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WO2016006769A1 - Appareil d'assistance au prélèvement de sang artériel - Google Patents

Appareil d'assistance au prélèvement de sang artériel Download PDF

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Publication number
WO2016006769A1
WO2016006769A1 PCT/KR2014/010663 KR2014010663W WO2016006769A1 WO 2016006769 A1 WO2016006769 A1 WO 2016006769A1 KR 2014010663 W KR2014010663 W KR 2014010663W WO 2016006769 A1 WO2016006769 A1 WO 2016006769A1
Authority
WO
WIPO (PCT)
Prior art keywords
arterial blood
blood collection
artery
patient
arterial
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2014/010663
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English (en)
Korean (ko)
Inventor
성지현
박철우
박철민
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Korea Institute of Industrial Technology KITECH
Original Assignee
Korea Institute of Industrial Technology KITECH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Korea Institute of Industrial Technology KITECH filed Critical Korea Institute of Industrial Technology KITECH
Publication of WO2016006769A1 publication Critical patent/WO2016006769A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/153—Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves

Definitions

  • the arterial blood collection support device can be more easily identified through the ultrasound image corresponding to the patient's body through the arterial blood collection device worn on the patient's body.
  • Arterial blood gas analysis is a test to analyze blood gas, which is a gas in arterial blood, in order to determine the respiratory or circulatory disease, a patient with a ventilator, and the blood oxygen and carbon dioxide of a serious patient.
  • the arterial blood gas analysis test is performed by collecting arterial blood present mainly in the wrist of a patient in consideration of the arterial blood present in the wrist indicating the state of gas exchange in the alveoli.
  • Allen test Allen's test
  • the present invention relates to an arterial blood collection support device, which is implemented in a wearable form on a patient's body and provides an ultrasound image corresponding to the patient's body, so that an artery position for arterial blood collection can be more easily identified.
  • the body implemented in a form attachable to the wrist of the patient;
  • An ultrasonic probe mounted on the bottom of the body to acquire an ultrasound image corresponding to the wrist of the patient;
  • a touch screen mounted on an upper surface of the body to receive a user request or display an ultrasound image;
  • a processor positioned inside the body to control the ultrasound probe according to a user request input through the touch screen, and to display an ultrasound image obtained through the ultrasound probe through the touch screen;
  • Arterial position sensing unit for sensing and notifying the position of the artery present in the patient wrist;
  • it provides an arterial blood collection support device including an artery position indicator for irradiating light to the artery position sensed by the arterial position sensing unit.
  • the arterial position sensing unit includes a plurality of vibration sensors arranged in a line at the front surface of the bottom of the body, and acquires the point where the greatest vibration is sensed as the arterial position.
  • the arterial position sensing unit includes a plurality of infrared sensors and a plurality of Doppler sensors arranged in a line so as to be adjacent to each other at the front surface of the bottom of the body, and irradiates infrared rays to the skin of the patient through the plurality of infrared sensors and the plurality of Doppler sensors After detecting the oxygen saturation and pulse by measuring the infrared rays absorbed by hemoglobin, the point where the highest oxygen saturation or the highest pulse is sensed is obtained as an artery position.
  • the artery position indicator may include a plurality of light sources arranged in line on the side of the body contacting the front surface of the bottom of the body, and irradiate light through one of the plurality of light sources according to a sensing result of the arterial position sensing unit.
  • the apparatus includes a plate-shaped light source panel in which the plurality of light sources are disposed; And it is installed on the body side in contact with the front portion of the bottom of the body, characterized in that it further comprises an angle adjusting means for adjusting the inclination of the light source panel.
  • arterial blood collectors can perform blood collection operations more easily and accurately.
  • arterial blood collection support devices can be more efficiently adapted to various medical procedures.
  • FIG. 1 is a view showing the appearance of the arterial blood collection support apparatus according to the first embodiment of the present invention.
  • FIG. 2 is a diagram showing the configuration of the arterial blood collection support apparatus according to the first embodiment of the present invention.
  • FIG 3 is a diagram illustrating an example of an ultrasound image provided through an arterial blood collection support device according to a first embodiment of the present invention.
  • FIG. 4 is a diagram illustrating a configuration of an arterial blood collection support device according to a second embodiment of the present invention.
  • FIG. 5 is a diagram illustrating arterial blood present in a human wrist.
  • FIG. 6 is a view illustrating an example of an artery position sensing unit and an artery position display unit of the arterial blood collection support device according to the second embodiment of the present invention.
  • FIG. 7 is a view for explaining in detail the appearance of the arterial blood collection support apparatus according to the second embodiment of the present invention.
  • FIG. 8 is a view showing the configuration of the arterial blood collection support apparatus according to the third embodiment of the present invention.
  • FIG. 9 is a view showing an embodiment of the probe position variable portion of the arterial blood collection support apparatus according to the third embodiment of the present invention.
  • FIG. 10 is a view illustrating a probe position control method according to a probe position varying unit of an arterial blood collection support device according to a third embodiment of the present invention.
  • FIG. 11 is a view showing various implementations of the arterial blood collection support apparatus according to the first embodiment of the present invention.
  • FIG. 12 is a view showing various implementations of the arterial blood collection support apparatus according to the second embodiment of the present invention.
  • FIG. 13 is a view showing various implementations of the arterial blood collection support apparatus according to the third embodiment of the present invention.
  • FIG. 14 is a view showing various implementations of the arterial blood collection support apparatus according to the fourth embodiment of the present invention.
  • 15 is a diagram illustrating various implementations of an arterial blood collection support device according to a fifth embodiment of the present invention.
  • first and second may be used to describe various components, but the components should not be limited by the terms. The terms are used only for the purpose of distinguishing one component from another.
  • the first component may be referred to as the second component, and similarly, the second component may also be referred to as the first component.
  • FIG. 1 is a view showing the appearance of the arterial blood collection support apparatus according to the first embodiment of the present invention.
  • the arterial blood collection support device 10 of the present invention is implemented in a form that can be worn on the wrist of the patient, to obtain and display an ultrasound image indicating the location of arterial blood.
  • the medical staff can collect the arterial blood while visually confirming the position of the artery present in the wrist of the patient through the ultrasound image displayed by the arterial blood collection support device of the present invention.
  • the arterial blood collection support device 10 of the present invention includes a body 11 implemented as a form attachable to a wrist of a patient, an ultrasound probe 12 mounted on the body 12, and a processor 13. ) And the touch screen 14.
  • Body 11 is implemented in a form that can be attached to the patient's body (particularly, wrist), such as Velcro, automatic buckle, wrist band, patch and wrist watch form.
  • Velcro automatic buckle, wrist band, patch and wrist watch form
  • the implementation may be variously changed within the range that can be attached to the patient wrist.
  • the ultrasound probe 12 is mounted on the body 11 to be in contact with the patient's wrist, emits ultrasound to the patient's wrist, and receives an ultrasound that is returned by hitting red blood cells flowing through blood vessels in the patient's wrist.
  • the processor 13 is mounted inside the body 11 to drive and receive an ultrasound probe 12 when the user requests an ultrasound examination, to emit and receive ultrasound, and to analyze the received ultrasound to acquire an ultrasound image of a patient's wrist. Then, the display through the touch screen 14.
  • the processor 13 of the present invention derives the arterial blood region and the venous blood region in the ultrasound image of the patient's wrist through the Doppler effect, and overlays the red pixel on the arterial blood region and the blue pixel on the venous blood region as shown in FIG. This allows the user to intuitively identify these locations.
  • the touch screen 14 displays a control menu generated by the processor 13 and transmits a user request input through the control menu to the processor 13 or under the control of the processor 13.
  • the ultrasound image is displayed.
  • the arterial blood support device can be mounted on the patient's wrist, and through this, by acquiring and displaying an ultrasound image corresponding to the patient's wrist, even a person without expert knowledge can easily grasp the location of the arterial blood and collect the blood.
  • An arterial blood collection support device is provided.
  • the arterial blood support device of the present invention when the arterial blood support device of the present invention is mounted on the wrist of the patient, the arterial blood support device acquires and provides an ultrasound image of the skin located in the lower region of the device, while the user of the arterial blood support device does not wear the arterial blood support device.
  • blood is collected by inserting an injection into the artery. That is, there is a disadvantage that the monitoring position of the arterial blood collection support apparatus is different from the blood collection position. Therefore, the medical staff sees the ultrasound image displayed through the arterial blood collection support device, and it is troublesome to infer the artery position again.
  • the arterial blood collection support device is configured as shown in FIG. 4 so that the arterial blood collection support device may directly indicate the artery position.
  • FIG. 4 is a diagram illustrating a configuration of an arterial blood collection support device according to a second embodiment of the present invention.
  • the arterial blood collection support device 10 of the present invention is sensed by the arterial position sensing unit 15 and the arterial position sensing unit 15 that sense and notify the arterial position in addition to the components of FIG. 2.
  • the artery position display unit 16 for notifying the artery position to the user may be further included.
  • arterial blood located in the wrist has straightness as shown in FIG. 5, arterial blood at a blood collection site and arterial blood located at an adjacent site are connected to each other and have the same direction. Therefore, if the location of arterial blood in the adjacent area of blood collection, that is, the area detected by the arterial blood collection support device, can be easily inferred and guided.
  • the artery position sensing unit 15 arranges at least one of a vibration sensor array, an infrared sensor array, and a Doppler sensor array on the front surface of the bottom of the body, thereby sensing and notifying the artery position.
  • the arterial position sensing unit 15 of the present invention is implemented as a vibration sensor array including a plurality of vibration sensors (S1 ⁇ S7) arranged in line on the front surface of the bottom of the body as shown in Figure 6 (a), The artery position may be sensed and notified according to the same principle.
  • the heart Each time the heart beats, it pushes blood along the arteries. This flow of blood causes the artery to expand and relax repeatedly. This is called a pulse, and the skin above the artery can feel the vibration corresponding to the pulse intensity. Therefore, if a plurality of vibration sensors are arranged in a line at the front of the bottom of the body and then contacted with the skin, the vibration sensors in contact with the skin at the point where the artery passes will sense the greatest vibration. Accordingly, in the present invention, the vibration of the skin is sensed through a plurality of vibration sensors, and the artery is determined to be located at the point where the largest vibration is measured.
  • the artery position sensing unit 15 is a plurality of infrared sensors (IR1 ⁇ IR7) and a plurality of Doppler sensors (D1 ⁇ D7) arranged in line so as to be adjacent to each other in the front portion of the bottom of the body as shown in Figure 6 (b) If provided, the arterial position sensing unit 15 irradiates infrared rays to the skin through a plurality of infrared sensors IR1 to IR7, and measures the infrared rays absorbed by hemoglobin through the plurality of Doppler sensors D1 to D7. The oxygen saturation degree and pulse rate are calculated based on the infrared measurement result, and the point where the highest oxygen saturation degree is detected or the strongest pulse is detected is acquired as the artery position.
  • IR1 ⁇ IR7 infrared sensors
  • D1 ⁇ D7 Doppler sensors
  • the artery position indicator 16 includes a plurality of light sources L1 to L2 arranged in line on the body side (ie, the body side adjacent to the artery position sensing unit 15) in contact with the front portion of the bottom of the body. Then, by turning on one of the plurality of light sources L1 to L2 based on the sensing result of the artery position sensing unit 15, the light is irradiated to the artery position sensed by the artery position sensing unit 15.
  • the artery position sensing unit 15 includes seven vibration sensors and the second vibration sensor among the seven vibration sensors measures the largest vibration
  • the artery position display unit 16 corresponds to the second vibration sensor.
  • the light may be irradiated to the artery position sensed by the artery position sensing unit 15.
  • the distance between the sensors of the artery position sensing unit 15 and the light source of the artery position display unit 16 may be about 0.5 cm.
  • the light of the artery position indicator 16 is irradiated to a region where the arterial blood collecting support device is not worn (for example, 1.5 to 2 cm of the charge room of the arterial blood collecting support device).
  • the body side on which the plurality of light sources are disposed is inclined so as to have a larger area than the bottom of the body.
  • the body side inclined instead of implementing the body side inclined, it is implemented in a plate shape and a light source panel (not shown) in which a plurality of light sources (L1 ⁇ L7) are arranged in line, installed on the side of the body in contact with the front portion of the bottom of the light source panel It is provided with an angle adjusting means (not shown) for freely adjusting the inclination of the (not shown), and allows the user to manually control the light irradiation angle of the plurality of light sources through the angle adjusting means.
  • a light source panel (not shown) in which a plurality of light sources (L1 ⁇ L7) are arranged in line, installed on the side of the body in contact with the front portion of the bottom of the light source panel It is provided with an angle adjusting means (not shown) for freely adjusting the inclination of the (not shown), and allows the user to manually control the light irradiation angle of the plurality of light sources through the angle adjusting means.
  • a portion of the touch screen may be allocated to the arterial position guide window, thereby displaying at least one image or text for guiding the arterial position. That is, in the present invention, the arterial position guidance method is diversified to appropriately cope with various driving environments.
  • the arterial blood collection support device of the present invention visually informs the location of the artery to proceed with the blood collection, the user can see the ultrasound image provided through the arterial blood collection support device without the need to infer the blood collection location again the hassle Intuitive to understand.
  • the present invention by providing an ultrasound image corresponding to the wrist of the patient and further visually notifying the location of blood collection, a person without expert knowledge can easily perform the blood collection operation.
  • FIG 8 and 9 are views showing the configuration of the arterial blood collection support apparatus according to the third embodiment of the present invention.
  • the arterial blood collection support device 10 of the present invention may further include a probe position varying unit 17 in addition to the components according to the first or second embodiment. That is, the arterial blood collection support device 10 of the present invention may vary the measurement position and the measurement angle of the ultrasonic probe 12 through the probe position variable unit 17.
  • the probe position variable part 17 of the present invention is coupled to a moving means 710 and a moving means 710 moving in the horizontal direction (y direction) of the arterial blood collection support device 10. And a tilting means 720 that is tilted in the horizontal direction (x direction) of the arterial blood collection support device 10.
  • the moving means 710 is supported by a pedestal 711 attached to the bottom of the body, the helical shaft 712, the spiral shaft (712) for moving the tilting means 720 in the y-axis direction
  • a guide rail 713 installed to be parallel to the 712 to guide the movement of the tilting means 720, and a spiral shaft driver 714 for driving the spiral shaft 713 under the control of the processor 13, and the like.
  • the tilting means 720 is a rotating part which is supported by the support 721 coupled to the spiral shaft 712 and the guide rail 713 and the support 721 and tilts the ultrasonic probe 12 attached thereto in the x-axis direction. And 722.
  • the processor 13 when the probe position control menu is configured and provided through the processor 13 and the user inputs the position value of the probe through the probe position control menu, the processor 13 inputs the probe input by the user.
  • the x and y-axis movement values corresponding to the position values of are calculated.
  • the calculated x and y axis movement values are provided to the spiral axis driver 714 and the rotation unit 722 so that the movement means 710 and the tilting means 720 may change the position of the probe in response thereto. do.
  • the probe 12 is tilted at a predetermined angle ⁇ , that is, by tilting, so that the probe 12 can acquire an ultrasound image corresponding to the side of the wrist rather than the front of the wrist. .
  • 11 to 15 illustrate various embodiments of the arterial blood collection support device according to the embodiment of the present invention.
  • the body 11 of the arterial blood collection support device may be implemented in a velcro type, an automatic buckle type, a wrist band type, a patch type, a wrist watch type, or the like.
  • the ultrasound probe 12 may be mounted on the bottom surface of the body 11 to be in contact with the patient's wrist, and the touch screen 14 may be mounted on the top surface of the body 11 so that the medical staff can easily see it.
  • the touch screen 14 may be implemented as a flexible touch screen.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

La présente invention concerne un appareil d'assistance au prélèvement de sang artériel, lequel appareil est monté sur le poignet d'un patient pour obtenir et afficher une image ultrasonore correspondant au poignet du patient, ce qui permet ainsi une identification facile de la position du sang artériel et du sang à prélever, même pour une personne n'ayant aucune compétence technique. Cet appareil d'assistance au prélèvement de sang artériel comprend : un corps qui est façonné dans une forme pouvant être fixée sur le poignet d'un patient ; une sonde ultrasonore qui est incorporée dans à la surface inférieure du corps pour l'obtention d'une image ultrasonore correspondant au poignet du patient ; un écran tactile qui est incorporé dans la surface supérieure du corps pour recevoir une demande en provenance d'un utilisateur ou pour afficher l'image ultrasonore ; et un processeur qui est positionné à l'intérieur du corps pour commander le fonctionnement de la sonde ultrasonore selon la demande de l'utilisateur, laquelle est entrée par l'intermédiaire de l'écran tactile, ainsi que pour afficher l'image ultrasonore obtenue à partir de la sonde ultrasonore à travers l'écran tactile.
PCT/KR2014/010663 2014-07-07 2014-11-07 Appareil d'assistance au prélèvement de sang artériel Ceased WO2016006769A1 (fr)

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KR1020140084535A KR101453719B1 (ko) 2014-07-07 2014-07-07 동맥 채혈 지원 장치
KR10-2014-0084535 2014-07-07

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WO2016006769A1 true WO2016006769A1 (fr) 2016-01-14

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019232414A1 (fr) * 2018-05-31 2019-12-05 Matt Mcgrath Design & Co, Llc Appareil d'imagerie médicale intégré et procédé d'utilisation associé
EP4319643A1 (fr) * 2021-04-15 2024-02-14 Bard Access Systems, Inc. Système de dispositif médical ayant des outils de corrélation de vaisseau sanguin

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Publication number Priority date Publication date Assignee Title
WO2017108864A1 (fr) * 2015-12-21 2017-06-29 Koninklijke Philips N.V. Système et procédé d'estimation de la gazométrie du sang artériel
KR101886791B1 (ko) 2016-08-17 2018-08-08 연세대학교 산학협력단 동정맥혈 구분을 위한 휴대용 키트
KR102287731B1 (ko) * 2016-08-17 2021-08-09 연세대학교 산학협력단 동정맥혈 구분을 위한 휴대용 키트
KR102816675B1 (ko) 2022-02-09 2025-06-05 주식회사 에어스메디컬 채혈 패치

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JP2006051105A (ja) * 2004-08-10 2006-02-23 Toshiba Corp 超音波プローブ及び生体情報計測システム
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Publication number Priority date Publication date Assignee Title
WO2019232414A1 (fr) * 2018-05-31 2019-12-05 Matt Mcgrath Design & Co, Llc Appareil d'imagerie médicale intégré et procédé d'utilisation associé
WO2019232427A1 (fr) * 2018-05-31 2019-12-05 Matt Mcgrath Design & Co., Llc Appareil d'imagerie médicale intégré comprenant une interface utilisateur multidimensionnelle
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EP4319643A1 (fr) * 2021-04-15 2024-02-14 Bard Access Systems, Inc. Système de dispositif médical ayant des outils de corrélation de vaisseau sanguin

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