WO2015051621A1 - Holter monitor - Google Patents

Abstract

A holter monitor comprises: an ultrasonic probe (22), fixed to a body surface of a tested object, and used for emitting an ultrasonic wave to the tested object and performing ultrasonic scan and test on the heart of the tested object; a monitoring probe (22), used for detecting physiological parameters of the tested object; an ultrasonic function module (12), coupled to the ultrasonic probe (22), and used for controlling the ultrasonic probe (22) to emit an ultrasonic wave to the tested object and receiving a heart ultrasonic signal acquired by the ultrasonic probe (22); a monitoring function module (10), coupled to the monitoring probe (20) and used for acquiring the physiological parameters of the tested object by using the monitoring probe (20); an ultrasonic information display unit (32), used for displaying heart ultrasonic parameters acquired by the ultrasonic function module (12); and a monitoring information display unit (30), used for displaying the physiological parameters acquired by the monitoring function module (10). The monitor can monitor the anatomical structures and the functional states of the heart and the large vessels for a long time.

Description

Dynamic cardiogram detecting device

[Technical Field]

The present invention relates to the field of medical devices, and in particular to a device for detecting a dynamic cardiogram.

【Background technique】

The heart is different from other organs of the human body in that it is a "moving" word. The dynamic monitoring of cardiac information has long been a clinically important exploration and research content. At present, devices that dynamically monitor cardiac information, such as ECG monitors, 24-hour Holter, etc., collect and analyze only the electrical activity (electrocardiogram) of the heart, and do not reflect cardiac mechanical activity and cardiac structure and function. Dynamic changes, while echocardiography performs non-invasive detection of the anatomy and functional status of the heart and large blood vessels through the special physical properties of ultrasound, but echocardiography can only be performed by a doctor with a hand-held ultrasound probe for short-term, static examinations. There is currently no device for long-term dynamic continuous monitoring of cardiac parameters.

[Summary of the Invention]

Based on this, it is necessary to provide a detecting device capable of performing a dynamic cardiogram for a long time continuous on a cardiac parameter.

A dynamic cardiogram detecting device comprising:

The ultrasonic probe is fixed on the body surface of the object to be tested, and is used for transmitting ultrasonic waves to the object to be tested, and performing ultrasound scanning monitoring on the heart of the object to be tested;

a monitoring probe for detecting physiological parameters of the object to be tested;

An ultrasonic function module coupled to the ultrasonic probe for controlling the ultrasonic probe to emit ultrasonic waves to the object to be measured, and receiving the cardiac ultrasonic signal acquired by the ultrasonic probe;

a monitoring function module, coupled to the monitoring probe, configured to acquire physiological parameters of the object to be tested by using the monitoring probe;

An ultrasound information display unit, configured to display cardiac ultrasound parameters acquired by the ultrasound function module;

The monitoring information display unit is configured to display the physiological parameters acquired by the monitoring function module.

The above-mentioned dynamic cardiogram detecting device can obtain the patient's cardiac ultrasound signal in real time, continuously and synchronously through the ultrasonic function module, calculate relevant cardiac parameters, draw a trend curve, and monitor the dynamic changes of the structure and function of the heart for a long time and continuously; The ECG monitoring function provides a variety of ECG parameters, which can be synchronized with the cardiac parameters to provide data support for the clinical study of the relationship between cardiac electrical activity and mechanical activity.

[Description of the Drawings]

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings to be used in the embodiments or the description of the prior art will be briefly described below. Obviously, the drawings in the following description are only It is a certain embodiment of the present invention, and other drawings can be obtained from those skilled in the art without any creative work.

1 is a schematic structural diagram of a dynamic cardiogram detecting apparatus according to an embodiment of the present invention;

2 is a schematic structural view of a dynamic cardiogram detecting device according to an embodiment;

3 is a schematic structural view of a dynamic cardiogram detecting device according to an embodiment;

4 is a schematic structural diagram of a device for detecting a dynamic cardiogram according to an embodiment of the present invention;

FIG. 5 is a schematic structural diagram of an apparatus for detecting a dynamic cardiogram according to an embodiment of the present invention; and

Fig. 6 is a view showing the configuration of a detecting device for a dynamic cardiogram according to an embodiment of the present invention.

 【detailed description】

The following description provides specific details for a full understanding of the various embodiments and embodiments of the invention. However, it will be understood by those skilled in the art that the present invention may be practiced without such detail. In some instances, well known structures and functions are not shown or described in detail in order to avoid obscuring the description of the embodiments.

The terms "comprising," "comprising," etc. not limited to".

A dynamic cardiogram detecting apparatus according to an embodiment of the present invention is capable of performing long-term, continuous, dynamic, non-invasive detection of anatomical structures and functional states of the heart and large blood vessels.

Referring to FIG. 1 , a dynamic cardiogram detecting apparatus according to an embodiment of the present invention includes:

The ultrasonic probe 22 is fixed on the body surface of the object to be tested, and is used for transmitting ultrasonic waves to the object to be measured, and performing ultrasonic scanning monitoring on the heart of the object to be tested. Specifically, the ultrasonic probe 22 is directly attached to the fixed position of the body surface of the object to be tested, and the same slice at the fixed position of the object to be tested is scanned. In addition, the ultrasonic probe 22 can freely adjust the angle to obtain signals of different parts, can be fixed to the body surface by different methods, and can acquire the real-time and continuous ultrasonic signals of various parts of the heart without hand-held.

The monitoring probe 20 is configured to detect physiological parameters of the object to be tested.

The ultrasonic function module 12 is coupled to the ultrasonic probe 22 for controlling the ultrasonic probe 22 to emit ultrasonic waves to the object to be measured, and to receive the cardiac ultrasonic signals acquired by the ultrasonic probe 22. Specifically, the cardiac ultrasound signal includes at least one of a cardiac ejection fraction, a left indoor short axis shortening rate, a stroke volume per stroke, a cardiac output, a cardiac index, a left ventricular end-diastolic volume, and a left ventricular end-systolic volume. The following related parameters can be calculated by the cardiac ultrasound signal: the total number of ventricular ventricular rhythm abnormalities, the dynamic left ventricular area time curve and the area time curve within a period of time (can be set, the default is 24 hours, synchronized with the ECG signal acquisition duration) Trend graph (surface) and its variability. The dynamic left ventricle M-shaped motion curve extracts the dynamic ascending speed, descending speed, rising time, falling time, and pulsation amplitude of each heart beat; trend graph and variability. Short-term ventricular tachycardia or ventricular fibrillation identification and alarm functions. Mean ventricular end-diastolic volume (end-diastolic Volume, EDV), mean end-systolic volume (ESV), average per-volume (stroke) Volume, SV), average fraction fraction (EF), fractional shortening (FS).

The monitoring function module 10 is coupled to the monitoring probe 20 for acquiring physiological parameters of the object to be measured by the monitoring probe 20. Specifically, the physiological parameter includes the following monitoring physiological parameters, such as at least one of an electrocardiographic monitoring parameter, a blood pressure, a blood oxygen saturation parameter, and a breathing. Through the ECG monitoring parameters in the monitoring physiological parameters, the following relevant parameters can be calculated: within a period of time (can be set, default is 24 hours), average heart rate (HR), QT interval, PR interval, RR interval, sinus heart Total number of beats, PVC (premature ventricular contraction, ventricular premature beat) The number of times, the percentage of PVC in the sinus beat, the QRS width of the PVC, and the arrhythmia event count.

The ultrasound information display unit 32 is configured to display cardiac ultrasound parameters acquired by the ultrasound function module 12 .

The monitoring information display unit 30 is configured to display the physiological parameters acquired by the monitoring function module 10.

Referring to FIG. 2, an apparatus for detecting a dynamic cardiogram according to an embodiment of the present invention includes: in addition to each functional module in the above embodiment,

The storage module 16 is configured to store the cardiac ultrasound signals acquired by the ultrasound function module 12 and the physiological parameters acquired by the monitoring function module 10.

The scan period setting module 14 is configured to set a time interval during which the ultrasound function module 12 performs an ultrasound scan.

In a specific implementation, the ultrasound function module 22 and the monitoring function module 20 may exist independently or be integrated in one monitoring host.

Referring to FIG. 3, an embodiment of an embodiment of the dynamic cardiogram detecting apparatus in which the ultrasonic function module 22 and the monitoring function module 20 are integrated in the monitoring host 1. The monitoring information display unit 30 and the ultrasonic information display unit 32 are integrated in the display device 3.

As shown in FIG. 4 , the ultrasound function module 22 and the monitoring function module 20 are mutually independent modules, and the monitoring function module 20 is located on the monitoring host 1 , and the ultrasound function module 22 is independent of the monitoring host 1 .

As shown in FIG. 2, the ultrasound function module 22 and the monitoring function module 20 are directly connected or as shown in FIG. 5, the ultrasound function module 22 and the monitoring function module 20 are independent and detachable modules. The plug-in interface reserved on the monitoring host 1 is plugged and connected with the monitoring host.

Referring to FIG. 6, the apparatus for detecting a dynamic cardiogram of an embodiment further includes:

The trend graph synthesis module 4 is configured to receive an electrocardiogram parameter obtained by processing the physiological parameter by the monitoring function module 20 and a cardiac ultrasound parameter obtained by processing the cardiac ultrasound signal by the ultrasound function module 22, and synthesize a dynamic cardiac trend graph. or

The physiological parameters acquired by the monitoring function module 20 and the cardiac ultrasound signals acquired by the ultrasound function module 22 are post-processed, and the electrocardiogram parameters and the cardiac ultrasound parameters are respectively obtained, and the dynamic cardiac trend graph is synthesized.

It should be noted that the trend graph synthesis module 4 can also be a third party device/software independent of the dynamic cardiogram detection device.

In addition, the trend graph synthesized by the trend graph synthesis module 4 can be displayed on the same screen by the display device, and the display parameters can be set, and the user can select all display or select target parameters, such as only displaying the PVC times and the average LVEF. The time scale of the trend graph can be set by the user through the control panel of the monitoring host. In addition, the trend graph can display the normal range of the parameter, and the normal range supports the user setting, and the value exceeding the normal range will be displayed differently.

Through the ultrasound function module, the patient's cardiac ultrasound signal can be obtained in real time, continuously and synchronously, the relevant cardiac parameters can be calculated, the trend curve can be drawn, and the dynamic changes of the structure and function of the heart can be monitored for a long time and continuously. The ECG monitoring function provides a variety of ECG parameters, which can be synchronized with the cardiac parameters to provide data support for the clinical study of the relationship between cardiac electrical activity and mechanical activity.

A person skilled in the art can understand that all or part of the process of implementing the foregoing embodiment method can be completed by a computer program to instruct related hardware, and the program can be stored in a computer readable storage medium, the program In execution, a flow of an embodiment of the methods as described above may be included. The storage medium may be a magnetic disk, an optical disk, or a read-only storage memory (Read-Only) Memory, ROM) or Random Access Memory (RAM).

The above-described embodiments are merely illustrative of several embodiments of the present invention, and the description thereof is more specific and detailed, but is not to be construed as limiting the scope of the invention. It should be noted that a number of variations and modifications may be made by those skilled in the art without departing from the spirit and scope of the invention. Therefore, the scope of the invention should be determined by the appended claims.

Claims (10)

A dynamic cardiogram detecting device, comprising: The ultrasonic probe is fixed to the body surface of the object to be tested, and is configured to emit ultrasonic waves to the object to be tested, and perform ultrasonic scanning monitoring on the heart of the object to be tested; a monitoring probe for detecting physiological parameters of the object to be tested; An ultrasonic function module coupled to the ultrasonic probe for controlling the ultrasonic probe to emit ultrasonic waves to the measured object, and receiving an ultrasonic signal obtained by the ultrasonic probe; a monitoring function module, coupled to the monitoring probe, configured to acquire physiological parameters of the measured object by using the monitoring probe; An ultrasound information display unit, configured to display cardiac ultrasound parameters acquired by the ultrasound function module; The monitoring information display unit is configured to display the physiological parameters acquired by the monitoring function module. The apparatus for detecting a dynamic cardiogram according to claim 1, wherein the detecting means further comprises: And a storage module, configured to store a cardiac ultrasound signal acquired by the ultrasound function module, and a physiological parameter acquired by the monitoring function module. The apparatus for detecting a dynamic cardiogram according to claim 2, wherein the detecting means further comprises: A scan period setting module is configured to set a time interval during which the ultrasound function module performs an ultrasound scan. The apparatus for detecting a dynamic cardiogram according to claim 3, wherein the ultrasonic function module and the monitoring function module are integrated in a monitoring host. The apparatus for detecting a dynamic cardiogram according to claim 3, wherein the ultrasonic function module and the monitoring function module are mutually independent modules. The apparatus for detecting a dynamic cardiogram according to claim 3, wherein the ultrasound function module and the monitoring function module are connected to each other directly or through a monitoring host. The apparatus for detecting a dynamic cardiogram according to claim 3, wherein the ultrasonic function module and the monitoring function module are independent and detachable modules, and the plugging interface and monitoring reserved on the monitoring host are provided. The host is plugged and unplugged. The apparatus for detecting a dynamic cardiogram according to claim 1, wherein the apparatus further comprises: a trend graph synthesis module, configured to receive an ECG parameter obtained by processing the physiological parameter by the monitoring function module, and a cardiac ultrasound parameter obtained by processing the cardiac ultrasound signal by the ultrasound function module, and synthesizing a dynamic cardiac trend graph; or Performing post-processing on the physiological parameters acquired by the monitoring function module and the cardiac ultrasound signals acquired by the ultrasound function module, respectively obtaining ECG parameters and cardiac ultrasound parameters, and synthesizing the dynamic cardiac trend graph. The apparatus for detecting a dynamic cardiogram according to claim 8, wherein the physiological parameters acquired by the monitoring function module include at least one of an electrocardiographic monitoring parameter, a blood pressure, a blood oxygen saturation parameter, and a breathing. The apparatus for detecting a dynamic cardiogram according to claim 8, wherein the cardiac ultrasound signal acquired by the ultrasound function module comprises a cardiac ejection fraction, a left indoor short axis shortening rate, a stroke volume per stroke, and a cardiac output. At least one of volume, cardiac index, left ventricular end-diastolic volume, and left ventricular end-systolic volume.