WO2010099729A1

WO2010099729A1 - Remote twelve-lead electrocardiogram monitoring clothing

Info

Publication number: WO2010099729A1
Application number: PCT/CN2010/070804
Authority: WO
Inventors: 李志冰; 田慧; 李春霖; 卢喜烈; 王浩; 吴恂
Original assignee: Li Zhibing; Tian Hui; Li Chunlin; Lu Xilie; Wang Hao; Wu Xun
Priority date: 2009-03-06
Filing date: 2010-03-01
Publication date: 2010-09-10
Also published as: CN201394014Y

Abstract

A remote twelve-lead electrocardiogram monitoring clothing includes a garment, an electrode module and a circuit system. The garment has a given specification and model according to features of monitoring object. The electrode module is provided on the specific part of the garment for collecting electrocardiosignals. The circuit system consists of an integrated circuit box which is positioned in the pocket of the garment and served to collect signals, analyze and process signals, store signals and send signals.

Description

Remote 12-lead ECG protective clothing

Technical field

The invention belongs to the field of medical instruments, and particularly relates to an electrocardiogram monitoring device, in particular to a remote 12-lead ECG protective clothing.

Background technique

An electrocardiogram is one of the most important auxiliary tests for a sudden cardiovascular event. However, due to the sudden and transient nature of cardiovascular events, it is difficult for even hospitalized patients to capture meaningful ECG changes in time. Therefore, remote ECG monitoring is one of the future directions of ECG development. At present, the well-known remote ECG monitoring system is composed of a remote mobile terminal and a hospital monitoring center. The remote mobile terminal is carried by the patient. As the backbone of the entire remote real-time monitoring system, the hospital monitoring center is mainly used to realize the centralized monitoring, storage, analysis, early diagnosis, playback and printing functions of the ECG signals of remote mobile monitoring terminal users. The remote ECG monitoring system allows the patient to immediately collect ECG data through a simple and easy operation when the patient develops a precursor to the disease, and can transmit relevant ECG information to the hospital monitoring center in time via GPRS, Internet or telephone. In this way, the doctor can perform real-time ECG monitoring on the patient, and timely diagnose and effectively treat the patient.

In current ECG monitoring systems, the lead is a well-known technical name that is used to monitor ECG changes in the vector direction. Most of the currently known remote ECG monitoring systems have only one lead and can only be used to assist in the diagnosis of arrhythmia from a single monitoring direction. However, arrhythmia is a large class of diseases that are very complex. All kinds of arrhythmia have different performances on the electrocardiogram, and their characteristic performance is not limited to a certain lead. Therefore, the information obtained by a single lead is very limited. For the determination of various arrhythmias, a comprehensive analysis of the twelve leads is required to allow clinicians to obtain comprehensive information for accurate diagnosis and treatment. In addition, for myocardial ischemia, the single-lead telecardiograph is extremely limited. The clinician's qualitative diagnosis of myocardial ischemia requires a comprehensive judgment of the 12-lead lead to complete. In addition, while myocardial ischemia occurs, it is very easy to be accompanied by a variety of complex arrhythmias, and the current single-lead remote ECG monitoring system can not provide complete 12-lead data, making clinicians effective for the above diseases. The diagnosis is limited.

During the operation of the 12-lead ECG monitoring system, a plurality of electrode contact points are generally arranged in a specific part of the body of the monitoring object, specifically including six chest lead electrodes V1-V6, three to four limb lead electrodes; six The chest lead is used to monitor the heart from the cross-section at six different angles; the six-leg lead is used to monitor the heart from the frontal surface from six different angles.

In summary, the remote 12-lead ECG monitoring system is an inevitable trend in the future development of remote ECG monitoring.

However, for ordinary patients who lack professional background knowledge, the installation and connection of the leads of the 12-lead ECG monitoring system is too professional, complicated and difficult to grasp. If the 12-lead electrode site, the human anatomy structure and the clothing design can be combined, the ordinary person can carry out the ECG lead connection and the ECG signal collection and transmission anytime and anywhere through the easy-to-wear clothing. Remote diagnosis and treatment of sudden cardiovascular events will no longer be difficult.

technical problem

The technical problem to be solved by the present invention is to provide a novel 12-lead ECG protective clothing for the limitations of the prior art on the diagnosis of arrhythmia and the shortcomings of the blind spot in the diagnosis of myocardial ischemia. Through simple and easy operation steps, ordinary patients can easily connect the ECG 12-lead connection and ECG signal collection without the help of professionals, making the remote diagnosis of arrhythmia more perfect, myocardial deficiency Remote diagnosis of blood is possible.

Technical solution

In order to solve the above technical problem, the present invention provides a remote 12-lead ECG protective clothing, characterized in that the protective clothing comprises a garment, an electrode module and a circuit system;

The garment has a certain size and model according to the characteristics of the monitoring object, and the garment contains at least one pocket;

The electrode module is disposed at a specific part of the garment according to a monitoring requirement, and is configured to perform ECG signal collection, and provide a signal collection channel between the circuit system and the monitoring object;

The circuitry is integrated by a circuit box that is placed within the garment pocket, the circuitry being used to acquire signals, analyze processing signals, store signals, and transmit signals.

The electrode module is a contact electrode, and includes at least a chest lead electrode V1, V2, V3, V4, V5, V6 and a limb lead electrode LA, RA, LL, RL.

The electrode module further includes electrodes of the chest lead electrodes V7, V8, V9 and corresponding portions on the back side of the garment according to the specific condition of the monitoring object.

The circuit system includes a signal acquisition module, a signal amplification and filtering module, a signal processing module, a data storage module, a data transmission module, and a power management module;

The signal acquisition module is configured to perform ECG signal acquisition on the monitoring object by using the electrode module, and send the signal to the signal amplification and filtering module;

The signal amplification and filtering module is configured to send the received signal to the signal processing module after performing an amplification and filtering operation;

The signal processing module is configured to perform analysis processing on the received signal, and send the processing result to the data storage module and the data sending module;

The data storage module is configured to store a historical data record of the monitoring object;

The data sending module is configured to send the received result data to a hospital monitoring center;

The power management module is used to provide power support for the entire circuit system.

The data sending module includes a sound sending module and a GPRS sending module;

The sound sending module is configured to send the processed sound signal through a telephone system;

The GPRS transmitting module is configured to send ECG signal data through a network.

The garment fabric is elastic and comprises at least one shoulder strap, the shoulder strap comprising at least one buckle having an adjustable shoulder strap length;

The garment has an adjustable buckle on the right or the back of the garment;

The garments are divided into men's clothing and women's clothing.

The women's clothing contains a bra;

The bra comprises a semi-circular support locating ring that supports the positioning function and matches the model of the cup;

The semicircular support positioning ring has a layer of insulating material outside.

Beneficial effect

By applying the protective clothing provided by the technical solution of the present invention, the monitoring object can complete the installation of the 12-lead ECG monitoring by any simple and convenient operation without the help of a professional and without the background of professional knowledge. , recording, and transmission, making the remote diagnosis and treatment of arrhythmia and myocardial ischemia more perfect, thus maintaining the health and even life-saving effect of patients with heart disease.

DRAWINGS

1 is a structural diagram of a remote 12-lead ECG monitoring system according to an embodiment of the present invention;

2 is a schematic diagram of a working principle of a remote 12-lead ECG protective garment according to an embodiment of the present invention;

3 is a schematic view showing the position of a human body 12-lead ECG electrode according to an embodiment of the present invention;

4 is a front view of a men's clothing in an embodiment of the present invention;

Figure 5 is a rear view of a men's garment in an embodiment of the present invention;

Figure 6 is a front view of a women's clothing in an embodiment of the present invention;

Figure 7 is a rear view of a women's clothing in an embodiment of the present invention;

Among them: 1: V1 chest lead electrode position mark point;

2: V2 chest lead electrode position mark point;

3: V3 chest lead electrode position mark point;

4: V4 chest lead electrode position mark point;

5: V5 chest lead joint position mark point;

6: V6 chest lead electrode position mark point;

7: V7 chest lead electrode position mark point;

8: V8 chest lead joint position mark point;

9: V9 chest lead electrode position mark point;

10: RA limb lead electrode position marker point;

11: LA limb lead electrode position marker point;

12: RL limb lead electrode position marker point;

13: LL limb lead electrode position marker point;

14: male nipple position; 15: shoulder strap length adjustment buckle;

16: Place the pocket of the circuit box; 17: Men's clothing elastic adjustment buckle;

18: bra; 19: support positioning ring; 20: women's clothing elastic adjustment buckle.

Embodiments of the invention

The specific embodiments of the present invention are further described in detail below with reference to the accompanying drawings and embodiments. The following examples are only intended to more clearly illustrate the technical solutions of the present invention, and are not intended to limit the scope of the present invention.

As shown in FIG. 1, a remote 12-lead ECG monitoring system is provided according to the technical solution of the present invention. The monitoring system is configured to collect and process the ECG signal through the monitoring terminal device, that is, the monitoring clothing, and send the signal to the hospital monitoring center through various media channels, so that the medical staff can timely perform corresponding processing.

As shown in FIG. 2, the monitoring terminal device, that is, the remote 12-lead ECG protective clothing provided by the technical solution of the present invention collects an electrocardiogram signal through an electrode, collects through a signal acquisition module in the circuit system, and passes The signal amplification and filtering module performs signal amplification and filtering operations, and then performs analog-to-digital conversion processing by the signal processing module, and then the processed signal is stored by the data storage module through various communication interfaces or sent by the data transmission module. To the remote human-computer interaction interface for professionals to perform corresponding operations. In addition, the power management modules in the circuit system are respectively connected to the remaining modules, and in the entire operation process, energy is supported for each module in the entire circuit system.

As shown in Figures 3-7, the garment includes a garment, an electrode module, and circuitry.

The garment has a certain size and model according to the body shape characteristic of the monitoring object, and the garment contains at least one pocket 16;

The electrode module is disposed in a specific part of the garment according to a specific condition of the monitoring object, and is configured to perform ECG signal collection, and provide a signal collection channel between the circuit system and the monitoring object;

The electrode module is a contact electrode, at least ten, including a thoracic lead electrode V1, V2, V3, V4, V5, V6 and a limb lead electrode LA, RA, LL, RL.

The electrode module further includes electrodes of the chest lead electrodes V7, V8, V9 and corresponding portions on the back side of the garment according to the specific conditions of the monitoring.

The circuit system includes a signal acquisition module, a signal amplification and filtering module, a signal processing module, a data storage module, a data transmission module, and a power management module.

The signal acquisition module is configured to perform ECG signal acquisition on the monitoring object by using the electrode module, and send the signal to the signal processing module;

The data sending module is configured to send the received result data to a hospital monitoring center, so that the medical staff can comprehensively diagnose and treat the monitoring object in time according to the data of the data storage module;

The data sending module includes a sound sending module and a GPRS sending module:

The GPRS transmitting module is configured to send ECG signal data through a network, and preferably, transmit using a GMS network.

The garment fabric is elastic and comprises at least one shoulder strap, the shoulder strap comprising at least one buckle 15 having an adjustable shoulder strap length;

The garment has an adjustable buckle on the right or the back of the garment;

The garments are divided into men's clothing and women's clothing.

As shown in Figures 4 and 5, when the men's clothing is produced, the

position markers

1 and 2 corresponding to the positions of the chest lead electrodes V1 and V2 are respectively disposed on the same horizontal line, and are distributed near the center line of the front side of the garment, and are symmetric on the right and left sides. Similarly, the

position markers

4, 5, 6, 7, 8, and 9 corresponding to the chest lead electrodes V4, V5, V6, V7, V8, and V9 are also disposed slightly below the

position markers

1 and 2. On the same horizontal line, the position 4 of the chest lead electrode V4 is located near the median line on the front left side of the men's clothing, and the position 6 of the chest lead electrode V6 is located on the front center line of the front side of the men's clothing, and the chest lead electrode V5 The position marker point 5 and the chest lead electrode V7 position marker point 7 are respectively located on the slightly front and rear sides of the same horizontal line as the position marker point 6, and the chest lead electrode V8 position marker point 8 is located symmetrically with the position marker point 4. Corresponding position on the back side, the chest lead electrode V9 position mark point 9 is located beside the median line of the back side; the position mark points 10, 11 corresponding to the limb lead electrodes RA, LA are respectively placed at the beginning of the right and left side shoulder bands ; position mark 13 corresponding to the limb lead electrode LL is placed Marker point below 4, i.e., the left front portion of the garment; marker corresponding to the position of the

limb lead electrodes

12 and 13 RL axisymmetric.

As shown in Figures 6 and 7, the women's clothing contains a bra;

Women's clothing will be produced corresponding to the chest lead electrodes V1, V2 The position marks 1, 2, 3, and 4 of the V3 and V4 positions are respectively placed on the corresponding parts of the support positioning ring to facilitate the skin tightness, wherein 1, 2 and 2 are located at the same horizontal line with the center of the support positioning circle on both sides, and 4 is located in the bra. The left side supports the lowest point of the arc of the positioning circle, and 3 is located at the midpoint of 2 and 4. Like the men's clothing, the position marks 4, 5, 6, 7, 8, and 9 of the women's clothing are all on the same horizontal line, and the set position is also the same as the corresponding electrode position of the men's clothing.

When wearing men's clothing, you should choose the size and model of clothing that is appropriate for your body size. The shoulder strap length adjustment buckles 15 are adjusted such that the electrode

position marking points

1, 2, which are fixed on the garment on the same horizontal line, are placed at the same level as the male nipple position 14, i.e., at the fourth intercostal space. Since the garment is sized and elastic, adjusting the men's garment elastic adjustment buckle 17 allows all the electrodes to be in close contact with the corresponding parts of the body.

As with men's clothing, women's clothing should be worn with clothing that matches the size and model of the woman's body. Adjusting the shoulder strap length adjustment buckle 15 makes the bra 18 suitable for the breast so that the electrodes on the support locating ring are in close contact with the corresponding parts of the body. Adjusting the women's garment elastic adjustment buckle 20 makes the garment elastic and suitable, and all the electrodes are in close contact with the corresponding parts of the body.

After wearing, the ECG signal can be recorded, stored, and sent to the hospital monitoring center via telephone, GPRS or the Internet.

The above is only a preferred embodiment of the present invention, and it should be noted that those skilled in the art can make several improvements and modifications without departing from the technical principles of the present invention. It should also be considered as the scope of protection of the present invention.

Industrial applicability

By applying the protective clothing obtained by the technical solution of the present invention, a heart patient or a family having a family history of heart disease can record a comprehensive heart anytime and anywhere, even without professional guidance and lack of relevant professional background knowledge. Electrical information, timely and accurate remote diagnosis of sudden arrhythmia and myocardial ischemia, so that the diagnosis and treatment of sudden cardiovascular events is more timely and accurate, to avoid unfortunate occurrence.

Claims

A remote 12-lead ECG protective garment, characterized in that the protective garment comprises a garment, an electrode module and an electrical circuit system;

The garment has a certain size and model according to the characteristics of the monitoring object, and the garment contains at least one pocket;

The electrode module is disposed at a specific part of the garment according to a monitoring requirement, and is configured to perform ECG signal collection, and provide a signal collection channel between the circuit system and the monitoring object;

The circuitry is integrated by a circuit box that is placed within the garment pocket, the circuitry being used to acquire signals, analyze processing signals, store signals, and transmit signals.

The remote 12-lead ECG protective device according to claim 1, wherein the electrode module is a contact electrode, and at least includes a chest lead electrode V1, V2, V3, V4, V5, V6 and Limb lead electrodes LA, RA, LL, RL.

The remote 12-lead ECG protective clothing according to claim 2, wherein the electrode module further comprises a chest lead electrode V7, V8, V9 and a corresponding part of the back of the garment according to the specific condition of the monitoring object. electrode.

4. The remote 12-lead ECG protective device according to claim 1, wherein the circuit system comprises a signal acquisition module, a signal amplification and filtering module, a signal processing module, a data storage module, a data transmission module, and Power management module;

The signal acquisition module is configured to perform ECG signal acquisition on the monitoring object by using the electrode module, and send the signal to the signal amplification and filtering module;

The signal amplification and filtering module is configured to send the received signal to the signal processing module after performing an amplification and filtering operation;

The signal processing module is configured to perform analysis processing on the received signal, and send the processing result to the data storage module and the data sending module;

The data storage module is configured to store a historical data record of the monitoring object;

The data sending module is configured to send the received result data to a hospital monitoring center;

The power management module is used to provide power support for the entire circuit system.

The remote 12-lead ECG protective clothing according to claim 4, wherein the data transmitting module comprises a sound sending module and a GPRS transmitting module;

The sound sending module is configured to send the processed sound signal through a telephone system;

The GPRS transmitting module is configured to send ECG signal data through a network.

6. The remote 12-lead ECG garment of claim 1 wherein said garment fabric is elastic and comprises at least one shoulder strap, said shoulder strap comprising at least one buckle that adjusts the length of the shoulder strap. ;

The garment has an adjustable buckle on the right or the back of the garment;

The garments are divided into men's clothing and women's clothing.

7. The remote 12-lead ECG protective garment of claim 6 wherein said women's garment contains a bra;

The bra comprises a semi-circular support locating ring that supports the positioning function and matches the model of the cup;

The semicircular support positioning ring has a layer of insulating material outside.