A shaped floating temporary cardiac pacing electrode
By introducing pressure receptors and balloons into the temporary pacing electrode of the heart, and using wire support and multiple electrode set switching, the problem of dislocation of the electrode catheter head end is solved, achieving higher pacing success rate and safety.
Patent Information
- Application Number
- CN202410914249.7
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2024-07-09
- Publication Date
- 2025-02-07
- Estimated Expiration
- 2044-07-09
AI Technical Summary
Existing temporary cardiac pacing electrodes are prone to dislocation when the patient's position changes, resulting in the inability to effectively contact the head of the electrode and the ventricular muscles and the pacing function cannot be fully realized.
A temporary pacing electrode for shaping floating heart was designed. The head end of the electrode conduit is equipped with a pressure sensor and a balloon. The switching of the multiple electrode set is achieved through wire support and a variable line controller to ensure the stability of the head end of the electrode conduit and the multiple contact selection. .
By monitoring the pressure and pacing impedance, timely identifying whether the head end of the electrode catheter is dislocated, avoiding complications such as myocardial perforation, the success rate and safety of temporary pacing in the heart are improved.
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Figure CN118873834B_ABST
Abstract
Description
Technical Field
[0001] The invention relates to the technical field of temporary cardiac pacing, in particular to a shaped floating temporary cardiac pacing electrode. Background Art
[0002] Temporary pacing is an emergency treatment measure used in cases of severe arrhythmias that require electrical stimulation to change rhythm. It delivers electrical pulses to the heart, directly promoting the excitement and contraction of myocardial cells, thereby restarting the heartbeat.
[0003] The Chinese patent with publication number CN217067424U discloses a floating electrode assembly for a temporary pacemaker, including a catheter, a floating airbag and a metal electrode arranged at the rear end of the catheter, a ventilation lumen connected to the inner cavity of the floating airbag and an electrode guide wire electrically connected to the metal electrode are arranged in the catheter; at least two drug delivery holes are arranged at the rear of the catheter, and drug delivery lumens are arranged in the catheter that are isolated from each other and the ventilation lumen and are connected to each drug delivery hole respectively; the assembly also includes a protective sleeve, the protective sleeve includes a bendable and retractable sleeve body, the front end of the sleeve body is sealed and sleeved to the first connector, and the rear end is sealed and sleeved to the second connector, and the first connector and the second connector are respectively provided with a first through hole and a second through hole for the catheter to pass through. This patent can meet the needs of injecting multiple liquid medicines at the same time and has high safety in use.
[0004] In actual use, the above patent uses a metal structure as the tip electrode, which uses its own weight and pressure to keep it in the target position as much as possible. However, if the patient's position changes (such as turning over), the tip electrode is easily dislocated, resulting in the electrode tip not being able to effectively contact the ventricular muscle, making it impossible to fully realize the pacing function; therefore, it does not meet the existing needs, and a shaped floating heart temporary pacing electrode is proposed. Summary of the invention
[0005] The purpose of the present invention is to provide a shaped floating temporary cardiac pacing electrode, which realizes cardiac pacing and at the same time, the pressure sensor at the tip of the electrode catheter monitors the pressure and pacing impedance, can timely identify whether the tip of the electrode catheter is dislocated, avoid complications such as myocardial perforation caused by the detachment of the tip of the electrode catheter, provide more groups of electrode and ventricular muscle contact options, complete ventricular pacing by switching different pacing electrode groups, avoid the problem that the electrode group composed of the first cathode electrode and the first anode electrode alone cannot pace the ventricle when the tip of the electrode catheter is dislocated, achieve multiple protections, ensure the success rate of temporary cardiac pacing, and solve the problems raised in the above-mentioned background technology.
[0006] To achieve the above-mentioned purpose, the present invention provides the following technical solutions: a shaped floating temporary cardiac pacing electrode, comprising an electrode catheter, a pressure sensor is provided at the end of the electrode catheter, a balloon is provided near the pressure sensor, an electrode assembly is provided on the electrode catheter, a splitter is provided at the end of the electrode catheter, a pressure display is provided on the splitter, and the splitter divides the electrode catheter into multiple electrode wires.
[0007] Preferably, the electrode assembly includes a first cathode electrode, a first anode electrode, a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode and a sixth electrode, wherein the first cathode electrode is arranged at the end of the electrode catheter, the first anode electrode is arranged at the balloon, the fifth electrode and the sixth electrode are arranged at an end of the electrode catheter away from the first cathode electrode, the third electrode and the fourth electrode are arranged at the middle position of the electrode catheter, and the first electrode and the second electrode are arranged at the electrode catheter near the first anode electrode.
[0008] Preferably, the electrode wire is respectively provided with a cathode lead-out wire, an anode lead-out wire, a wire tail end interface, a syringe interface and a line change controller; the wire tail end interface is hollow, and the steel wire is implanted in the electrode catheter through the wire tail end interface; the line change controller is respectively connected to the first electrode, the second electrode, the third electrode, the fourth electrode, the fifth electrode and the sixth electrode.
[0009] Preferably, the first cathode electrode and the second anode electrode are a paired structure, the first electrode and the second electrode are a pair of electrodes, the third electrode and the fourth electrode are a pair of electrodes, and the fifth electrode and the sixth electrode are a pair of electrodes.
[0010] Preferably, the syringe interface is a spiral structure, which is threadably connected to an external syringe, and the pressure display is connected to a pressure sensor.
[0011] Preferably, the inner core of the electrode catheter is hollow and has a steel wire inside.
[0012] Preferably, the line changing controller is provided with a second cathode electrode and a second anode electrode, the second cathode electrode and the second anode electrode are a paired structure, the second cathode electrode and the second anode electrode are connected to an external temporary pacemaker, and the second cathode electrode and the second anode electrode are energized with the first electrode, the second electrode, the third electrode, the fourth electrode, the fifth electrode and the sixth electrode, respectively.
[0013] Preferably, the cathode lead-out line is connected to the first cathode electrode via a wire, and the anode lead-out line is connected to the first anode electrode via a wire.
[0014] Preferably, monitoring the pressure display operation quality of the pressure display comprises:
[0015] Real-time acquisition of the moment when each pressure display value of the pressure display changes;
[0016] Using the change moment of each pressure display value change, the time interval between each two adjacent pressure value change displays is obtained;
[0017] The pressure display change coefficient is obtained according to the time interval between each two adjacent pressure value changes; wherein the pressure display change coefficient is obtained by the following formula:
[0018]
[0019] Where W is the pressure display change coefficient; n is the total number of time intervals; T max and T min Indicates the maximum and minimum values corresponding to the time interval between two adjacent pressure value changes; T z Indicates the middle value of the time interval distribution; T i Represents the duration value corresponding to the i-th time interval;
[0020] When the change coefficient of the pressure display exceeds a preset coefficient threshold, the sensitivity value of the pressure sensor is retrieved;
[0021] The operating quality of the pressure display is determined according to the sensitivity value of the pressure sensor.
[0022] Preferably, judging the operation quality of the pressure display according to the sensitivity value of the pressure sensor includes:
[0023] Extracting the sensitivity value of the pressure receptor (2);
[0024] Extracting the relative change value of the current corresponding to each time the pressure sensor (2) collects the pressure value;
[0025] The relative change value and the sensitivity value of the current are used to obtain the pressure value corresponding to each pressure sensor (2) sampling; wherein the pressure value is obtained by the following formula:
[0026]
[0027] Wherein, P represents the pressure value; P0 represents the pressure value corresponding to the pressure sensor (2) before the current pressure acquisition; ΔI represents the relative change value of the current, and when the relative change value of the current is a negative number, it means that the current value decreases, and when the relative change value of the current is a positive number, the current value increases; S represents the sensitivity value of the pressure sensor (2);
[0028] Using the pressure value, obtaining a parameter of the variation amplitude between two adjacent pressure values collected by the pressure sensor (2);
[0029] Retrieve the pressure display variation coefficient;
[0030] The operation quality evaluation coefficient of the pressure display is obtained by using the change amplitude parameter between the pressure values of each two adjacent data collections corresponding to the pressure sensor (2) and the pressure display change coefficient; wherein the operation quality evaluation coefficient is obtained by the following formula:
[0031]
[0032] Where K represents the operation quality evaluation coefficient; W represents the pressure display change coefficient; m represents the number of groups corresponding to each two adjacent data collections; P i represents the pressure change amplitude value corresponding to the i-th group of pressure acquisition; P i-1 represents the pressure change amplitude corresponding to the i-1th group of pressure acquisition; P fz Indicates the median value of the pressure change amplitude distribution state; P fmax and P fmin Indicates the corresponding maximum and minimum values of the pressure change amplitude that occurs during the pressure acquisition process;
[0033] When the operation quality evaluation coefficient is lower than a preset operation quality coefficient threshold, it is determined that the pressure display has a display abnormality and an abnormality alarm is issued.
[0034] Compared with the prior art, the present invention has the following beneficial effects:
[0035] 1. The steel wire provided in the present invention enables the electrode catheter to have a certain rigid support when in use, so as to avoid the electrode catheter failing to smoothly reach the right ventricle when passing through the reflux during use, so as to realize cardiac pacing. At the same time, the pressure receptor at the head end of the electrode catheter monitors the pressure and pacing impedance, and displays it through the pressure display, so as to timely identify whether the head end of the electrode catheter is dislocated, and avoid complications such as myocardial perforation caused by the head end of the electrode catheter falling off. The steel wire in the interface at the tail end of the wire is pulled out.
[0036] 2. The present invention realizes that when the steel wire is pulled out, the tip of the electrode catheter presents a circular curved shape, and ventricular pacing is completed by connecting an external temporary pacemaker through the second cathode electrode and the second anode electrode, thereby providing more groups of electrode-ventricular muscle contact options, and ventricular pacing is completed by switching different pacing electrode groups, thereby avoiding the problem that the electrode group composed of the first cathode electrode and the first anode electrode alone cannot pace the ventricle when the tip of the electrode catheter is dislocated, thereby achieving multiple protections and ensuring the success rate of temporary cardiac pacing. BRIEF DESCRIPTION OF THE DRAWINGS
[0037] Figure 1It is a schematic structural diagram of the shaped floating temporary cardiac pacing electrode of the present invention;
[0038] Figure 2 It is a partial structural schematic diagram of the shaped floating temporary cardiac pacing electrode of the present invention;
[0039] Figure 3 It is a schematic diagram of the temporary pacing electrode wire of the shaped floating heart of the present invention when it is pulled out.
[0040] In the figure: 1. first cathode electrode; 2. pressure sensor; 3. balloon; 4. first anode electrode; 5. first electrode; 6. second electrode; 7. third electrode; 8. fourth electrode; 9. fifth electrode; 10. sixth electrode; 11. wire splitter; 12. pressure display; 13. cathode lead wire; 14. anode lead wire; 15. wire end interface; 16. syringe interface; 17. second cathode electrode; 18. second anode electrode; 19. line change controller; 20. external syringe; 21. electrode catheter; 22. steel wire. DETAILED DESCRIPTION
[0041] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
[0042] In order to solve the problem that the existing patent has a metal structure in actual use, the head electrode uses its own weight and pressure to keep it in the target position as much as possible, but if the patient's body position changes (such as turning over), the head electrode is easy to dislocate, resulting in the electrode tip and ventricular muscle can not effectively contact, so that the pacing function cannot be fully realized, please refer to Figure 1-Figure 2 , this embodiment provides the following technical solutions:
[0043] A shaped floating temporary cardiac pacing electrode comprises an electrode catheter 21. A pressure sensor 2 is arranged at the end of the electrode catheter 21. The pressure sensor 2 is arranged at the head end of the electrode catheter 21, which can monitor the pressure and effectively avoid the risk of myocardial injury. If the pressure is high, the route or strategy of the electrode catheter 21 is changed or adjusted in time to avoid damage caused by excessive pressure. At the same time, the pressure can be monitored during long-term retention. If the pressure is high, the pressure is reduced in time. A balloon 3 is arranged near the pressure sensor 2 of the electrode catheter 21. The balloon 3 is arranged so that when the electrode catheter 21 enters the human body, the electrode electrode catheter 21 in the venous system will be delivered from the peripheral deep vein to the right atrium and right ventricle along the direction of blood flow, which can The electrode catheter 21 is provided with an electrode assembly, a separator 11 is provided at the end of the electrode catheter 21, a pressure display 12 is provided on the separator 11, and the separator 11 divides the electrode catheter 21 into a plurality of electrode wires. The electrode assembly includes a first cathode electrode 1, a first anode electrode 4, a first electrode 5, a second electrode 6, a third electrode 7, a fourth electrode 8, a fifth electrode 9 and a sixth electrode 10. The first cathode electrode 1 is provided at the end of the electrode catheter 21, the first anode electrode 4 is provided at the balloon 3, the fifth electrode 9 and the sixth electrode 10 are provided at one end of the electrode catheter 21 away from the first cathode electrode 1, the third electrode 7 and the fourth electrode 8 are provided in the middle of the electrode catheter 21, the first electrode 5 and the second electrode 6 are provided at the end of the electrode catheter 21 away from the first cathode electrode 1, the third electrode 7 and the fourth electrode 8 are provided in the middle of the electrode catheter 21, and the first electrode 5 and the second electrode 6 are provided at the end of the electrode catheter 21 away from the first cathode electrode 1. The electrode catheter 21 is arranged near the first anode electrode 4, the first cathode electrode 1 and the first anode electrode 4 are a paired structure, the first electrode 5 and the second electrode 6 are a pair of electrodes, the third electrode 7 and the fourth electrode 8 are a pair of electrodes, the fifth electrode 9 and the sixth electrode 10 are a pair of electrodes, the syringe interface 16 is a spiral structure, which is threadedly connected with the external syringe 20, and the external syringe 20 is used to inflate the electrode catheter 21, and the balloon 3 at the end of the electrode catheter 21 is filled with air, so that the electrode catheter 21 can flow along the blood flow, the pressure display 12 is connected to the pressure sensor 2, and the pressure display 12 is used to display the pressure at the end of the electrode catheter 21, the inner core of the electrode catheter 21 is hollow, and a steel wire 22 is arranged inside, and the electrode catheter 21 is provided with a pressure sensor 2. The steel wire 22 provides a certain rigid support for the electrode catheter 21 during use, so as to avoid the electrode catheter 21 from failing to smoothly reach the right ventricle when the electrode catheter 21 passes through the reflux during use. The electrode conductor is provided with a cathode lead wire 13, an anode lead wire 14, a lead tail end interface 15, a syringe interface 16 and a line change controller 19. The lead tail end interface 15 is hollow. The steel wire 22 is implanted into the electrode catheter 21 through the lead tail end interface 15. The steel wire 22 is pushed to the tail end of the electrode catheter 21, and then pushed to the head end of the electrode catheter 21 from the inside. When the steel wire 22 is retained in the lead tail end interface 15, the electrode catheter 21 is in a straight state. At this time, the cathode lead wire 13 and the anode lead wire 14 are connected to an external temporary pacemaker, so that the first cathode electrode 1 and the first anode electrode 4 can be paced.The invention realizes cardiac pacing. At the same time, the pressure receptor 2 at the tip end of the electrode catheter 21 monitors the pressure and pacing impedance, and displays them through the pressure display 12, so as to timely identify whether the tip end of the electrode catheter 21 is dislocated, and avoid complications such as myocardial perforation caused by the tip end of the electrode catheter 21 falling off. The line change controller 19 is respectively connected to the first electrode 5, the second electrode 6, the third electrode 7, the fourth electrode 8, the fifth electrode 9 and the sixth electrode 10, and the second cathode electrode 17 and the second anode electrode 18 are respectively energized with the first electrode 5, the second electrode 6, the third electrode 7, the fourth electrode 8, the fifth electrode 9 and the sixth electrode 10. The line change controller 19 is provided with a second cathode electrode 17 and a second anode electrode 18, and the second cathode electrode 17 and the second anode electrode 18 are a paired structure. The second cathode electrode 17 and the second anode electrode 18 are connected to an external temporary pacemaker. By setting the line change controller 19, the invention realizes The control of the first electrode 5, the second electrode 6, the third electrode 7, the fourth electrode 8, the fifth electrode 9 and the sixth electrode 10 can be divided into four gears, wherein the first gear can make the first cathode electrode 1 and the first anode electrode 4 connected, the second gear controls the first electrode 5 and the second electrode 6 to be connected, the third gear can control the third electrode 7 and the fourth electrode 8 to be connected, and the fourth gear can control the fifth electrode 9 and the sixth electrode 10 to be connected. When the steel wire 22 is withdrawn, different gears can be adjusted by the line controller 19 until the heart is stably paced, so as to avoid the end of the electrode catheter 21 falling off due to the change of the patient's body position, so that the first cathode electrode 1 at the end of the electrode catheter 21 cannot effectively contact the myocardial chamber, and then lead to incomplete pacing. The cathode lead wire 13 is connected to the first cathode electrode 1 through a wire, and the anode lead wire 14 is connected to the first anode electrode 4 through a wire.
[0044] Working principle: When using the shaped floating temporary cardiac pacing electrode of the present invention, according to Figure 1 and Figure 2 , including the following steps:
[0045] Step 1: implant the steel wire 22 into the electrode catheter 21 through the wire tail end interface 15, the steel wire 22 is pushed to the tail end of the electrode catheter 21, and then pushed to the head end of the electrode catheter 21 from the inside. At this time, the electrode catheter 21 is in a straight state, so that the electrode catheter 21 has a certain rigid support when in use, and the electrode catheter 21 will not be pushed back due to backflow, ensuring that the electrode catheter 21 can smoothly reach the right ventricle.
[0046] Step 2: Pass the electrode catheter 21 through the right atrium to the apex of the right ventricle. When placing the electrode catheter 21, pump air into the electrode catheter 21 through the external syringe 20 to inflate the balloon 3 at the end of the electrode catheter 21 with air so that the electrode catheter 21 can flow along the blood flow.
[0047] Step three: monitor the pressure through the pressure sensor 2 at the same time, and display the monitoring results through the pressure display 12. If the displayed pressure is high, change or adjust the route of the electrode catheter 21 in time to ensure the pressure of the electrode catheter 21 when it is used, and avoid abnormal pressure affecting its use.
[0048] Step 4: When the electrode catheter 21 passes through the right atrium and reaches the apex of the right ventricle, the cathode lead wire 13 and the anode lead wire 14 are connected to an external temporary pacemaker, and ventricular pacing is performed by the temporary pacemaker. The gear position is adjusted by the variable gear controller 19 according to the situation of cardiac pacing, and different gear positions are adjusted until the heart is stably paced.
[0049] Step 5: When the electrode catheter 21 needs to be indwelled for a long time, the pressure sensor 2 monitors the pressure of the electrode catheter 21 indwelling for a long time, and if the pressure is high, the pressure is reduced in time.
[0050] In order to solve the problem of the existing patent that the electrode tip cannot pace normally when it reaches the right ventricle during use, please refer to Figure 3 , this embodiment provides the following technical solutions:
[0051] The steel wire 22 in the lead tail end interface 15 is pulled out. When the steel wire 22 is pulled out to the sixth electrode 10, the head end of the electrode catheter 21 presents a circular curved shaping state. The first electrode 5, the second electrode 6, the third electrode 7, the fourth electrode 8, the fifth electrode 9 and the sixth electrode 10 correspond to the positions of 2 o'clock, 5 o'clock, 8 o'clock and 11 o'clock of the ring respectively. When the electrode catheter 21 is in a ring shape, the second cathode electrode 17 and the second anode electrode 18 are connected to an external temporary pacemaker, and different gears are adjusted by the line controller 19 until the ventricle can be stably paced. Since the electrode catheter 21 needs to be implanted in the target part of the heart , and corresponds to the target part, and paces when needed. However, the electrode catheter 21 may be separated from the target position in the human body due to human activities. When the electrode catheter 21 is in a circular shape, it is equivalent to setting a pair of electrodes at the target position, and ventricular pacing is completed by a temporary pacemaker, providing more groups of electrodes and ventricular muscle contact options. Ventricular pacing is completed by switching different pacing electrode groups, avoiding the problem that the electrode group composed of the first cathode electrode 1 and the first anode electrode 4 cannot pace the ventricle when the head end of the electrode catheter 21 is dislocated, achieving multiple guarantees and ensuring the success rate of temporary cardiac pacing.
[0052] In summary, a shaped floating temporary cardiac pacing electrode of the present invention uses an external syringe 20 to pump air into an electrode catheter 21, and fills the balloon 3 at the end of the electrode catheter 21 with air, so that the electrode catheter 21 can flow along the blood flow. The provided steel wire 22 allows the electrode catheter 21 to have a certain rigid support when in use, so as to avoid the inability to smoothly reach the right ventricle when passing through reflux during use. When the steel wire 22 is retained in the lead tail end interface 15, the electrode catheter 21 is in a straight state. At this time, the cathode lead wire 13 and the anode lead wire 14 are connected to an external temporary pacemaker, which can pace the first cathode electrode 1 and the first anode electrode 4 to achieve cardiac pacing. At the same time, the pressure receptor 2 at the head end of the electrode catheter 21 monitors the pressure and pacing impedance, and through the pressure The force display 12 is used to display whether the tip of the electrode catheter 21 is dislocated, so as to avoid complications such as myocardial perforation caused by the detachment of the tip of the electrode catheter 21. The steel wire 22 in the interface 15 at the tail end of the wire is pulled out. When the steel wire 22 is pulled out to the sixth electrode 10, the tip of the electrode catheter 21 presents a circular curved shape. The second cathode electrode 17 and the second anode electrode 18 are connected to an external temporary pacemaker, and ventricular pacing is completed by the temporary pacemaker, providing more groups of electrode and ventricular muscle contact options. Ventricular pacing is completed by switching different pacing electrode groups, avoiding the problem that the electrode group composed of the first cathode electrode 1 and the first anode electrode 4 alone cannot pace the ventricle when the tip of the electrode catheter 21 is dislocated, achieving multiple protections and ensuring the success rate of temporary cardiac pacing.
[0053] Specifically, monitoring the pressure display operation quality of the pressure display includes:
[0054] Real-time acquisition of the moment when each pressure display value of the pressure display changes;
[0055] Using the change moment of each pressure display value change, the time interval between each two adjacent pressure value change displays is obtained;
[0056] The pressure display change coefficient is obtained according to the time interval between each two adjacent pressure value changes; wherein the pressure display change coefficient is obtained by the following formula:
[0057]
[0058] Where W is the pressure display change coefficient; n is the total number of time intervals; T max and T min Indicates the maximum and minimum values corresponding to the time interval between two adjacent pressure value changes; T z Indicates the middle value of the time interval distribution; T i Represents the duration value corresponding to the i-th time interval;
[0059] When the change coefficient of the pressure display exceeds a preset coefficient threshold, the sensitivity value of the pressure sensor is retrieved;
[0060] The operating quality of the pressure display is determined according to the sensitivity value of the pressure sensor.
[0061] The technical effect of the above technical solution is: by real-time acquisition of the change moment of each pressure display value change of the pressure display, the working state of the pressure display can be quickly captured. Once the pressure display is found to be abnormal (that is, the change coefficient exceeds the preset coefficient threshold), the system can immediately issue an early warning, thereby allowing the operator to intervene in time and take corresponding measures.
[0062] Accurately evaluate the performance of pressure monitors: Using the time interval to calculate the coefficient of variation of the pressure monitor, the performance of the pressure monitor can be quantitatively evaluated. This quantitative evaluation not only improves the accuracy of the evaluation, but also provides data support for subsequent performance improvements.
[0063] Automatically retrieve sensitivity values: When the pressure display coefficient of variation exceeds the threshold, the system automatically retrieves the sensitivity value of the pressure sensor. This step helps to quickly locate the problem, whether it is a problem with the pressure display itself or the pressure sensor, thereby improving the efficiency of problem solving.
[0064] Improve surgical safety: In cardiac interventional surgery, the accuracy and safety of electrode catheter placement are crucial. By monitoring the operating quality of the pressure display in real time, the accuracy and stability of electrode catheter placement during surgery can be ensured, thereby improving the safety of the surgery.
[0065] Reduce operational risks: Since the system can promptly detect and warn of abnormal conditions of the pressure display, operators can adjust their operating strategies in a timely manner based on the warning information, reducing operational risks caused by equipment failure or operational errors.
[0066] Optimize user experience: By improving the stability and reliability of the equipment, the entire surgical process is optimized, the workload of operators is reduced, and the user experience is improved.
[0067] In summary, this monitoring solution improves the safety and reliability of surgery, reduces operational risks, and optimizes user experience by real-time monitoring and evaluating the operating quality of the pressure display.
[0068] Specifically, judging the operation quality of the pressure display according to the sensitivity value of the pressure sensor includes:
[0069] Extracting the sensitivity value of the pressure receptor (2);
[0070] Extracting the relative change value of the current corresponding to each time the pressure sensor (2) collects the pressure value;
[0071] The relative change value and the sensitivity value of the current are used to obtain the pressure value corresponding to each pressure sensor (2) sampling; wherein the pressure value is obtained by the following formula:
[0072]
[0073] Wherein, P represents the pressure value; P0 represents the pressure value corresponding to the pressure sensor (2) before the current pressure acquisition; ΔI represents the relative change value of the current, and when the relative change value of the current is a negative number, it means that the current value decreases, and when the relative change value of the current is a positive number, the current value increases; S represents the sensitivity value of the pressure sensor (2);
[0074] Using the pressure value, obtaining a parameter of the variation amplitude between two adjacent pressure values collected by the pressure sensor (2);
[0075] Retrieve the pressure display variation coefficient;
[0076] The operation quality evaluation coefficient of the pressure display is obtained by using the change amplitude parameter between the pressure values of each two adjacent data collections corresponding to the pressure sensor (2) and the pressure display change coefficient; wherein the operation quality evaluation coefficient is obtained by the following formula:
[0077]
[0078] Where K represents the operation quality evaluation coefficient; W represents the pressure display change coefficient; m represents the number of groups corresponding to each two adjacent data collections; P i represents the pressure change amplitude value corresponding to the i-th group of pressure acquisition; P i-1 represents the pressure change amplitude corresponding to the i-1th group of pressure acquisition; P fz Indicates the median value of the pressure change amplitude distribution state; P fmax and P fmin Indicates the corresponding maximum and minimum values of the pressure change amplitude that occurs during the pressure acquisition process;
[0079] When the operation quality evaluation coefficient is lower than a preset operation quality coefficient threshold, it is determined that the pressure display has a display abnormality and an abnormality alarm is issued.
[0080] The technical effect of the above technical solution is that by combining the sensitivity value of the pressure receptor and the relative change value of the current to calculate the pressure value, the real-time pressure change can be more accurately reflected. This calculation method improves the accuracy and reliability of the data, thereby helping doctors or operators to more accurately evaluate the placement of the electrode catheter.
[0081] Real-time monitoring and evaluation: This technical solution can monitor the data collection of the pressure sensor in real time and calculate the pressure change amplitude parameter between each two adjacent data collections. This real-time monitoring and evaluation method enables operators to understand the operating status of the pressure display in a timely manner and make corresponding adjustments.
[0082] Comprehensive evaluation of operation quality: By combining the pressure display change coefficient and the pressure value change amplitude parameter collected by the pressure sensor, the operation quality evaluation coefficient of the pressure display is calculated. This comprehensive evaluation method can more comprehensively reflect the operation quality of the pressure display, including its stability and accuracy.
[0083] Abnormal warning and alarm: When the operation quality evaluation coefficient is lower than the preset operation quality coefficient threshold, the system can automatically determine that the pressure display has abnormal display and issue an abnormal alarm. This abnormal warning and alarm mechanism can promptly remind the operator to pay attention and take corresponding measures to avoid surgical risks caused by equipment failure.
[0084] Optimize surgical procedures: By real-time monitoring and evaluation of the operating quality of the pressure display, the accuracy and stability of the electrode catheter placement during surgery can be ensured. This helps optimize surgical procedures, improve surgical efficiency, and reduce surgical risks.
[0085] Improve user experience: By improving the stability and reliability of the equipment and optimizing the surgical process, this technical solution can improve the user experience, reduce the workload of operators, and improve overall work efficiency and satisfaction.
[0086] In summary, this technical solution improves diagnostic accuracy, optimizes surgical procedures, reduces surgical risks, and improves user experience by real-time monitoring and evaluating the operating quality of the pressure display.
[0087] It should be noted that, in this article, relational terms such as first and second, etc. are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any such actual relationship or order between these entities or operations. Moreover, the terms "include", "comprise" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements includes not only those elements, but also other elements not explicitly listed, or also includes elements inherent to such process, method, article or device.
[0088] Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.
Claims
1. A shaped floating temporary cardiac pacing electrode, comprising an electrode catheter (21), characterized in that: The end of the electrode catheter (21) is provided with a pressure sensor (2), the electrode catheter (21) is provided with a balloon (3) near the pressure sensor (2), the electrode catheter (21) is provided with an electrode assembly, the end of the electrode catheter (21) is provided with a separator (11), the separator (11) is provided with a pressure display (12), and the separator (11) divides the electrode catheter (21) into a plurality of electrode wires; The inner core of the electrode catheter (21) is hollow and has a steel wire (22) disposed therein; The electrode assembly comprises a first cathode electrode (1), a first anode electrode (4), a first electrode (5), a second electrode (6), a third electrode (7), a fourth electrode (8), a fifth electrode (9) and a sixth electrode (10), wherein the first cathode electrode (1) is arranged at the end of the electrode catheter (21), the first anode electrode (4) is arranged at the balloon (3), the fifth electrode (9) and the sixth electrode (10) are arranged at an end of the electrode catheter (21) away from the first cathode electrode (1), the third electrode (7) and the fourth electrode (8) are arranged at a middle position of the electrode catheter (21), and the first electrode (5) and the second electrode (6) are arranged at a position of the electrode catheter (21) close to the first anode electrode (4); Monitoring the pressure display operation quality of the pressure display (12) includes: Real-time acquisition of the moment of change of each pressure display value of the pressure display (12); Using the change moment of each pressure display value change, the time interval between each two adjacent pressure value change displays is obtained; The change coefficient of the pressure display (12) is obtained according to the time interval between each two adjacent pressure value changes and displays; wherein the change coefficient of the pressure display (12) is obtained by the following formula: Wherein, W represents the coefficient of variation of the pressure display (12); n represents the total number of time intervals; T max and T min Indicates the maximum and minimum values corresponding to the time interval between two adjacent pressure value changes; T z Indicates the middle value of the time interval distribution; T i Represents the duration value corresponding to the i-th time interval; When the change coefficient of the pressure display (12) exceeds a preset coefficient threshold, the sensitivity value of the pressure sensor is retrieved; Determining the operating quality of the pressure display (12) according to the sensitivity value of the pressure sensor; The operating quality of the pressure display (12) is determined according to the sensitivity value of the pressure sensor, including: Extracting the sensitivity value of the pressure receptor (2); Extracting the relative change value of the current corresponding to each time the pressure sensor (2) collects the pressure value; The relative change value and the sensitivity value of the current are used to obtain the corresponding pressure value collected by the pressure sensor (2) each time; wherein the pressure value is obtained by the following formula: Wherein, P represents the pressure value; P0 represents the pressure value corresponding to the pressure sensor (2) before the current pressure acquisition; ΔI represents the relative change value of the current, and when the relative change value of the current is a negative number, it means that the current value decreases, and when the relative change value of the current is a positive number, the current value increases; S represents the sensitivity value of the pressure sensor (2); Using the pressure value, obtaining a parameter of the variation amplitude between the pressure values of two adjacent data collections corresponding to the pressure sensor (2); Retrieve the coefficient of change of the pressure display (12); The operation quality evaluation coefficient of the pressure display (12) is obtained by using the change amplitude parameter between the pressure values of each two adjacent data collections corresponding to the pressure sensor (2) and the change coefficient of the pressure display (12); wherein the operation quality evaluation coefficient is obtained by the following formula: Wherein, K represents the operation quality evaluation coefficient; W represents the change coefficient of the pressure display (12); m represents the number of groups corresponding to each two adjacent data collections; P i represents the pressure change amplitude value corresponding to the i-th group of pressure acquisition; P i-1 represents the pressure change amplitude corresponding to the i-1th group of pressure acquisition; P fz Indicates the median value of the pressure change amplitude distribution state; P fmax and P fmin Indicates the corresponding maximum and minimum values of the pressure change amplitude that occurs during the pressure acquisition process; When the operation quality evaluation coefficient is lower than a preset operation quality coefficient threshold, it is determined that the pressure display (12) has a display abnormality, and an abnormality alarm is issued.
2. The shaped floating temporary cardiac pacing electrode according to claim 1, characterized in that: The electrode wire is provided with a cathode lead wire (13), an anode lead wire (14), a wire tail end interface (15), a syringe interface (16) and a line change controller (19), respectively; the wire tail end interface (15) is hollow, and the steel wire (22) is implanted into the electrode catheter (21) through the wire tail end interface (15); and the line change controller (19) is connected to the first electrode (5), the second electrode (6), the third electrode (7), the fourth electrode (8), the fifth electrode (9) and the sixth electrode (10), respectively.
3. The shaped floating temporary cardiac pacing electrode according to claim 1, characterized in that: The first cathode electrode (1) and the first anode electrode (4) are a paired structure, the first electrode (5) and the second electrode (6) are a pair of electrodes, the third electrode (7) and the fourth electrode (8) are a pair of electrodes, and the fifth electrode (9) and the sixth electrode (10) are a pair of electrodes.
4. The shaped floating temporary cardiac pacing electrode according to claim 2, characterized in that: The syringe interface (16) is a spiral structure and is threadedly connected to the external syringe (20); the pressure display (12) is connected to the pressure sensor (2).
5. The shaped floating temporary cardiac pacing electrode according to claim 2, characterized in that: The line change controller (19) is provided with a second cathode electrode (17) and a second anode electrode (18); the second cathode electrode (17) and the second anode electrode (18) are in a paired structure; the second cathode electrode (17) and the second anode electrode (18) are connected to an external temporary pacemaker; the second cathode electrode (17) and the second anode electrode (18) are respectively energized with the first electrode (5), the second electrode (6), the third electrode (7), the fourth electrode (8), the fifth electrode (9) and the sixth electrode (10).
6. The shaped floating temporary cardiac pacing electrode according to claim 2, characterized in that: The cathode lead wire (13) is connected to the first cathode electrode (1) via a wire, and the anode lead wire (14) is connected to the first anode electrode (4) via a wire.
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