阅读说明：本技术 一种心内科护理心脏起搏监测装置 (Intracardiac branch of academic or vocational study nursing cardiac pace-making monitoring devices ) 是由 王雪 李双双 金雪 李亚昕 郭耀稳 于 2020-12-25 设计创作，主要内容包括：本发明涉及医疗器械技术领域,且公开了一种心内科护理心脏起搏监测装置,包括壳体,所述壳体的上下两端固定连接有外膜,所述壳体的上下两侧内壁固定连接有三角架,所述三角架的中部固定连接有内膜,所述内膜接近壳体的中心一侧固定连接有活动块。该心内科护理心脏起搏监测装置,在心房内血压上升时,外膜压缩经内膜放大改变活动块位置使加压块移动,塞体一互相远离增加电容板放电频率,同时塞体二移动增大脉冲电流的强度,防止心房内积液过多,通过窦房结自主产生电流与起搏器脉冲电流分别进入上下侧电磁铁,磁场平衡时触点二断开连通,起搏器不再工作,防止患者产生起搏依赖的现象。(The invention relates to the technical field of medical instruments and discloses a cardiac pacing monitoring device for nursing in cardiology department, which comprises a shell, wherein outer membranes are fixedly connected to the upper end and the lower end of the shell, triangular supports are fixedly connected to the inner walls of the upper side and the lower side of the shell, an inner membrane is fixedly connected to the middle of each triangular support, and a movable block is fixedly connected to one side, close to the center of the shell, of the inner membrane. This intracardiac branch of academic or vocational study nursing cardiac pace monitoring devices, when blood pressure rose in the atrium, the adventitia compression changes the movable block position through the intima enlargement and makes the pressurization piece remove, first cock body keeps away from each other and increases electric capacity board discharge frequency, second cock body removes the intensity that increases impulse current simultaneously, it is too much to prevent that the intracardiac hydrops from, independently produce electric current and pacemaker impulse current through sinus node and get into side electro-magnet from top to bottom respectively, contact two disconnection intercommunication during magnetic field balance, the pacemaker no longer works, prevent that the patient from producing the phenomenon of pace-making dependence.)

1. A intracardiac branch of academic or vocational study nursing cardiac pacing monitoring devices, includes casing (1), its characterized in that: the upper end and the lower end of the shell (1) are fixedly connected with an outer membrane (2), inner walls of the upper side and the lower side of the shell (1) are fixedly connected with a triangular frame (3), the middle part of the triangular frame (3) is fixedly connected with an inner membrane (4), one side, close to the center of the shell (1), of the inner membrane (4) is fixedly connected with a movable block (5), the left end and the right end of the movable block (5) are in transmission connection with a pressurizing block (7) through a connecting rod I (6), the bottom of the movable block (5) is elastically connected with a spring I (8), the middle part of the shell (1) is fixedly connected with a fixing frame (9), an air cavity (10) is formed in the middle part of the fixing frame (9), the inner part of the air cavity (10) is movably connected with a plug body I (11), the middle part of the plug body I (11) is fixedly connected with a capacitance plate (, one end of the second plug body (13) close to the inner wall of the shell (1) is fixedly connected with a support rod (14), the other end of the supporting rod (14) is fixedly connected with a first contact (15), one end of the fixed frame (9) close to the first contact (15) is fixedly connected with an amplitude modulation resistor (16), the left end and the right end of the shell (1) are fixedly connected with a wire bundle (17), the right side of the middle part of the shell (1) is rotatably connected with a turntable (18), a magnetic ring (19) is fixedly connected to the periphery of the rotary table (18), a rotary rod (20) is fixedly connected to the outside of the axis of the rotary table (18), the left end and the right end of the rotating rod (20) are fixedly connected with a second contact (21), one side of the fixed frame (9) close to the second contact (21) is fixedly connected with a communicating ring (22), the upper end and the lower end of the communicating ring (22) are fixedly connected with electromagnets (23).

2. A cardiology care cardiac pacing monitoring device of claim 1, wherein: the inside cavity of casing (1), the surface area of adventitia (2) is greater than the surface area of inner membrance (4), tripod (3) are about casing (1) central symmetry arrangement, adventitia (2) fixed connection is on the inner wall at both ends about casing (1), casing (1) is implanted in the atrium.

3. A cardiology care cardiac pacing monitoring device of claim 1, wherein: the inner air tightness of the inner membrane (4) and the outer membrane (2) is good, the outer portion of the pressurizing block (7) is matched with the inner portion of the air cavity (10), the middle of the fixing frame (9) is of an arc-shaped structure, and the inner wall of the fixing frame (9) is elastically connected with a first spring (8).

4. A cardiology care cardiac pacing monitoring device of claim 1, wherein: the left end and the right end of the fixing frame (9) are fixedly connected with the triangular supports (3), the air cavities (10) are rotationally and symmetrically arranged relative to the center of the fixing frame (9), and the interiors of the air cavities (10) are respectively matched with the pressurizing block (7), the first plug body (11) and the second plug body (13).

5. A cardiology care cardiac pacing monitoring device of claim 1, wherein: the air cavity (10) is good in internal air tightness, the air cavity (10) is arranged in a U shape, the capacitor plate (12) is electrically connected with the transmission wire bundle (17) and the amplitude modulation resistor (16) respectively, and the contact I (15) is electrically connected with the amplitude modulation resistor (16).

6. A cardiology care cardiac pacing monitoring device of claim 1, wherein: the conducting wire bundles (17) are divided into two groups, one group is fixedly connected to the left end of the shell (1), the other group is fixedly connected to the right end of the shell (1), the conducting wire bundle (17) on the right side is provided with two branches, the upper branch is electrically connected with the sinoatrial node, and the lower branch is electrically connected with the atrial myocardium.

7. A cardiology care cardiac pacing monitoring device of claim 1, wherein: the second contact (21) is electrically connected with the communicating ring (22), the electromagnets (23) are divided into two groups, one group is electrically connected with the sinus node conducting wire bundle (17), and the other group is electrically connected with the atrial myocardial muscle conducting wire bundle (17).

Technical Field

The invention relates to the technical field of medical instruments, in particular to a cardiac pacing monitoring device for nursing in cardiology department.

Background

The cardiac pacemaker is an electronic therapeutic apparatus implanted in a body, generates discharge pulses by energy provided by a battery, stimulating the cardiac muscle contacted by the electrode by the conduction of the conducting wire bundle to excite and contract the heart, adjusting the pacemaker frequency by measuring the heart rate of a patient before implanting the pacemaker, can treat the cardiac dysfunction caused by arrhythmia, however, when the pacemaker works, the pacing frequency can not be adjusted according to the internal blood pressure of the heart, the phenomenon that the increase speed of liquid in the cavity is too fast or the amount of accumulated liquid is too large, the heart is pressed to limit the diastole of the ventricle and the blood filling is caused, the risk of the use process is increased, and the heart of the patient still has the autonomous heartbeat in most of the time, the pacemaker still works when the heart rate of the patient is normal, and the pacemaker is used for a long time to form pacemaker dependence, so that the patient can not wear the pacemaker equipment, and the body recovery of the patient is influenced.

In order to solve the problems, the inventor provides a nursing cardiac pacing monitoring device for the department of cardiology, which has the advantages that when blood pressure in an atrium rises, the outer membrane is compressed, the position of the movable block is changed through the amplification of the inner membrane, so that the pressurizing block moves, the first plug body and the second plug body are mutually separated, the discharge frequency between the capacitor plates is increased, the strength of pulse current is increased through the movement of the second plug body, the situation that the ventricular diastole is pressed by excessive accumulated fluid in the atrium is prevented, the current generated by the sinus node and the pulse current of a pacemaker respectively enter the upper side electromagnet and the lower side electromagnet, the contact two contacts are disconnected and communicated when the magnetic field is balanced, the pacemaker does not work any more, and the phenomenon that.

Disclosure of Invention

Technical problem to be solved

Aiming at the defects of the prior art, the invention provides a nursing cardiac pacing monitoring device for the department of cardiology, which has the advantages of adjusting the pacing frequency according to the blood pressure in an atrium and preventing the pacemaker from being automatically turned off when the effusion is too large and the heart rate of a patient is normal, and solves the problem that the pacemaker still works at a set frequency when the effusion in the atrium is too large and the pacemaker performs pacing for a long time to replace autonomous heartbeat to form dependence.

(II) technical scheme

In order to realize the purpose of adjusting the pacing frequency according to the blood pressure in the atrium and preventing the pacemaker from being automatically closed when the effusion is overlarge and the heart rate of a patient is normal, the invention provides the following technical scheme: a cardiac pacing monitoring device for nursing in cardiology department comprises a shell, wherein outer membranes are fixedly connected to the upper end and the lower end of the shell, triangular supports are fixedly connected to the inner walls of the upper side and the lower side of the shell, an inner membrane is fixedly connected to the middle of the triangular supports, a movable block is fixedly connected to one side, close to the center of the shell, of the inner membrane, a pressurizing block is connected to the left end and the right end of the movable block through a connecting rod I in a transmission mode, a spring I is elastically connected to the bottom of the movable block, a fixing frame is fixedly connected to the middle of the shell, an air cavity is formed in the middle of the fixing frame, a plug body I is movably connected to the inside of the middle of the air cavity, a capacitor plate is fixedly connected to the middle of the plug body I, a plug body II is movably connected to one, the electromagnetic switch comprises a shell, a fixed frame, a rotating rod, a contact II, a communicating ring and electromagnets, wherein the fixed frame is fixedly connected with one end close to the contact I, the two ends of the shell are fixedly connected with transmission wire bundles, the right side of the middle of the shell is rotatably connected with the rotating disk, the periphery of the rotating disk is fixedly connected with a magnetic ring, the outside of the axis of the rotating disk is fixedly connected with the rotating rod, the two ends of the rotating rod are fixedly connected with the contact II, one side of the fixed frame close to the contact II is fixedly connected with the.

Preferably, the casing is hollow inside, the surface area of the outer membrane is larger than that of the inner membrane, the tripods are symmetrically arranged relative to the center of the casing, the outer membrane is fixedly connected to the inner walls of the left end and the right end of the casing, the casing is implanted into an atrium, and the blood pressure change fed back through the outer membrane is amplified and changed through the inner membrane.

Preferably, the inner air tightness of the inner membrane and the outer membrane is good, the outer portion of the pressurizing block is matched with the inner portion of the air cavity, the middle of the fixing frame is of an arc-shaped structure, the inner wall of the fixing frame is elastically connected with a first spring, and the position of the movable block is changed through the change of the inner membrane.

Preferably, the left end and the right end of the fixing frame are fixedly connected with the triangular supports, the air cavities are rotationally and symmetrically arranged around the center of the fixing frame, the interiors of the air cavities are respectively matched with the pressurizing block, the first plug body and the second plug body, and the relative positions of the first plug body and the second plug body are changed through air pressure change in the air cavities and movement of the pressurizing block.

Preferably, the air cavity has good internal air tightness, the air cavity is arranged in a U shape, the capacitor plate is respectively and electrically connected with the transmission wire bundle and the amplitude modulation resistor, the first contact is electrically connected with the amplitude modulation resistor, and the stimulation pulse intensity of the pacemaker is adjusted through the change of the position of the second plug body.

Preferably, the conducting wire bundles are divided into two groups, one group is fixedly connected to the left end of the shell, the other group is fixedly connected to the right end of the shell, the conducting wire bundle on the right side is provided with two branches, the upper branch is electrically connected with the sinoatrial node, the lower branch is electrically connected with the atrial myocardium, the pacemaker is disconnected during autonomous normal beating of the heart by comparing the sinoatrial node autonomous beating bioelectric current with the pacemaker pulse current.

Preferably, the second contact is electrically connected with the communicating ring, the electromagnets are divided into two groups, one group is electrically connected with the sinus node conducting wire bundle, the other group is electrically connected with the atrial myocardium conducting wire bundle, the strength of a magnetic field generated by the electromagnets is used for replacing pulse current to be compared with the magnitude of the sinus node autonomous bioelectric current, and the communication of the second contact is disconnected when the rotating disc is balanced.

(III) advantageous effects

Compared with the prior art, the invention provides a cardiac pacing monitoring device for nursing in cardiology department, which has the following beneficial effects:

1. this intracardiac branch of academic or vocational study nursing cardiac pace monitoring devices, through casing middle part fixedly connected with mount, when the blood pressure rises in the atrium, the adventitia compresses to the casing inside, the enlargement of cooperation intima, change the position of movable block, transmission based on connecting rod one, make the briquetting remove in the air cavity is inside, the inside gas tightness of air cavity is good, along with the briquetting of the left and right sides removes to shells inner wall, keep away from each other between the cock body one, reduce just to the area between the electric capacity board, electric capacity board charge-discharge frequency has been increased, change pulse current discharge frequency, the cock body moves to shells inner wall to two simultaneously, drive contact two and reduce the resistance of inserting amplitude modulation resistance, increase pulse current's intensity, thereby reach the effect according to the blood pressure regulation pace frequency in the atrium, prevent that the atrium from the too much ventricle diast.

2. This intracardiac branch of academic or vocational study nursing cardiac pacing monitoring devices, right-hand member through the mount rotates and is connected with the carousel, the peripheral fixedly connected with magnetic ring of carousel, the conduction pencil respectively with sinus node and atrium cardiac muscle electric connection, when the patient rhythm of the heart is normal, sinus node is inside independently producing the upside electro-magnet of electric current entering, pacemaker pulse current gets into inside the downside electro-magnet simultaneously, both sides atress equals about the magnetic ring this moment, the bull stick is along with rotating the balanced position, contact two and intercommunication ring disconnection, pacemaker no longer produces pulse current, thereby reach the effect of patient rhythm of the heart normal time self-closing pacemaker, prevent that the patient from producing the phenomenon of pacing the dependence.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic view of the blood pressure feedback regulation according to the present invention;

FIG. 3 is an enlarged view of the structure of FIG. 1 at A in accordance with the present invention;

FIG. 4 is an enlarged view of the structure of FIG. 1 at B in accordance with the present invention;

FIG. 5 is an enlarged view of the structure of FIG. 1 at C according to the present invention;

fig. 6 is an enlarged view of the structure of fig. 2 according to the present invention.

In the figure: 1. a housing; 2. an outer membrane; 3. a tripod; 4. an inner membrane; 5. a movable block; 6. a first connecting rod; 7. pressing a block; 8. a first spring; 9. a fixed mount; 10. an air cavity; 11. a first plug body; 12. a capacitive plate; 13. a plug body II; 14. a strut; 15. a first contact; 16. an amplitude modulation resistor; 17. a conductive wire bundle; 18. a turntable; 19. a magnetic ring; 20. a rotating rod; 21. a second contact; 22. a communication ring; 23. an electromagnet.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-6, a cardiac pacing monitoring device for nursing in cardiology department comprises a shell 1, wherein the upper and lower ends of the shell 1 are fixedly connected with an outer membrane 2, the shell 1 is hollow, the surface area of the outer membrane 2 is larger than that of an inner membrane 4, triangular supports 3 are symmetrically arranged about the center of the shell 1, the outer membrane 2 is fixedly connected to the inner walls of the left and right ends of the shell 1, the shell 1 is implanted into an atrium, the change of blood pressure fed back by the outer membrane 2 is amplified by the inner membrane 4, the triangular supports 3 are fixedly connected to the inner walls of the upper and lower sides of the shell 1, the middle part of the triangular supports 3 is fixedly connected with the inner membrane 4, the inner air tightness of the inner membrane 4 and the outer membrane 2 is good, the outside of a pressurizing block 7 is matched with the inside of an air cavity 10, the middle part of, one side of the inner membrane 4 close to the center of the shell 1 is fixedly connected with a movable block 5, the left end and the right end of the movable block 5 are in transmission connection with a pressurizing block 7 through a connecting rod I6, the bottom of the movable block 5 is elastically connected with a spring I8, the middle of the shell 1 is fixedly connected with a fixed frame 9, the left end and the right end of the fixed frame 9 are fixedly connected with a tripod 3, an air cavity 10 is arranged in a rotational symmetry mode around the center of the fixed frame 9, the inside of the air cavity 10 is respectively matched with the outside of the pressurizing block 7, a first plug body 11 and a second plug body 13, the relative positions of the first plug body 11 and the second plug body 13 are changed through the change of the air pressure inside the air cavity 10 and the movement of the pressurizing block 7, the middle of the fixed frame 9 is provided with the air cavity 10, the inside of the air cavity 10 is good in air tightness, the stimulation pulse intensity of the pacemaker is adjusted by changing the position of the plug body II 13, the plug body I11 is movably connected in the middle of the air cavity 10, the capacitance plate 12 is fixedly connected in the middle of the plug body I11, the plug body II 13 is movably connected at one end of the air cavity 10 close to the inner wall of the shell 1, the supporting rod 14 is fixedly connected at one end of the plug body II 13 close to the inner wall of the shell 1, the contact I15 is fixedly connected at the other end of the supporting rod 14, the amplitude modulation resistor 16 is fixedly connected at one end of the fixing frame 9 close to the contact I15, the conducting wire bundles 17 are fixedly connected at the left end and the right end of the shell 1, the conducting wire bundles 17 are divided into two groups, one group is fixedly connected at the left end of the shell 1, the other group is fixedly connected at the right end of the shell 1, the conducting wire bundle 17 at the right side is provided with two branches, the upper, the pacemaker is disconnected during the autonomous normal beating of the heart, the right side of the middle part of the shell 1 is rotatably connected with a rotary disc 18, the periphery of the rotary disc 18 is fixedly connected with a magnetic ring 19, the outside of the axis of the rotary disc 18 is fixedly connected with a rotary rod 20, the left end and the right end of the rotary rod 20 are fixedly connected with a second contact 21, the second contact 21 is electrically connected with a communication ring 22, the electromagnets 23 are divided into two groups, one group is electrically connected with a sinoatrial node conduction wire bundle 17, the other group is electrically connected with an atrial myocardium conduction wire bundle 17, the strength of a magnetic field generated by the electromagnets 23 replaces pulse current to be compared with the magnitude of autonomous bioelectric current of the sinoatrial node, the communication of the second contact 21 is disconnected during the balance of the rotary disc 18, the communication ring 22 is fixedly connected to one side of.

The working process and principle are as follows: when the pacemaker normally works, based on 1 middle part fixedly connected with mount 9 of casing, the upper and lower both ends fixedly connected with adventitia 2 of casing 1, the upper and lower both ends fixedly connected with intima 4 of mount 9, when the inside blood pressure of atrium rises, adventitia 2 is to the inside compression of casing 1, the gas tightness is good between adventitia 2 and the intima 4, the amplification of cooperation intima 4, make movable block 5 remove to mount 9 center, both ends articulate there is one connecting rod 6 about movable block 5, transmission based on one connecting rod 6, make pressurization piece 7 remove inside air cavity 10, the inside gas tightness of air cavity 10 is good, movable block 5 pushes down and makes pressurization piece 7 of the left and right sides remove to the 1 left and right sides inner wall of casing respectively, the inside atmospheric pressure of air cavity 10 rises this moment, keep away from each other between cock body 11, reduce between the electric capacity board 12 to the area: c ═ ε S/4 π kd, the opposite area S is decreased to decrease the capacitance C, increase the charging and discharging frequency of the capacitor plate 12, i.e. increase the discharging frequency of the pulse current, at the same time the plug body 13 moves towards the inner wall of the housing 1, drive the contact point two 21 to decrease the resistance value connected to the AM resistor 16, increase the intensity of the pulse current, achieve the effect of adjusting the pacing frequency according to the blood pressure in the atrium, prevent the ventricular diastole from being pressed by too much accumulated fluid in the atrium, the right end of the fixing frame 9 is connected with the rotary disc 18 in a rotating way, the periphery of the rotary disc 18 is fixedly connected with the magnetic ring 19, the conducting wire bundle 17 is respectively connected with the sinoatrial node and the atrial myocardium in an electrical way, when the heart rate of the patient is normal, the sinoatrial node autonomously generates current to enter the upper electromagnet 23, and the pacemaker pulse current enters the lower electromagnet 23, at, contact two 21 and the disconnected connection of communicating ring 22, the pacemaker no longer produces pulse current, when patient's rhythm of the heart is too slow, independently produce current frequency at the sino-atrial node and be less than when setting for the current frequency of pacing, 23 the on-frequency of upside electro-magnet is less than 23 the on-frequency of downside electro-magnet this moment, because upper and lower both sides magnetic field is uneven, magnetic ring 19 drives bull stick 20 and rotates, make contact two 21 rotate to communicate with communicating ring 22 inner wall, the pacemaker intercommunication work, thereby reach the effect of patient's rhythm of the heart normal time automatic shutdown pacemaker, prevent that the patient from producing the phenomenon of pacing the dependence.

In conclusion, the cardiac pacing monitoring device for cardiology department nursing is fixedly connected with the fixing frame 9 through the middle part of the shell 1, when blood pressure in the atrium rises, the outer membrane 2 is compressed towards the inside of the shell 1, the position of the movable block 5 is changed by being matched with the amplification of the inner membrane 4, the pressurizing block 7 moves in the air cavity 10 based on the transmission of the connecting rod I6, the air tightness in the air cavity 10 is good, the plug bodies I11 are far away from each other along with the movement of the pressurizing blocks 7 at the left side and the right side towards the inner wall of the shell 1, the facing area between the capacitor plates 12 is reduced, the charging and discharging frequency of the capacitor plates 12 is increased, and the pulse current discharging frequency is changed, at the same time, the second plug body 13 moves towards the inner wall of the shell 1 to drive the second contact 21 to reduce the resistance value of the connected amplitude modulation resistor 16 and increase the intensity of the pulse current, therefore, the effect of adjusting the pacing frequency according to the blood pressure in the atrium is achieved, and the phenomenon that the accumulated fluid in the atrium is too much to press the ventricle to relax is prevented.

And, this intracardiac branch of academic or vocational study nursing cardiac pacing monitoring devices, right-hand member through mount 9 rotates and is connected with carousel 18, the peripheral fixedly connected with magnetic ring 19 of carousel 18, conduction wire harness 17 respectively with sinus node and atrium cardiac muscle electric connection, when the patient's rhythm of the heart is normal, sinus node independently produces the electric current and gets into inside upside electro-magnet 23, pacemaker pulse current gets into inside downside electro-magnet 23 simultaneously, the upper and lower both sides atress of magnetic ring 19 is equal this moment, bull stick 20 is along with rotating to balanced position, contact two 21 and communicating ring 22 disconnection, the pacemaker no longer produces pulse current, thereby reach the effect of automatic shutdown pacemaker when the patient's rhythm of the heart is normal, prevent that the patient from producing the phenomenon of pacing dependence.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.