A positioning and measuring device based on the zone penetration method (ZIM)

Abstract

The present invention relates to a positioning and measuring device based on a zone puncture method (ZIM), the device comprising an illumination lamp, a camera device and a micro-operation host, wherein a camera device is fixedly connected above the illumination lamp, a micro-operation host is arranged on one side of the camera device, and the operation host is located above the illumination lamp and is electrically connected to the illumination lamp and the camera device respectively; a main control operating system is embedded inside the micro-operation host, and a machine vision system is arranged on the main control operating system; the advantages of the present invention are as follows: the present invention uses a machine vision system to replace manual measurement and judgment, thereby improving the success rate of PICC catheterization, reducing the occurrence of complications, and being able to realize rapid positioning of the puncture area, saving operation time, reducing the workload of manual measurement of medical staff, and improving the work efficiency of medical staff.

Description

Technical Field

[0001] The invention relates to the technical field of medical devices, in particular to a positioning and measuring device based on a zone intramural method (ZIM). Background Art

[0002] When PICC is placed, the nurse needs to measure the patient's arm to determine the length of the catheter to the superior vena cava after it is placed in the vein. The positioning method is: the patient lies flat, the upper limb on the puncture side is abducted to form a 90-degree angle, starting from the antecubital fossa of the patient's elbow joint, along the vein, across the shoulder to the right edge of the superior sternal notch, located at the upper end of the sternal manubrium, and then folded downward to the third intercostal space (using the sternal angle as a mark to determine the second intercostal space and then measure downward to the third intercostal space). Finally, the distance from the puncture point to the antecubital fossa is subtracted to obtain the appropriate length of the catheter. At this time, the end of the catheter is located in the superior vena cava segment.

[0003] At present, some catheter placements in clinical practice use the "blind puncture method", that is, the puncture point and the insertion depth of the puncture catheter are determined by the nurse's measurement. Specifically, when PICC catheterization is used, the blind puncture method is used, which has hidden dangers in determining the puncture position, reduces the success rate of puncture, and increases complications such as phlebitis, thrombosis, soft tissue injury, ectopic position and infection. In addition, before PICC catheterization, the length from the proposed puncture position to the superior vena cava needs to be measured; during the puncture process, once the puncture position is determined, the nurse needs to measure again and determine the length of the inserted catheter. During the measurement process, there are problems such as manual measurement errors and contamination of the sterile area.

[0004] With the development of PICC technology, the application of ultrasound-guided MST PICC placement has become more and more widespread. Some medical institutions have also carried out "ultrasound-guided PICC placement", which reduces the incidence of complications such as phlebitis, thrombosis, soft tissue injury, catheter malposition and infection compared with blind insertion. At present, studies have shown that (Dawson, Robert B. PICC Zone Insertion MethodTM (ZIMTM): A Systematic Approach to Determine the Ideal Insertion Site for PICCs in the Upper Arm [J]. Journal of the Association for Vascular Access, 2011, 16 (3): 156, 162-160, 165.) The regional puncture method ZIM can guide PICC placement, facilitate nurses to find the accurate puncture site, and reduce the occurrence of PICC-related complications. However, there is little research on ZIM in China.

[0005] A search of existing patents shows that no one has yet developed a relatively more accurate and rapid positioning and measurement device for regional puncture ZIM catheterization.

[0006] Therefore, in summary, there is an urgent need for a lighting light bar device for PICC catheterization puncture location positioning and measurement based on the zone puncture method (ZIM), which can determine the best selection area for PICC puncture through evidence-based evidence, help nurses quickly determine the puncture area, save operation time, improve the success rate of puncture, and reduce related complications. However, there is no report on this new type of positioning and measurement device based on the zone puncture method (ZIM). Summary of the invention

[0007] The purpose of the present invention is to use a machine vision system to replace manual measurement and judgment to improve the success rate of PICC catheterization, reduce the occurrence of complications, and thus improve patients' compliance and satisfaction with PICC catheterization. It specifically provides a positioning and measurement device based on the regional puncture method (ZIM).

[0008] To achieve the above object, the technical solution adopted by the present invention is:

[0009] A positioning and measuring device based on the zone penetration method (ZIM), the device comprising an illuminating lamp, a camera device and a micro-operating host, wherein a camera device is connected above the illuminating lamp, a micro-operating host is arranged on one side of the camera device, and the operating host is located above the illuminating lamp and is electrically connected to the illuminating lamp and the camera device respectively; the illuminating lamp is composed of a shell, a strip LED lamp and a driving circuit board, the strip LED lamp is located inside the shell, and the strip LED lamp is electrically connected to the driving circuit board, and a light source controller is also arranged on the driving circuit board; the camera device is composed of a camera, an infrared scanning positioning device, an LED lamp fill light device and a storage device; a display is arranged on the micro-operating host, a control panel is arranged below the display, the control panel is embedded in the outer surface of the micro-operating host, a switch button is arranged on the control panel, a main control operating system is embedded on the inner side of the micro-operating host, and a machine vision system is arranged on the main control operating system.

[0010] In the above-mentioned positioning and measuring device based on the zone penetration method (ZIM), as a preferred solution, the light source controller can control the strip LED light to simultaneously present three colors: red, green and yellow, and each of the presented colors has an equal wavelength of a certain length.

[0011] In the above-mentioned positioning and measuring device based on the zone intravital puncture method (ZIM), as a preferred solution, a power supply is also provided inside the micro-operation host, and the lighting lamp and the camera device are electrically connected to the power supply inside the micro-operation host.

[0012] In the above-mentioned positioning and measuring device based on the zone penetration method (ZIM), as a preferred solution, the machine vision system also includes an image acquisition system and a detection device.

[0013] In the above-mentioned positioning and measuring device based on the zone puncture method (ZIM), as a preferred solution, the main control operating system controls the camera device to scan, locate and collect information of the catheterized patient, and the camera device transmits the collected information to the machine vision system, which then recognizes and calculates it.

[0014] In the above-mentioned positioning and measuring device based on the zone penetration method (ZIM), as a preferred solution, after the main control operating system calculates the result, the lighting lamp displays the specific light source color and lighting position.

[0015] The advantages of the present invention are:

[0016] 1. The present invention is simple to operate and highly practical. It uses a machine vision system to replace manual measurement and judgment, thereby improving the success rate of PICC catheterization and reducing the occurrence of complications. It also improves patients' compliance and satisfaction with PICC catheterization and enhances the social benefits of the hospital.

[0017] 2. The display and storage device described in the present invention can record the data of the entire PICC catheterization puncture position positioning and measurement process, making the operation more intuitive, simpler and faster. At the same time, it can also record the entire PICC catheterization process in images, which has a certain reference value for medical disputes, nursing teaching, and quality improvement.

[0018] 3. The present invention solves the potential safety hazard of puncture position caused by the blind puncture method in the prior art, improves the success rate of puncture, and can realize rapid positioning of the puncture area, saving operation time, reducing the workload of manual measurement of medical staff, avoiding errors in manual measurement, and improving the work efficiency of medical staff. BRIEF DESCRIPTION OF THE DRAWINGS

[0019] Attached Figure 1 It is a schematic diagram of the structure of the positioning and measuring device based on the zone penetration method (ZIM) described in the present invention.

[0020] Attached Figure 2It is a partial workflow diagram of the positioning and measuring device based on the zone intraperitoneal puncture method (ZIM) described in the present invention.

[0021] Attached Figure 3 It is a flow chart indicating the flow between some programs on the positioning and measuring device based on the zone penetration method (ZIM) described in the present invention. DETAILED DESCRIPTION

[0022] The present invention will be further described below in conjunction with specific embodiments. It should be understood that these embodiments are only used to illustrate the present invention and are not intended to limit the scope of the present invention. In addition, it should be understood that after reading the content of the present invention, those skilled in the art can make various changes or modifications to the present invention, and these equivalent forms fall within the scope limited by the appended claims of the application equally.

[0023] The reference numerals and components involved in the drawings are as follows:

[0024] 1. Lighting 2. Camera 3. Micro-operation host

[0025] 4. Housing 5. Strip LED light 6. Driver circuit board

[0026] 7. Light source controller 8. Camera 9. Infrared scanning positioning device

[0027] 10.LED light supplement device 11.Storage device 12.Display

[0028] 13. Control panel 14. Switch button 15. Main control operating system

[0029] 16. Machine vision system 17. Power supply 18. Image acquisition system

[0030] 19. Detection device

[0031] Example 1 A positioning and measuring device based on the zone puncture method (ZIM)

[0032] Please see attached Figure 1-3 As shown, attached Figure 1 Schematic diagram of the structure of the positioning and measuring device based on the zone penetration method (ZIM) described in the present invention. Figure 2 Attached is a workflow diagram of the positioning and measurement device based on the zone puncture method (ZIM) described in the present invention. Figure 3 It is a flow chart indicating the flow between some programs on the positioning and measuring device based on the zone penetration method (ZIM) described in the present invention.

[0033] The present invention is mainly used for positioning the puncture position and measuring the distance of the puncture point during peripherally inserted central catheter (PICC) catheterization in tumor patients, so as to help the catheterizer determine a more ideal puncture site under the guidance of the regional puncture method (ZIM) to reduce the occurrence of complications. The present invention specifically provides a positioning and measuring device based on the regional puncture method (ZIM), which includes a lighting lamp 1, a camera device 2 and a micro-operation host 3. A camera device 2 is connected above the lighting lamp 1, and the camera device 2 is rotatably connected to the lighting lamp 1. The rotation method can refer to the principle of a home camera to achieve multi-directional scanning of different patients to meet the needs of patients of different heights. A micro-operation host 3 is provided on one side of the camera device 2, and the operation host 3 is located above the illuminating lamp 1 and is electrically connected to the illuminating lamp 1 and the camera device 2 respectively; the illuminating lamp 1 is composed of a shell 4, a strip LED lamp 5 and a driving circuit board 6, the strip LED lamp 5 is located inside the shell 4, and the strip LED lamp 5 is electrically connected to the driving circuit board 6, and a light source controller 7 is also provided on the driving circuit board 6, and the light source controller 7 can, after receiving the data signal from the micro-operation host 3, cooperate with the driving circuit board 6 to realize the equidistant presentation and projection of different colors of the strip LED lamp 5, so as to facilitate medical staff to quickly and accurately identify the best puncture point according to the ZIM method, and improve the work efficiency of medical staff; the camera device 2 is composed of a camera 8, an infrared scanning and positioning device 9, an LED lamp fill light device 10 and a storage device 11, and the infrared scanning and positioning device 9 is used to scan the bone landmarks of the human body The information includes the marks needed for PICC catheterization, including upper arm bone marks, elbow joint, cubital fossa, shoulder joint, suprasternal notch, sternal manubrium, sternal angle, etc. The infrared scanning and positioning device 9 can clearly scan and locate the marked part data, and its LED light fill light device 10 can be used for the camera 8 and the infrared scanning and positioning device 9 to fill the unclear light when the patient image is collected and scanned, so that the scanning and positioning data of the camera 8 and the infrared scanning and positioning device 9 are accurate, and the storage device 2 can be used to store the scanned and positioned picture data, and then the scanned pattern data can be transmitted to the micro-operation host 3 through the transmission line, and the machine vision system in the micro-operation host 3 converts the image data; the micro-operation host 3 is provided with a display 12, and the display 12 is used to display the data record of the entire PICC catheterization puncture position positioning and measurement process, so that the operation is more intuitive, simpler and faster;A control panel 13 is provided below the display 12, and the control panel 13 is embedded in the outer surface of the micro-operation host. A switch button 14 is provided on the control panel 13, and the switch button 14 can control the power on and function operation of the micro-operation host. A main control operating system 15 is embedded in the inner side of the micro-operation host, and a machine vision system 16 is provided on the main control operating system 15 (the machine vision system described in this device is a comprehensive technology, including image processing, mechanical engineering technology, control, electric light source lighting, optical imaging, sensor, analog and digital video technology, computer software and hardware technology, image enhancement and analysis algorithm, image card, I / O card, etc.), and the entire PICC catheterization process performed by the micro-operation host 3 is displayed on the display screen, making the operation more intuitive, simpler and faster. At the same time, after the operation, the patient can clearly understand the professional records of the doctor and understand his own treatment situation, and at the same time, it also avoids medical disputes and provides favorable value for later nursing teaching and quality improvement. ;

[0034] In this embodiment, the light source controller 7 is preferably capable of controlling the strip LED light 5 to simultaneously present red, green and yellow colors, and each of the presented colors presents an equal wavelength of a certain length. The light source controller 7 converts the color of the strip LED light 5 upon receiving the input signal from the micro-operation host, and displays the set red, yellow and yellow colors on the upper arm of the measured patient, and divides the patient's upper arm into three equal areas according to the color, and the presented colors are respectively located in the three areas. Since the main control operating system on the micro-operation host can measure the center point of the patient's upper arm after calculation and analysis, the midpoint to the intersection of the displayed green area and the yellow area can be taken according to the ZIM method, which can be used as the best puncture area. The selected area is the area with the least complications and the highest patient comfort in clinical studies. Based on the regional puncture method (ZIM), the best selection area for PICC puncture can be determined according to the projection of equal lengths of light sources of different colors and through evidence-based evidence, helping nurses to quickly determine the puncture area, saving operation time, improving the success rate of puncture, and reducing related complications.

[0035] In this embodiment, it is preferred that a power supply 17 is also provided inside the micro-operation host 3, and the lighting lamp 1 and the camera device 3 are electrically connected to the power supply 17 inside the micro-operation host 3. The power supply 17 is used to provide a certain amount of electrical energy to all electrical components inside the lighting light strip device, and can be electrically connected to each electrical component through wires.

[0036] In this embodiment, the machine vision system 16 preferably also includes an image acquisition system 18 and a detection device 19. The machine vision system 16 converts the detected target into an image signal through the detection device 19, transmits it to the main control operating system through the image acquisition system 18, and converts it into a digital signal according to the pixel distribution, brightness, color and other information. The image acquisition system performs various operations on these signals to extract the characteristics of the target, such as area, quantity, position, length, and then outputs the results according to the preset tolerance and other conditions, including size, angle, and center position positioning, etc.; and the detection device can detect and screen the needle row, without manual measurement and marking, which improves work efficiency, and is also provided with an image acquisition system, which can collect and identify data on the image, quickly find the green area and the midpoint of the upper arm, and calculate the best area for puncture, reducing unnecessary pain of the patient during the puncture process, improving the success rate of puncture and catheterization, and also reducing the occurrence of complications and improving the comfort of the patient.

[0037] In this embodiment, the main control operating system 15 preferably controls the camera device 2 to perform scanning, positioning and acquisition of the information of the catheterized patient. The main control operating system 15 controls the camera 8 and the infrared scanning and positioning device 9 to perform scanning and positioning. During scanning, the internal LED light fill light device 10 can provide appropriate fill light for the unclear image acquisition and snapshot of the camera 8 and the infrared scanning and positioning device 9, so that the camera scanning and positioning data are accurate, and the scanned information can be clearly and accurately transmitted to the storage device. The storage device 11 transmits the collected information to the machine vision system, which recognizes and calculates it.

[0038] In this embodiment, the main control operating system 15 preferably calculates the result and displays the specific light source color and light position on the lighting lamp 1. The main control operating system 15 controls the image acquisition system 18 and the detection device 19 on the machine vision system 16 and other system devices to calculate and convert the read data to confirm the final position of the puncture point. The main control operating system provides the data result to the lighting lamp and controls the light source controller on the lighting lamp to display the corresponding color area; and after determining the position of the puncture point, the micro-operation host can control the camera device (identify the human body bone landmark according to the image) to measure the distance from the puncture point to the superior vena cava and the depth of the PICC catheter insertion, reducing the workload of manual measurement of medical staff, avoiding the error of manual measurement, improving the work efficiency of medical staff, and also improving the success rate of PICC catheterization, reducing the occurrence of complications, thereby improving the compliance and satisfaction of patients with PICC catheterization.

[0039] The method of using the present invention is as follows: firstly, the device is set on the PICC catheter bed at a position corresponding to the patient, and then the power switch button on the micro-operation host is turned on, and the micro-operation host starts to control the camera device to operate, and the infrared scanning positioning device and the camera on the camera device perform a landmark scan on the target object, and the LED light supplement device performs light supplement, so that the read image information is clearer and more accurate, and then the storage device on the camera device outputs the read image data to the micro-operation host again, and the micro-operation host performs detection and analysis of the image data and calculates the final data result, and then the micro-operation host outputs the calculated data result to the lighting lamp, and controls The strip LED light on the lighting lamp presents different colors (red, green, yellow, and colorless) equidistantly on the patient's upper arm, and the micro-operation host calculates the midpoint of the patient's upper arm. According to the ZIM method, the midpoint to the intersection of green and yellow is taken as the optimal puncture area. After the PICC nurse determines the location of the puncture point, the micro-operation host measures the distance from the puncture point to the superior vena cava and the depth of PICC catheter insertion, and finally completes the entire measurement of the catheterization data. The entire catheterization measurement process will be intuitively displayed on the display of the micro-operation host, which is convenient for medical staff to observe and record, and also provides favorable assistance for subsequent nursing teaching and quality improvement.

[0040] It should be noted that the present invention is simple to operate and has strong practicality. It uses a machine vision system to replace manual measurement and judgment, and can quickly obtain data information of the detected target, helping nurses to quickly determine the puncture area, saving operation time, improving the detection efficiency of daily work, and reducing the occurrence of complications. At the same time, it also improves the success rate of PICC catheterization, avoids the waste of medical materials, reduces the losses of patients and hospitals, and improves the social benefits of the hospital; and the present invention also solves the safety hazards of the puncture position caused by the blind puncture method in the prior art, improves the success rate of puncture, and can achieve rapid positioning of the puncture area, saving operation time and reducing medical The workload of manual measurement of medical staff is reduced, the error of manual measurement is avoided, and the work efficiency of medical staff is improved; and the machine vision system on the micro-operation host and the infrared measurement and positioning device on the camera device described in the present invention are both disclosed in the prior art and are also popular in daily life, so they are not elaborated here; and the display and storage device described in the present invention can locate the puncture position of the entire PICC catheter and record the data of the measurement process, making the operation more intuitive, simpler and faster, and can also record the entire PICC catheterization process by image, which has a certain reference value for medical disputes, nursing teaching, and quality improvement.

[0041] The above is only a preferred embodiment of the present invention. It should be pointed out that ordinary technicians in this technical field can make several improvements and supplements without departing from the principle of the present invention. These improvements and supplements should also be regarded as the scope of protection of the present invention.

Claims

1. A positioning and measuring device based on the zone penetration method (ZIM), characterized in that: The device comprises an illumination lamp, a camera device and a micro-operation host, wherein a camera device is connected above the illumination lamp, a micro-operation host is arranged on one side of the camera device, and the operation host is located above the illumination lamp and is electrically connected to the illumination lamp and the camera device respectively; the illumination lamp is composed of a shell, a strip LED lamp and a driving circuit board, the strip LED lamp is located inside the shell, and the strip LED lamp is electrically connected to the driving circuit board, and a light source controller is also arranged on the driving circuit board; the camera device is composed of a camera, an infrared scanning and positioning device, an LED light fill light device and a storage device; a display is arranged on the micro-operation host, a control panel is arranged below the display, the control panel is embedded in the outer surface of the micro-operation host, a switch button is arranged on the control panel, and a main control button is embedded on the inner side of the micro-operation host The main control operating system is provided with a machine vision system, and the light source controller can control the strip LED light to present three colors of red, green and yellow at the same time, and each of the presented colors presents an equal wavelength of a certain length; after receiving the input signal from the micro-operation host, the light source controller converts the color of the strip LED light, displays the set red, yellow and green colors on the upper arm of the measured patient, and divides the upper arm of the patient into three equal areas according to the color, and the presented colors are respectively located in the three areas, and the main control operating system on the micro-operation host can measure the center point of the patient's upper arm after calculation and analysis, and according to the ZIM method, take the midpoint to the intersection of the displayed green area and the yellow area as the puncture area; after determining the position of the puncture point, the micro-operation host can control the camera device to measure the distance from the puncture point to the superior vena cava and the depth of PICC catheter insertion.

2. The positioning and measuring device based on the zone penetration method (ZIM) according to claim 1, characterized in that: A power source is also provided inside the micro-operation host, and the lighting lamp and the camera device are both electrically connected to the power source inside the micro-operation host.

3. The positioning and measuring device based on the zone penetration method (ZIM) according to claim 1, characterized in that: The machine vision system also includes an image acquisition system and a detection device.

4. The positioning and measuring device based on the zone penetration method (ZIM) according to claim 1, characterized in that: The main control operating system controls the camera device to scan, locate and collect information of the catheterized patient, and the camera device transmits the collected information to the machine vision system, which then identifies and calculates it.

5. The positioning and measuring device based on the zone penetration method (ZIM) according to claim 1, characterized in that: After the main control operating system calculates the result, the lighting lamp displays the specific light source color and lighting position.

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