300 to display the current flow signal in real time and adjust the processing speed in real time, thereby improving the accuracy and speed of hemostasis training.

(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 pressure sensing element 60, it can provide students with detection and judgment when applying pressure to stop bleeding, and the water pressure sensing element 60 can transmit the detected pressure signal to the control element 10 for judgment, thereby improving the accuracy and rapidity of the hemostasis judgment; at the same time, the water pressure sensing element 60 of the present invention can also transmit the pressure signal to the control element 10 in real time, and the control element 10 can transmit it to the mobile device 300 in real time, so the students can use the mobile device 300 to display the current pressure signal in real time and can adjust the applied hemostasis pressure in real time, thereby improving the accuracy and completion of the hemostasis training.

(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 servo motor 90, and the servo motor 90 is electrically connected to the control element 10, it can provide the effect of simulating pulse beating (such as: radial artery, dorsalis pedis artery, etc.). When students use a tourniquet to practice lower limbs, it is difficult to find the dorsalis pedis artery because it is located on the back of the sole of the foot. In addition, lower limb injuries are usually prone to heavy bleeding. Therefore, the servo motor 90 of the present invention can be used as a basis for students to judge whether the bleeding is stopped correctly and as a key point to confirm whether the beating has stopped. Compared with the hemostasis simulation system used for learning, which does not have a device for simulating pulse beating, the present invention is indeed highly practical and progressive.

(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 motor element 40 provided in the present invention can not only transport the liquid to the wound 201 of the simulated body 200, the motor element 40 can also immediately draw back the liquid flowing out of the wound 201 for circulation, so the trainees do not need to manually return the liquid for use. Therefore, the present invention can indeed save the time for returning the liquid, and has the advantages of saving time and labor and immediately drawing back the liquid.

(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 Bluetooth component 70 to connect with the mobile device 300, the present invention can utilize the mobile device 300 to adjust and set relevant setting values and enable and disable controls in real time, and can display each detection value in real time, and record multiple data; therefore, the present invention is indeed convenient, fast and simple to control, and can store various values and performance records, so that each student can adjust his or her own hemostasis ability.

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, which 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 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

Claims (3)

一種出血止血回饋系統,包含有一控制元件、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、藍芽元件、電源供應器、儲水槽及仿真軀體;其中: 控制元件,係與脈衝寬度調變元件、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; 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; 繼電器,係與脈衝寬度調變元件、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所傳送之控制訊號,並依據該控制訊號控制驅動馬達元件; 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; 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; 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; 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; 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。 A hemostasis feedback system includes a control element, a pulse width modulation element, 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: The control element is connected to the pulse width modulation element, the water flow sensing element, the water pressure sensing element, the Bluetooth element and the power supply to output a control signal to the pulse width modulation element (PWM), and can receive signals transmitted 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 a mobile device; The 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 the control signal transmitted by the control element and transmit the control signal to the relay; The relay is electrically connected to the pulse width modulation element, the motor element and the power supply. The relay is used to receive the control signal transmitted by the pulse width modulation element and control the drive motor element according to the control signal; The motor element is electrically connected to the relay and the power supply. The motor element is 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, and the water output from the simulated body can be recirculated and transported to the water tank; 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; 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; The Bluetooth element is electrically connected to the control element and the power supply, and is used to provide mutual reception and transmission of signals between the control element and the mobile device; 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. 如請求項1所述之出血止血回饋系統,其進一步包含有一伺服馬達,該伺服馬達係與控制元件及電源供應器電性連接,該伺服馬達可依據控制元件之控制模擬脈搏之跳動。The bleeding hemostasis feedback system as described in claim 1 further includes a servo motor, which is electrically connected to the control element and the power supply, and the servo motor can simulate the beating of the pulse according to the control of the control element. 如請求項1或2所述之出血止血回饋系統,其進一步包含有儲水槽,該儲水槽係用以儲存水液,該儲水槽並與馬達元件之輸水管連接。The hemostasis feedback system as described in claim 1 or 2 further comprises a water storage tank, which is used to store water and is connected to the water supply pipe of the motor element.
TW112132299A 2023-08-28 2023-08-28 Bleeding Hemostasis Feedback System TWI858887B (en)

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Citations (6)

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CN114642473A (en) * 2022-03-23 2022-06-21 首都医科大学宣武医院 A pressure monitoring hemostatic device
CN219066307U (en) * 2022-12-07 2023-05-23 中国消防救援学院 Wound hemostasis principle presentation device
TWM651854U (en) * 2023-08-28 2024-02-21 艾克斯國際有限公司 Feedback system of bleeding and hemostasis

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7497868B2 (en) * 1995-09-04 2009-03-03 Active Implants Corporation Method and apparatus for computerized surgery
US20040009459A1 (en) * 2002-05-06 2004-01-15 Anderson James H. Simulation system for medical procedures
TW202014157A (en) * 2018-10-11 2020-04-16 逢甲大學 Minimally invasive surgery simulation training device capable of simulating vessel blooding and issuing a warning based on the amount of blooding
CN114642473A (en) * 2022-03-23 2022-06-21 首都医科大学宣武医院 A pressure monitoring hemostatic device
CN219066307U (en) * 2022-12-07 2023-05-23 中国消防救援学院 Wound hemostasis principle presentation device
TWM651854U (en) * 2023-08-28 2024-02-21 艾克斯國際有限公司 Feedback system of bleeding and hemostasis

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