WO2019117319A1 - Respiration monitoring system capable of securing airway - Google Patents
Respiration monitoring system capable of securing airway Download PDFInfo
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- WO2019117319A1 WO2019117319A1 PCT/KR2017/014436 KR2017014436W WO2019117319A1 WO 2019117319 A1 WO2019117319 A1 WO 2019117319A1 KR 2017014436 W KR2017014436 W KR 2017014436W WO 2019117319 A1 WO2019117319 A1 WO 2019117319A1
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- space forming
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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
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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
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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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
- A61B5/08—Measuring devices for evaluating the respiratory organs
Definitions
- the present invention relates to a monitoring field, and more particularly, to a system for maintaining breathing with an airway holding device inserted in a mouth of a wearer and informing a medical staff or a guardian of an apnea condition of the wearer.
- a patient in an emergency state is in a state of mental disturbance, where the upper and lower jaws engage and close their mouths, resulting in a dangerous situation in which the airways are not secured.
- the caregiver of the patient was suffering from fatigue due to monitoring the patient in a state of tension in preparation for such an emergency.
- the existing respiration monitoring system monitors the patient's breathing and informs the medical staff or guardian in case of an emergency situation. If the medical staff or the guardian does not recognize the emergency situation, There was a problem that situation occurred.
- the present invention is advantageous in that the respiration of the patient is monitored in a state in which the airway is secured, thereby preventing apnea.
- the present invention has the advantage that the fatigue of the patient caregiver and the medical staff is reduced, and an appropriate response can be provided in an emergency situation.
- the breathing monitoring system capable of securing airway includes at least one of semi-elliptical, semicircular, and arcuate shapes, a space forming part inserted between the upper and lower jaws to form an empty space between the upper and lower jaws, A fixing part formed on a lower surface of the space forming part to fix the space forming part to the lower jaw and to be hooked on the inner surface of the mandible so that the mandible protrudes forward to secure airway; A sensing unit for sensing at least one of temperature in the oral cavity, partial pressure of carbon dioxide, and pressure to generate sensing information, and a determination unit for determining the state of the patient by comparing sensing information transmitted from the sensing information unit with preset data have.
- the fixing portion may include a guide portion for guiding the space forming portion to the inside of the oral cavity, and a protrusion protruding from the space forming portion so as to be caught by the internal surface of the mandible.
- the sensing unit may sense the temperature in the oral cavity, and the determination unit may determine that the temperature is in an emergency state when the temperature delivered from the sensing unit is out of a predetermined range.
- the sensing unit senses the temperature in the oral cavity
- the determination unit calculates a cycle of temperature change in the oral cavity delivered from the sensing unit, and then, when the calculated period of the temperature change in the oral cavity is out of a predetermined range, Can be judged as
- the sensing unit senses the pressure in the oral cavity, and the determination unit calculates a period of pressure change in the oral cavity delivered from the sensing unit, and determines that the period of the calculated pressure change is out of a predetermined range, can do
- the sensing unit senses a partial pressure of carbon dioxide in the oral cavity, and the determination unit calculates a cycle of partial pressure of carbon dioxide in the oral cavity delivered from the sensing unit. If the period of the partial pressure of carbon dioxide in the oral cavity is out of a predetermined range Can be judged as an emergency
- it may further include a handle extended from the center of the outer surface of the space forming portion.
- the maximum thickness of the protrusion may be 4.5 to 5.2 mm.
- the respiration monitoring system capable of securing the airway may further include an age information unit in which age information of the patient is input and stored, and the determination unit transmits the intraoral temperature, carbon dioxide partial pressure, and pressure information transmitted from the sensing unit Determining a state of the patient by combining the period of the temperature change, the period of the carbon dioxide partial pressure change, and the period of the pressure change based on the age information from the age information, A first risk step when one of the period of the temperature change in the oral cavity, the period of the carbon dioxide partial pressure change, and the period of the pressure change is out of the preset range; if two of them deviate from the preset range, , And if three of them are out of the preset range, it can be judged as the third danger step
- the alarm unit may further include an alarm unit, and when the determination unit determines that the alarm is the first dangerous step, the alarm unit may generate an alarm signal and transmit the alarm signal to the alarm unit.
- the determining unit may generate a first call signal to the portable terminal of the patient's guardian in the first risk step, generate a second call signal in the second risk step, To the portable terminal of the medical staff.
- the respiration monitoring system capable of securing airway may further include a communication unit, and the communication unit may receive the sensing information from the sensing unit via Zigbee or RF and transmit the sensed information to the determination unit.
- the airway holding part may include at least one of semi-elliptical, semicircular, and arcuate shapes, a space forming part inserted between the upper and lower jaws to form an empty space between the upper and lower jaws, And a fixing part which is formed on the lower surface of the mandible and fixes the space forming part to the mandible and is hooked on the inner surface of the mandible so that the mandible protrudes forward to secure the airway.
- a respiration monitoring system includes at least one of a semi-elliptical, semicircular, and arcuate shape, a space forming part inserted between the upper and lower jaws to form an empty space between the upper and lower jaws,
- the present invention is advantageous in that the respiration of the patient is monitored in a state in which the airway is secured, thereby preventing apnea.
- the present invention has the advantage that the fatigue of the patient caregiver and the medical staff is reduced, and an appropriate response can be provided in an emergency situation.
- Fig. 1 shows the lower face of the arcuate airway holding part.
- Figure 2 shows the upper surface of the arcuate airway retaining portion
- Figure 3 shows the bottom surface of the semi-elliptical airway retaining portion
- Figure 4 shows a patient monitoring system
- the present invention relates to a system capable of monitoring respiration and body temperature of a patient in a state in which air can be secured.
- the monitoring system capable of securing airway may include an airway holding unit 10, a sensing unit 30, a determination unit 60, an age information unit 50, and an alarm unit 70 have.
- the airway holding portion 10 of the present invention may include a space forming portion 11, a fixing portion 12, and a handle 20.
- Figs. 1 and 2 show an arcuate space forming portion 11, and Fig. 3 shows a semi-elliptical space forming portion 11. As shown in Fig.
- the space forming portion 11 is seated on the occlusal surface of the mandible. That is, the space forming part 11 is inserted between the upper and lower jaws to form an empty space in which air can flow between the upper jaw and the mandible.
- the space forming part 11 of the present invention may be formed in a semi-elliptic, semicircular or arcuate shape similar to the arrangement of dentitions, and may be made of plastic or silicon material harmless to the human body.
- the thickness of the space forming portion 11 may be 1 to 3 mm.
- the thickness of the space forming part 11 is 1 mm or less, the void space is not formed properly and the effect is not effective.
- the space forming part 11 is 3 mm or more, the inconvenience of the patient greatly increases.
- the through hole 11a may be regularly or irregularly formed in the space forming part 11 so that air flows smoothly.
- the present invention may further include a fixing portion 12 that protrudes the mandible forward to facilitate airway maintenance. .
- the fixing portion 12 may be formed on the lower surface of the space forming portion 11 to fix the space forming portion 11 and to be hooked on the incising inner surface of the mandible so that the mandible protrudes forward to secure the airway.
- the fixing part 12 may include a guide part 12a for guiding the space forming part 11 into the oral cavity and a protruding part 12b protruding to be caught by the space forming part 11 on the incising inner face of the mandible have.
- the protruding portion 12b is fixed to the incisal portion with the jaw so that the space forming portion 11 is seated on the occlusal surface of the mandible.
- the protruding jaw causes the upper jaw to protrude and open the upper jaw.
- the maximum thickness of the protruding portion 12b may be 4.5 to 5.2 mm so that the protruding portion 12b can effectively fix the space forming portion 11 without the patient feeling a foreign body feeling.
- the sensing unit 30 of the present invention may be installed above the space forming unit 11 to sense the respiration or body temperature of the patient.
- the sensing unit 30 senses at least one of the temperature in the oral cavity of the patient, the partial pressure of carbon dioxide, and the pressure to generate sensing information and transmit the sensed information to the determination unit 60.
- the determination unit 60 may determine the state of the patient by comparing the sensing information received from the sensing unit 30 with predetermined data. In the process of breathing, the temperature, the partial pressure of carbon dioxide, and the pressure of the oral cavity are changed to a specific cycle according to the exhalation and inspiration. The judging unit 60 judges the state of the patient Can be determined. In addition, the determination unit 60 may determine the condition of the patient based on the temperature in the oral cavity.
- the judgment unit 60 compares the oral cavity temperature delivered from the sensing unit 30 with the preset oral cavity temperature data, and when the oral cavity temperature is higher or lower than the preset range, It can be judged that the state of the patient is an emergency.
- the determination unit 60 calculates the cycle of the intraoral temperature change transmitted from the sensing unit 30, compares the calculated intraoral temperature change cycle with the preset intraoral temperature change cycle, If the intraoral temperature change cycle is out of the preset range, it can be judged that the patient's condition is urgent.
- the determination unit 60 calculates the cycle of intraoral pressure change delivered from the sensing unit 30, compares the calculated intraoral pressure change cycle with a previously set intraoral pressure change cycle, When the intraoral pressure change period is out of the preset range, it can be judged that the patient's condition is urgent.
- the determination unit 60 calculates the cycle of the change in the partial pressure of carbon dioxide in the oral cavity delivered from the sensing unit 30, and compares the calculated change in the partial pressure of carbon dioxide in the oral cavity with the preliminarily set intraoral pressure change period When the change period of the partial pressure of carbon dioxide in the oral cavity is out of the predetermined range, it can be judged that the patient's condition is urgent.
- the present invention may further include an age information unit 50 in which age information of a patient is inputted and stored.
- the determination unit 60 receives the temperature of the oral cavity of the patient, the partial pressure of the carbon dioxide, and the pressure information from the sensing unit 30 and receives the age information of the patient of the rotor of the age information unit 50, The cycle of the change, and the cycle of the pressure change, and combine these to determine the state of the patient.
- a normal state oral temperature change period, a carbon dioxide partial pressure change period, and a pressure change period are set in advance according to age information, and the state of the patient is determined by comparing the set range with the calculated value .
- the determination unit 60 can determine the combination of the cycle of the intraoral temperature change, the cycle of the carbon dioxide partial pressure change, and the cycle of the pressure change.
- the determination unit 60 can determine the status of the patient step by step based on the combined data. For example, if one of the period of the intraoral temperature change, the period of the carbon dioxide partial pressure change, and the period of the pressure change is out of the predetermined range, the first risk step, and if two of them are out of the preset range, , And if three of them are out of the preset range, it can be determined as the third risk step.
- the determining unit 60 may generate an alarm signal and transmit the alarm signal to the alarm unit 70 in the case of the first dangerous step according to this step.
- the alarm unit 70 generates an alarm light or a warning sound based on the transmitted alarm signal, and informs the medical staff or the guardian of the emergency state of the patient.
- the determination unit 60 may generate a first call signal for calling the caregiver of the patient in the second risk stage, and may transmit the first call signal to the portable terminal 80 of the patient's caregiver. Also, in the case of the third risk stage, a second call signal for calling both the guardian and the medical staff of the patient can be generated and transmitted to the portable terminal 80 of the guardian and the portable terminal 90 of the medical staff. At this time, the information displayed on the portable terminals 80 and 90 transmitted according to the first call signal and the second call signal may be different.
- the present invention may further include a communication unit (40).
- the communication unit 40 may transmit information sensed by the sensing unit to the determination unit 60 through wireless communication.
- the communication unit 40 may receive sensing information from the sensing unit via Zigbee or RF and transmit the sensed information to the determination unit 60.
- the handle 20 can be formed so that the space forming portion 11 can be easily inserted into the oral cavity.
- the handle 20 may be in the form of a bar extending from the center of the space forming part 11.
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Abstract
Description
본 발명은 모니터링 분야에 관한 것으로서, 구체적으로 장착자의 입안에 삽입된 기도유지장치로 호흡을 유지시킴과 동시에 장착자의 무호흡 상황을 의료진 또는 보호자에게 알려주는 시스템에 관한 것이다. The present invention relates to a monitoring field, and more particularly, to a system for maintaining breathing with an airway holding device inserted in a mouth of a wearer and informing a medical staff or a guardian of an apnea condition of the wearer.
일반적으로 응급상태의 환자는 정신을 잃은 상태에서 상악과 하악이 맞물리며 입을 다물게 되고, 그에 따라 기도가 확 보되지 않는 위험한 상황이 발생하게 된다. 환자의 보호자는 이러한 응급상황 발생에 대비하여 긴장 상태로 환자를 모니터링하게 되어 피로가 가중되는 고통이 있었다.In general, a patient in an emergency state is in a state of mental disturbance, where the upper and lower jaws engage and close their mouths, resulting in a dangerous situation in which the airways are not secured. The caregiver of the patient was suffering from fatigue due to monitoring the patient in a state of tension in preparation for such an emergency.
또한, 미숙 신생아 무호흡증이 있는데, 이는 뇌의 호흡 중추가 완전히 성숙하지 않은 미숙 신생아의 경우 무호흡의 빈도가 증가하여 성장이 더딘 문제가 있었다. In addition, there is an immature neonatal apnea, which has a problem of slower growth due to increased incidence of apnea in infants whose immune system is not fully mature.
기존의 호흡 모니터링 시스템은 환자의 호흡을 모니터링하고 비상상황이 발생한 경우에 이를 의료진이나 보호자에게 알려주는 방식을 취하고 있어, 의료진이나 보호자가 비상상황 발생을 인지하지 못한 경우, 환자의 기도확보가 어려워 위험한 상황이 발생되는 문제가 있었다. The existing respiration monitoring system monitors the patient's breathing and informs the medical staff or guardian in case of an emergency situation. If the medical staff or the guardian does not recognize the emergency situation, There was a problem that situation occurred.
본 발명은 기도가 확보된 상태에서 환자의 호흡을 모니터링하여 무호흡을 미연에 방지하는 장점이 있다.The present invention is advantageous in that the respiration of the patient is monitored in a state in which the airway is secured, thereby preventing apnea.
또한, 본 발명은 환자 보호자와 의료진의 피로가 감소되며, 응급상황에서 적절한 대응이 가능한 장점이 있다. In addition, the present invention has the advantage that the fatigue of the patient caregiver and the medical staff is reduced, and an appropriate response can be provided in an emergency situation.
본 발명의 일 실시예에 따른 기도확보가 가능한 호흡 모니터링 시스템은 반타원형, 반원형 및 아치형 중 적어도 하나의 형상이며, 상악과 하악 사이에 삽입되어 상기 상악과 하악 사이에 빈 공간을 형성하는 공간형성부, 상기 공간형성부 하면에 형성되어, 상기 공간형성부를 하악에 고정시키고, 상기 하악이 전방으로 돌출되어 기도가 확보되도록 상기 하악의 절치 내면에 걸리는 고정부, 상기 공간형성부 상면에 설치되고, 환자의 구강 내 온도, 이산화탄소 분압, 압력 중 적어도 하나를 센싱하여 센싱정보를 생성하는 센싱부, 상기 센싱정보부로부터 전달받은 센싱정보와 기설정된 데이터를 비교하여 상기 환자의 상태를 판단하는 판단부를 포함할 수 있다.The breathing monitoring system capable of securing airway according to an embodiment of the present invention includes at least one of semi-elliptical, semicircular, and arcuate shapes, a space forming part inserted between the upper and lower jaws to form an empty space between the upper and lower jaws, A fixing part formed on a lower surface of the space forming part to fix the space forming part to the lower jaw and to be hooked on the inner surface of the mandible so that the mandible protrudes forward to secure airway; A sensing unit for sensing at least one of temperature in the oral cavity, partial pressure of carbon dioxide, and pressure to generate sensing information, and a determination unit for determining the state of the patient by comparing sensing information transmitted from the sensing information unit with preset data have.
또한, 상기 고정부는 상기 공간형성부를 구강 내부로 가이딩하는 가이드부 및 상기 공간형성부가 상기 하악의 절치 내면에 걸리도록 돌출된 돌출부를 포함할 수 있다.The fixing portion may include a guide portion for guiding the space forming portion to the inside of the oral cavity, and a protrusion protruding from the space forming portion so as to be caught by the internal surface of the mandible.
또한, 상기 센싱부는 구강 내 온도를 센싱하고, 상기 판단부는 상기 센싱부에서 전달된 온도가 소정범위를 벗어난 경우, 응급상태로 판단할 수 있다.In addition, the sensing unit may sense the temperature in the oral cavity, and the determination unit may determine that the temperature is in an emergency state when the temperature delivered from the sensing unit is out of a predetermined range.
또한, 상기 센싱부는 구강 내 온도를 센싱하고,상기 판단부는 상기 센싱부에서 전달된 구강 내 온도 변화의 주기를 연산한 후, 상기 연산된 구강 내 온도 변화의 주기가 소정범위를 벗어난 경우에 응급상태로 판단할 수 있다In addition, the sensing unit senses the temperature in the oral cavity, and the determination unit calculates a cycle of temperature change in the oral cavity delivered from the sensing unit, and then, when the calculated period of the temperature change in the oral cavity is out of a predetermined range, Can be judged as
또한, 상기 센싱부는 구강 내 압력을 센싱하고,상기 판단부는 상기 센싱부에서 전달된 구강 내 압력 변화의 주기를 연산한 후, 상기 연산된 압력 변화의 주기가 소정범위를 벗어난 경우에 응급상태로 판단할 수 있다The sensing unit senses the pressure in the oral cavity, and the determination unit calculates a period of pressure change in the oral cavity delivered from the sensing unit, and determines that the period of the calculated pressure change is out of a predetermined range, can do
또한, 상기 센싱부는 구강 내 이산화탄소 분압을 센싱하고, 상기 판단부는 상기 센싱부에서 전달된 구강 내 이산화탄소 분압 변화의 주기를 연산한 후, 상기 연산된 구강 내 이산화탄소 분압의 주기가 소정범위를 벗어난 경우에 응급상태로 판단할 수 있다The sensing unit senses a partial pressure of carbon dioxide in the oral cavity, and the determination unit calculates a cycle of partial pressure of carbon dioxide in the oral cavity delivered from the sensing unit. If the period of the partial pressure of carbon dioxide in the oral cavity is out of a predetermined range Can be judged as an emergency
또한,,상기 공간형성부의 외면의 중앙에서 연장된 손잡이를 더 포함할 수 있다.Further, it may further include a handle extended from the center of the outer surface of the space forming portion.
또한, 상기 돌출부의 최대 두께는 4.5 내지 5.2mm 일 수 있다.In addition, the maximum thickness of the protrusion may be 4.5 to 5.2 mm.
또한, 상기 기도 확보가 가능한 호흡 모니터링 시스템은상기 환자의 연령정보가 입력되어 저장되는 연령정보부를 더 포함하고, 상기 판단부는 상기 센싱부로부터 전달된 환자의 구강 내 온도, 이산화탄소 분압 및 압력 정보를 전달받고, 상기 연령정보부터 상기 환자의 연령정보를 전달받아상기 연령정보에 기초하여, 상기 온도 변화의 주기, 상기 이산화탄소 분압 변화의 주기, 상기 압력 변화의 주기를 조합하여 상기 환자의 상태를 판단하되,상기 구강 내 온도 변화의 주기, 이산화탄소 분압 변화의 주기, 압력 변화의 주기 중 하나가 미리 설정한 범위를 벗어난 경우에 제1 위험단계, 그 중 두 개가 미리 설정한 범위를 벗어난 경우에 제2 위험단계, 그 중 세 개가 미리 설정한 범위를 벗어난 경우에 제3 위험단계로 판단할 수 있다In addition, the respiration monitoring system capable of securing the airway may further include an age information unit in which age information of the patient is input and stored, and the determination unit transmits the intraoral temperature, carbon dioxide partial pressure, and pressure information transmitted from the sensing unit Determining a state of the patient by combining the period of the temperature change, the period of the carbon dioxide partial pressure change, and the period of the pressure change based on the age information from the age information, A first risk step when one of the period of the temperature change in the oral cavity, the period of the carbon dioxide partial pressure change, and the period of the pressure change is out of the preset range; if two of them deviate from the preset range, , And if three of them are out of the preset range, it can be judged as the third danger step
또한, 알람부를 더 포함하고상기 판단부는 상기 제1 위험단계인 경우, 알람신호를 생성하여 상기 알람부로 전달할 수 있다.The alarm unit may further include an alarm unit, and when the determination unit determines that the alarm is the first dangerous step, the alarm unit may generate an alarm signal and transmit the alarm signal to the alarm unit.
또한, 상기 판단부는 상기 제1 위험단계인 경우, 제1 호출신호를 생성하여 상기 환자의 보호자의 휴대용 단말로 전달하고 상기 제2 위험단계인 경우, 제2 호출신호를 생성하여 상기 환자의 보호자와 의료진의 휴대용 단말로 전달할 수 있다.In addition, the determining unit may generate a first call signal to the portable terminal of the patient's guardian in the first risk step, generate a second call signal in the second risk step, To the portable terminal of the medical staff.
또한, 상기 기도 확보가 가능한 호흡 모니터링 시스템은 통신부를 더 포함하고,상기 통신부는 지그비(Zigbee) 또는 RF를 통해 센싱부로부터 센싱정보를 전달받아 이를 상기 판단부로 전달할 수 있다.In addition, the respiration monitoring system capable of securing airway may further include a communication unit, and the communication unit may receive the sensing information from the sensing unit via Zigbee or RF and transmit the sensed information to the determination unit.
본 발명의 일 실시예에 따른 기도유지부는 반타원형, 반원형 및 아치형 중 적어도 하나의 형상이며, 상악과 하악 사이에 삽입되어 상기 상악과 하악 사이에 빈 공간을 형성하는 공간형성부, 및상기 공간형성부 하면에 형성되어, 상기 공간형성부를 하악에 고정시키고, 상기 하악이 전방으로 돌출되어 기도가 확보되도록 상기 하악의 절치 내면에 걸리는 고정부를 포함할 수 있다.The airway holding part according to an embodiment of the present invention may include at least one of semi-elliptical, semicircular, and arcuate shapes, a space forming part inserted between the upper and lower jaws to form an empty space between the upper and lower jaws, And a fixing part which is formed on the lower surface of the mandible and fixes the space forming part to the mandible and is hooked on the inner surface of the mandible so that the mandible protrudes forward to secure the airway.
본 발명의 일실시예에 따른 호흡 모니터링 시스템은 반타원형, 반원형 및 아치형 중 적어도 하나의 형상이며, 상악과 하악 사이에 삽입되어 상기 상악과 하악 사이에 빈 공간을 형성하는 공간형성부,A respiration monitoring system according to an embodiment of the present invention includes at least one of a semi-elliptical, semicircular, and arcuate shape, a space forming part inserted between the upper and lower jaws to form an empty space between the upper and lower jaws,
상기 공간형성부 하면에 형성되어, 상기 공간형성부를 하악에 고정시키고, 상기 하악이 전방으로 돌출되어 기도가 확보되도록 상기 하악의 절치 내면에 걸리는 고정부, 및 상기 공간형성부 상면에 설치되고, 환자의 구강 내 온도, 이산화탄소 분압, 압력 중 적어도 하나를 센싱하여 상기 장착자의 호흡여부를 모니터링할 수 있다.A fixing part formed on the lower surface of the space forming part to fix the space forming part to the lower jaw and to be caught on the inner surface of the mandible so that the mandible protrudes forward to secure airway; At least one of the temperature in the oral cavity, the partial pressure of carbon dioxide, and the pressure of the wearer may be sensed to monitor the respiration of the wearer.
본 발명은 기도가 확보된 상태에서 환자의 호흡을 모니터링하여 무호흡을 미연에 방지하는 장점이 있다.The present invention is advantageous in that the respiration of the patient is monitored in a state in which the airway is secured, thereby preventing apnea.
또한, 본 발명은 환자 보호자와 의료진의 피로가 감소되며, 응급상황에서 적절한 대응이 가능한 장점이 있다. In addition, the present invention has the advantage that the fatigue of the patient caregiver and the medical staff is reduced, and an appropriate response can be provided in an emergency situation.
도 1은 아치형 기도유지부의 하면을 도시한 것이다.Fig. 1 shows the lower face of the arcuate airway holding part.
도 2는 아치형 기도유지부의 상면을 도시한 것이다Figure 2 shows the upper surface of the arcuate airway retaining portion
도 3은 반타원형 기도유지부의 하면을 도시한 것이다Figure 3 shows the bottom surface of the semi-elliptical airway retaining portion
도 4는 환자모니터링 시스템을 도시한 것이다. Figure 4 shows a patient monitoring system.
본 발명은 기도확보가 가능한 상태에서 환자의 호흡이나 체온을 모니터링이 가능한 시스템에 관한 것이다. 본 발명의 일 실시예에 따른 기도확보가 가능한 화나 모니터링 시스템은 기도유지부(10), 센싱부(30), 판단부(60), 연령정보부(50), 알람부(70)를 포함할 수 있다.The present invention relates to a system capable of monitoring respiration and body temperature of a patient in a state in which air can be secured. The monitoring system capable of securing airway according to an embodiment of the present invention may include an
본 발명의 기도유지부(10)는 공간형성부(11), 고정부(12), 손잡이(20)를 포함할 수 있다. The
도 1과 도 2는 아치형상의 공간형성부(11)를 도시한 것이며, 도 3은 반타원형의 공간형성부(11)를 도시한 것이다. Figs. 1 and 2 show an arcuate
공간형성부(11)는 하악의 교합면 위에 안착된다. 즉 공간형성부(11)는 상악과 하악 사이에 삽입되어, 상악과 하악 사이에 공기가 흐를 수 있는 빈 공간을 형성한다. 본 발명의 공간형성부(11)는 치열의 배열과 유사한 형태인 반타원형, 반원형, 아치형의 형상으로 제작될 수 있고, 인체에 무해한 플라스틱이나 실리콘 재질로 이루어질 수 있다. The
본 발명의 일 실시예에 따르면 공간형성부(11)의 두께는 1~3mm일 수 있다. 공간형성부(11)의 두께가 1mm 이하인 경우에는 빈 공간이 제대로 형성되지 않아 효과가 없고, 3mm 이상인 경우에는 환자의 불편함이 크게 증가한다. According to an embodiment of the present invention, the thickness of the
또한, 상기 공간형성부(11)는 공기의 흐름이 원활하도록 공간형성부(11)에 규칙적으로 또는 불규칙적으로 통공(11a)이 형성될 수 있다. The through hole 11a may be regularly or irregularly formed in the
본 발명은 하악을 전방으로 돌출시켜 기도확보를 용이하게 하는 고정부(12)를 더 포함할 수 있다. .The present invention may further include a fixing portion 12 that protrudes the mandible forward to facilitate airway maintenance. .
상기 고정부(12)는 공간형성부(11) 하면에 형성되어, 공간형성부(11)를 고정시키고 하악이 전방으로 돌출되어 기도가 확보되도록 하악의 절치 내면에 걸리도록 형성될 수 있다. 상기 고정부(12)는 공간형성부(11)를 구강 내부로 가이딩하는 가이드부(12a)와 공간형성부(11)가 하악의 절치 내면에 걸리도록 돌출된 돌출부(12b)를 포함할 수 있다. The fixing portion 12 may be formed on the lower surface of the
상기 돌출부(12b)는 하악의 교합면 위에 공간형성부(11)가 안착되어 유치되도록 절치 부분에 턱으로 고정시킨다. 또한, 이와 같이 돌출된 턱으로 인해 하악이 돌출되면서 상기도가 열린다.The protruding portion 12b is fixed to the incisal portion with the jaw so that the
돌출부(12b)는 환자가 이물감을 느끼지 않으면서 효과적으로 공간형성부(11)를 고정할 수 있게 돌출부(12b)의 최대 두께는 4.5 내지 5.2mm일 수 있다.The maximum thickness of the protruding portion 12b may be 4.5 to 5.2 mm so that the protruding portion 12b can effectively fix the
본 발명의 센싱부(30)는 공간형성부(11) 상부에 설치되어 환자의 호흡이나 체온을 감지할 수 있다. 상기 센싱부(30)는 환자의 구강 내 온도, 이산화탄소 분압, 압력 중 적어도 하나를 센싱하여 센싱정보를 생성하고, 이 센싱정보를 판단부(60)로 전달할 수 있다. The
판단부(60)는 센싱부(30)에서 전달받은 센싱정보와 기설정된 데이터를 비교하여 환자의 상태를 판단할 수 있다. 호흡이 이루어지는 과정에서 구강 내의 온도, 이산화탄소 분압, 압력은 호기와 흡기에 따라 특정 주기로 변한다, 판단부(60)는 이러한 구강 내의 온도, 이산화탄소 분압, 압력의 변화 주기를 적어도 하나에 기초하여 환자의 상태를 판단할 수 있다. 또한, 상기 판단부(60)는 구강 내 온도에 기초하여 환자의 상태를 판단할 수도 있다. The determination unit 60 may determine the state of the patient by comparing the sensing information received from the
제1실시예로 판단부(60)는 센싱부(30)에서 전달된 구강 내 온도를 미리 설정한 구강 내 온도 데이터와 비교하여, 구강 내 온도가 미리 설정한 범위보다 높거나 낮은 경우에, 환자의 상태가 응급한 것으로 판단할 수 있다.In the first embodiment, the judgment unit 60 compares the oral cavity temperature delivered from the
제2실시예로 판단부(60)는 센싱부(30)에서 전달된 구강 내 온도 변화의 주기를 연산하고, 이 연산된 구강 내 온도 변화 주기를 미리 설정한 구강 내 온도 변화 주기와 비교하여, 구강 내 온도 변화 주기가 미리 설정한 범위를 벗어난 경우에, 환자의 상태가 응급한 것으로 판단할 수 있다.In the second embodiment, the determination unit 60 calculates the cycle of the intraoral temperature change transmitted from the
제3실시예로 판단부(60)는 센싱부(30)에서 전달된 구강 내 압력 변화의 주기를 연산하고, 이 연산된 구강 내 압력 변화 주기를 미리 설정한 구강 내 압력 변화 주기와 비교하여, 구강 내 압력 변화 주기가 미리 설정한 범위를 벗어난 경우에, 환자의 상태가 응급한 것으로 판단할 수 있다.In the third embodiment, the determination unit 60 calculates the cycle of intraoral pressure change delivered from the
제4실시예로 판단부(60)는 센싱부(30)에서 전달된 구강 내 이산화탄소 분압 변화의 주기를 연산하고, 이 연산된 구강 내 이산화탄소 분압 변화 주기를 미리 설정한 구강 내 압력 변화 주기와 비교하여, 구강 내 이산화탄소 분압 변화 주기가 미리 설정한 범위를 벗어난 경우에, 환자의 상태가 응급한 것으로 판단할 수 있다.In the fourth embodiment, the determination unit 60 calculates the cycle of the change in the partial pressure of carbon dioxide in the oral cavity delivered from the
제5실시예로, 본 발명은 환자의 연령정보가 입력되어 저장된 연령정보부(50)를 더 포함할 수 있다. 판단부(60)는 센싱부(30)로부터 환자의 구강 내 온도, 이산화탄소 분압, 압력 정보를 전달받고, 연령정보부(50)로터 환자의 연령정보를 전달받아, 구강 내 온도 변화의 주기, 이산화탄소 분압 변화의 주기, 압력 변화의 주기를 연산하고, 이를 조합하여 환자의 상태를 판단할 수 있다. 상기 판단부(60)에는 연령정보에 따른 정상상태의 구강 내 온도 변화 주기, 이산화탄소 분압 변화 주기, 압력 변화 주기가 미리 설정되어 있고, 이렇게 설정된 범위와 연산된 값을 비교하여 환자의 상태를 판단할 수 있다. 이 경우, 판단부(60)는 구강 내 온도 변화의 주기, 이산화탄소 분압 변화의 주기, 압력 변화의 주기를 조합하여 판단할 수 있다. 상기 판단부(60)는 조합된 데이터에 기초하여 환자의 상태를 단계적으로 판단할 수 있다. 예컨대, 구강 내 온도 변화의 주기, 이산화탄소 분압 변화의 주기, 압력 변화의 주기 중 하나가 미리 설정한 범위를 벗어난 경우에 제1 위험단계, 그 중 두 개가 미리 설정한 범위를 벗어난 경우에 제2 위험단계, 그 중 세 개가 미리 설정한 범위를 벗어난 경우에 제3 위험단계로 판단할 수 있다. In the fifth embodiment, the present invention may further include an age information unit 50 in which age information of a patient is inputted and stored. The determination unit 60 receives the temperature of the oral cavity of the patient, the partial pressure of the carbon dioxide, and the pressure information from the
판단부(60)는 이러한 단계에 따라 제1 위험단계인 경우에 알람신호를 생성하여 이를 알람부(70)로 전달할 수 있다. 알람부(70)는 전달된 알람신호에 기초하여 알람용 빛이나 경고음을 생성하여 의료진이나 보호자에게 환자의 응급상태를 알릴 수 있다.The determining unit 60 may generate an alarm signal and transmit the alarm signal to the
또한, 판단부(60)는 제2 위험단계인 경우에 환자의 보호자를 호출하는 제1 호출 신호를 생성하여 환자의 보호자의 휴대용 단말(80)로 전달할 수 있다. 또한, 제3 위험단계인 경우에 환자의 보호자와 의료진을 모두 호출하는 제2 호출 신호를 생성하여 보호자의 휴대용 단말(80) 및 의료진의 휴대용 단말(90)로 전달할 수 있다. 이때, 제1 호출신호와 제2 호출신호에 따라 전달되는 휴대용 단말(80, 90)에 표시되는 정보는 상이할 수 있다. In addition, the determination unit 60 may generate a first call signal for calling the caregiver of the patient in the second risk stage, and may transmit the first call signal to the portable terminal 80 of the patient's caregiver. Also, in the case of the third risk stage, a second call signal for calling both the guardian and the medical staff of the patient can be generated and transmitted to the portable terminal 80 of the guardian and the
본 발명은 통신부(40)를 더 포함할 수 있다. 상기 통신부(40)는 무선통신을 통해 센싱부에서 센싱된 정보를 판단부(60)로 전달할 수 있다. 바람직하게 상기 통신부(40)는 지그비(Zigbee) 또는 RF를 통해 센싱부로부터 센싱정보를 전달받아 이를 상기 판단부(60)로 전달할 수 있다. The present invention may further include a communication unit (40). The communication unit 40 may transmit information sensed by the sensing unit to the determination unit 60 through wireless communication. Preferably, the communication unit 40 may receive sensing information from the sensing unit via Zigbee or RF and transmit the sensed information to the determination unit 60.
본 발명의 다른 실시예에 따르면, 공간형성부(11)를 구강 내로 쉽게 삽입할 수 있도록 손잡이(20)를 형성할 수 있다. 상기 손잡이(20)는 공간형성부(11)의 중앙에서 연장된 바(bar) 형태일 수 있다.According to another embodiment of the present invention, the
Claims (14)
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| Application Number | Priority Date | Filing Date | Title |
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| PCT/KR2017/014436 WO2019117319A1 (en) | 2017-12-11 | 2017-12-11 | Respiration monitoring system capable of securing airway |
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| Application Number | Priority Date | Filing Date | Title |
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| PCT/KR2017/014436 WO2019117319A1 (en) | 2017-12-11 | 2017-12-11 | Respiration monitoring system capable of securing airway |
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| WO2019117319A1 true WO2019117319A1 (en) | 2019-06-20 |
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| PCT/KR2017/014436 Ceased WO2019117319A1 (en) | 2017-12-11 | 2017-12-11 | Respiration monitoring system capable of securing airway |
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| US5117816A (en) * | 1991-01-03 | 1992-06-02 | Shapiro Norman A | Anti-snore device |
| US5957133A (en) * | 1997-07-21 | 1999-09-28 | Hart; William T. | Oral appliance with negative air supply for reducing sleep apnea and snoring |
| JP2015157122A (en) * | 2007-11-13 | 2015-09-03 | アプニキュア， インコーポレイテッド | Methods and systems for improving airway patency |
| JP2017086704A (en) * | 2015-11-13 | 2017-05-25 | 株式会社フクダ産業 | Respiratory function testing device |
| JP2017528194A (en) * | 2014-08-08 | 2017-09-28 | ダブリューエム・アンド・ディージー，インク | Medical device and its mounting |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5117816A (en) * | 1991-01-03 | 1992-06-02 | Shapiro Norman A | Anti-snore device |
| US5957133A (en) * | 1997-07-21 | 1999-09-28 | Hart; William T. | Oral appliance with negative air supply for reducing sleep apnea and snoring |
| JP2015157122A (en) * | 2007-11-13 | 2015-09-03 | アプニキュア， インコーポレイテッド | Methods and systems for improving airway patency |
| JP2017528194A (en) * | 2014-08-08 | 2017-09-28 | ダブリューエム・アンド・ディージー，インク | Medical device and its mounting |
| JP2017086704A (en) * | 2015-11-13 | 2017-05-25 | 株式会社フクダ産業 | Respiratory function testing device |
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