CN111419514A - Novel mistaken-touch-preventing hand restraint device with monitoring and alarming functions and restraint system - Google Patents
Novel mistaken-touch-preventing hand restraint device with monitoring and alarming functions and restraint system Download PDFInfo
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Abstract
本发明涉及一种新型带监测报警功能的防误触手部约束装置,包括:手部约束套、肘部约束套、手掌部运动监控器、肘部运动监控器和数据处理器;在大臂运动参数和小臂运动参数对应的活动姿态触发预警条件的情况下,手掌部运动监控器在手部约束套不限制手部和腕部活动的情况下采集手部运动参数和腕部运动参数;其中,在手部运动参数和腕部运动参数对应的活动姿态触发调整条件的情况下,手部约束套中的调整部件响应于数据处理器的调整信号按照限制病人手部和腕部的至少一个运动维度的方式启动,以防止病人触及医疗用接触式仪器。
The invention relates to a novel anti-mistouch hand restraint device with monitoring and alarm function, comprising: a hand restraint cover, an elbow restraint cover, a palm motion monitor, an elbow motion monitor and a data processor; In the case that the activity posture corresponding to the parameters and the forearm motion parameters trigger the warning condition, the palm motion monitor collects the hand motion parameters and the wrist motion parameters under the condition that the hand restraint sleeve does not restrict the movement of the hand and the wrist; wherein , under the condition that the active posture corresponding to the hand motion parameter and the wrist motion parameter triggers the adjustment condition, the adjustment part in the hand restraint sleeve responds to the adjustment signal of the data processor according to the restriction of at least one movement of the patient's hand and wrist Dimensional approach is activated to prevent patients from touching medical contact instruments.
Description
技术领域technical field
本发明涉及医疗用智能穿戴设备领域,尤其涉及一种新型带监测报警功 能的防误触手部约束装置,其主要用于具有不自主活动的模糊意识或者无意 识的重症病人、危重症病人。The present invention relates to the field of medical intelligent wearable devices, in particular to a novel anti-mistouch hand restraint device with monitoring and alarm function, which is mainly used for critically ill patients and critically ill patients with vague or unconscious involuntary activities.
背景技术Background technique
传染病治疗过程中,需要对大量的病人进行隔离治疗。其中,重症或危 重症病人需要进行插管治疗,以降低死亡率。进行插管治疗的病人大多数属 于意识模糊状态,其肢体的运动大多数属于不自主的活动。插管治疗的病人 容易无意识地或者模糊意识地触碰到插管设备,这容易造成其插管治疗失 败,影响其生命安全。并且,在重症医学科,为了能够有效地抢救生命,医 疗人员也需要穿戴诸多的防护设备,一方面,医疗人员不能实时监控到重症 病人的肢体活动,另一方面,医疗人员在病房内需要处理的医疗活动太多, 因此,如何有效地监控重症病人或者危重症病人的肢体活动并有效地控制其 肢体活动是重症医学科急需解决的问题。During the treatment of infectious diseases, a large number of patients need to be isolated and treated. Among them, severe or critically ill patients need intubation treatment to reduce mortality. Most of the patients undergoing intubation treatment are in a state of confusion, and most of the movements of their limbs are involuntary activities. Patients undergoing intubation therapy are likely to touch the intubation device unconsciously or vaguely, which may easily lead to the failure of intubation therapy and affect their life safety. In addition, in the intensive care department, in order to save lives effectively, medical personnel also need to wear a lot of protective equipment. On the one hand, medical personnel cannot monitor the physical activities of critically ill patients in real time. Therefore, how to effectively monitor and effectively control the physical activity of critically ill patients or critically ill patients is an urgent problem to be solved by the Department of Critical Care Medicine.
例如,公开号为CN110801329A的中国专利公开的一种新型带监控报 警功能的防拔管手部约束装置。该手部约束装置包括手套本体、控制器和气 泵,控制器安装在气泵内,控制器内设置有单片机,手套本体上末端位置设 置有手腕部,手腕部上有固定带扣,手套本体的掌心位置以及手腕部内均设 置有主气囊,手套本体与手腕部上的主气囊均安装有充气接口。该手部约束 装置通过在掌心位置设置气囊,由加速度传感器来检测病人的手部肢体运动 幅度,当运动幅度过大时,由单片机控制开启气泵向气囊内进行充气,鼓胀 气囊,从而限制病人的手指弯曲幅度,避免病人乱抓的情况发生,对病人起 到约束作用。For example, the Chinese Patent Publication No. CN110801329A discloses a novel anti-extraction tube hand restraint device with monitoring and alarm function. The hand restraint device includes a glove body, a controller and an air pump. The controller is installed in the air pump, and a single-chip microcomputer is arranged in the controller. The end position of the glove body is provided with a wrist portion, and a fixed belt buckle is arranged on the wrist portion. The main airbag is arranged in the position and in the wrist, and the main airbag on the glove body and the wrist is equipped with an inflation interface. The hand restraint device sets the air bag at the palm position, and the acceleration sensor detects the movement range of the patient's hand and limbs. When the movement range is too large, the single-chip microcomputer controls the opening of the air pump to inflate the air bag, inflating the air bag, thereby limiting the patient's movement. The bending range of the fingers can prevent the patient from scratching and restrain the patient.
该装置适用于能够自主下床的病人,用于防止其由于心理因素等发生的 主动拔管行为。该装置是用于限制手指的运动,防止患者主动用手抓拔管, 因此,该装置还存在一个缺陷:病人即使穿戴了该装置,仍然可能触碰到插 管。The device is suitable for patients who can get out of bed voluntarily, and is used to prevent their active extubation behavior due to psychological factors. The device is used to limit the movement of fingers to prevent the patient from actively grasping and extubating the cannula. Therefore, the device also has a defect: even if the patient wears the device, the cannula may still be touched.
此外,一方面由于对本领域技术人员的理解存在差异;另一方面由于发 明人做出本发明时研究了大量文献和专利,但篇幅所限并未详细罗列所有的 细节与内容,然而这绝非本发明不具备这些现有技术的特征,相反本发明已 经具备现有技术的所有特征,而且申请人保留在背景技术中增加相关现有技 术之权利。In addition, on the one hand, there are differences in the understanding of those skilled in the art; on the other hand, because the inventor has studied a large number of documents and patents when making the present invention, but the space limit does not list all the details and contents in detail, but this is by no means The present invention does not possess the features of the prior art, on the contrary, the present invention already possesses all the features of the prior art, and the applicant reserves the right to add relevant prior art to the background art.
发明内容SUMMARY OF THE INVENTION
现有技术中,大多数是以固定式的方式将患者的手部等固定约束。限制 病人的肢体活动可以采用捆绑的方式对病人进行约束。但是,这一简单的医 疗手段一方面会涉及病人尊严,另一方面造成患者的捆绑处溃烂、压疮等。 并且,佩戴捆绑系统的病人因长期被迫维持特定姿态,存在舒适性问题,也 就很难得到长期佩戴使用。In the prior art, most of the patients' hands are fixed and restrained in a fixed manner. Restricting the patient's physical activity can be restrained by binding the patient. However, this simple medical treatment involves the dignity of the patient on the one hand, and causes festering, pressure ulcers, etc. on the patient's bindings on the other hand. In addition, patients wearing the binding system are forced to maintain a certain posture for a long time, which has a problem of comfort, and it is difficult to wear them for a long time.
针对现有技术之不足,本发明提供一种新型带监测报警功能的防误触手 部约束装置。该装置包括:手掌部约束套、肘部约束套、手掌部运动监控器、 肘部运动监控器和数据处理器。手掌部约束套,其穿戴于所述病人的手部和 腕部,主要能够用于限制病人的手掌部和腕部的至少一个运动维度;肘部约 束套,其穿戴于所述病人的手肘部,主要能够用于将病人的手臂(大臂和小 臂)放置在舒适状态或则利于患者康复的状态;手掌部运动监控器,其布置 于所述手掌部约束套,用于监控所述病人的手掌部和腕部运动,以获取手掌部运动参数和腕部运动参数;肘部运动监控器,其布置于所述肘部约束套, 用于监控所述病人的大臂和小臂运动,获取大臂运动参数和小臂运动参数; 数据处理器,其分别与所述手掌部运动监控器和所述肘部运动监控器数据连 接。上述手掌部运动监控器、肘部运动监控器可以是微型加速度传感器、角 度传感器、位移传感器等,数据处理器利用其采集的参数能够推算出患者的 运动姿态。In view of the deficiencies of the prior art, the present invention provides a novel anti-mistouch hand restraint device with monitoring and alarm function. The apparatus includes: a palm restraint sleeve, an elbow restraint sleeve, a palm motion monitor, an elbow motion monitor and a data processor. A palm restraint sleeve, which is worn on the patient's hand and wrist, and can mainly be used to limit at least one movement dimension of the patient's palm and wrist; an elbow restraint sleeve, which is worn on the patient's elbow It is mainly used to place the patient's arm (big arm and forearm) in a comfortable state or a state that is conducive to the patient's recovery; a palm motion monitor, which is arranged on the palm restraint sleeve, is used to monitor the The patient's palm and wrist movement to obtain palm movement parameters and wrist movement parameters; an elbow movement monitor, which is arranged on the elbow restraint sleeve, is used to monitor the patient's upper arm and lower arm movement , to obtain the motion parameters of the upper arm and the forearm; and a data processor, which is respectively connected to the palm motion monitor and the elbow motion monitor for data connection. The above-mentioned palm motion monitor and elbow motion monitor can be a micro acceleration sensor, an angle sensor, a displacement sensor, etc., and the data processor can calculate the patient's motion posture by using the parameters collected by the data processor.
在实际医疗实践过程中,病人的手触碰到插管等接触式医疗器械属于不 得不控制的小概率事件。首先,病人大多数采用的是躺卧位,其大多数处于 一种自然放松的状态(尤其是模糊意识的病人或者无意识的病人),手臂是 与病床贴住的;其次,病人的手要触碰到插管,还需要达到一定的条件,即: 首先抬起大臂和小臂,并且具有一定姿态,其次手部和腕部也需要一定的姿 态,才可能达到触碰插管的条件。In actual medical practice, it is a small probability event that a patient's hand touches a contact medical device such as a cannula. First of all, most of the patients are in the lying position, most of them are in a state of natural relaxation (especially the patients with blurred consciousness or unconscious patients), and their arms are pressed against the bed; secondly, the patient's hands should touch In order to touch the intubation, certain conditions need to be met, namely: first, raise the upper arm and forearm, and have a certain posture, and secondly, the hand and wrist also need a certain posture, so that the conditions for touching the intubation can be achieved.
因此,本发明提供的防误触手部约束装置,并不是真正意义上的固定“约 束”装置,而是一种活动式“约束”装置。该约束装置的目的在于:针对于 无意识或者模糊意识的病人,其能够允许病人的手部能够进行无意识地活 动,但是这一活动不能够触碰到布置于其身体部位的任意接触式医疗器械 (如插管)。这样的好处主要有:1、允许无意识的运动有助于患者的康复, 通过数据处理器反馈的数据曲线资料,医生可以清楚地了解患者无意识运动 情况,有助于医生了解病人的生命体征;2、尊重病人:一部分危重症病人 在进行如插管治疗时也预示着其生命即将结束,通过允许其运动保留其生命 时刻的尊严,给予患者心理安慰,也可能延长其生命或者也可能让其病人的 病情好转;3、肢体的运动鲜有可能造成患者触碰到接触式医疗仪器,因此, 完全没必要不允许患者手部运动,即:没有必要时刻地采集运动数据。为此, 本发明进一步地提供了如下技术方案:在所述大臂运动参数和所述小臂运动 参数对应的活动姿态触发预警条件的情况下,所述手掌部运动监控器在所述 手掌部约束套不限制所述手部和腕部活动的情况下采集所述手掌部运动参 数和所述腕部运动参数;其中,在所述手掌部运动参数和所述腕部运动参数 对应的活动姿态触发调整条件的情况下,所述手掌部约束套和/或所述肘部 约束套中的调整部件响应于所述数据处理器调整信号按照限制所述病人手 部和腕部的至少一个运动维度的方式启动,以防止所述病人触及医疗用接触 式仪器。也即:针对于无意识或者模糊意识的病人而言,限制其手臂在预警 姿态状态下时的手部运动至危险姿态时才对手部进行限制,防止其触碰到插 管等医疗仪器。Therefore, the hand restraint device provided by the present invention is not a fixed "restraint" device in the true sense, but a movable "restraint" device. The purpose of the restraint device is: for an unconscious or vaguely conscious patient, it can allow the patient's hand to move unconsciously, but this movement cannot touch any contact medical device ( such as intubation). The main advantages of this are: 1. Allowing unconscious movement is helpful for the patient's recovery. Through the data curve data fed back by the data processor, the doctor can clearly understand the patient's unconscious movement, which is helpful for the doctor to understand the patient's vital signs; 2. Respect the patient: some critically ill patients also indicate that their life is about to end when they undergo intubation treatment. By allowing them to exercise to retain their dignity at the moment of life, giving patients psychological comfort may also prolong their life or may also allow their patients. 3. The movement of the limbs is rarely likely to cause the patient to touch the contact medical instrument. Therefore, it is absolutely unnecessary to not allow the patient's hand movement, that is, it is not necessary to collect movement data all the time. To this end, the present invention further provides the following technical solution: in the case that the active posture corresponding to the upper arm motion parameter and the forearm motion parameter triggers an early warning condition, the palm motion monitor is located in the palm The constraining sleeve collects the palm motion parameters and the wrist motion parameters under the condition that the movement of the hand and the wrist is not restricted; wherein, in the activity posture corresponding to the palm motion parameters and the wrist motion parameters When an adjustment condition is triggered, the adjustment components in the palm restraint sleeve and/or the elbow restraint sleeve limit at least one movement dimension of the patient's hand and wrist in response to the data processor adjustment signal activated in a manner to prevent the patient from touching the medical contact device. That is, for unconscious or vaguely conscious patients, the hand movement of the arm in the warning posture state is restricted to a dangerous posture, and the hand is restricted to prevent it from touching medical instruments such as intubation.
根据一种优选的实施方式,所述肘部约束套能够在所述手掌部的活动姿 态触发所述调整条件的情况下能够以所述肘部带动所述手掌部的方式以限 制所述手掌部进入禁止区域的方式恢复至所述正常状态。According to a preferred embodiment, the elbow restraint sleeve can restrain the palm in a manner that the elbow drives the palm when the active posture of the palm triggers the adjustment condition The way to enter the forbidden area is restored to the normal state.
根据一种优选的实施方式,所述手部约束套在所述肘部约束套未启动肘 部姿态调整之前响应于所述调整信号,用于限制所述手掌部和/或腕部的至 少一个运动维度以紧急避开接触式器械。由于患者的无意识动作可能是过于 激烈且无序的,在这些无序的工作中,手掌或者腕部可能前一时刻还没有触 及调整条件,但是下一刻就可能触碰到接触式器械,此时肘部约束套还没来 得及调整手臂的活动姿态,因而,需要借助手掌部约束套来紧急避开该医疗 用接触式器械。According to a preferred embodiment, the hand restraint is used to restrain at least one of the palm and/or the wrist in response to the adjustment signal before the elbow restraint activates the elbow posture adjustment Motion dimensions for emergency avoidance of contact equipment. Because the patient's unconscious movements may be too violent and disorderly, in these disorderly work, the palm or wrist may not have touched the adjustment conditions at one moment, but may touch the contact device at the next moment. The elbow restraint has not had time to adjust the movable posture of the arm, therefore, the palm restraint needs to be used to avoid the medical contact device urgently.
根据一种优选的实施方式,肘部约束套包括能够从其本体向所述腕部延 伸的支撑囊板,所述支撑囊板配置为:所述支撑囊板在其充气的情况下能够 将所述小臂逐渐与所述大臂恢复至大致呈直线;所述支撑囊板在其未充气的 情况下能够弯曲,以允许肘部自由运动。According to a preferred embodiment, the elbow restraint includes a support bladder plate extendable from its body toward the wrist, the support bladder plate being configured such that the support bladder plate, when inflated, is capable of compressing any The lower arm gradually returns to substantially straight line with the upper arm; the support bladder plate can flex in its uninflated condition to allow free movement of the elbow.
根据一种优选的实施方式,所述数据处理器能够基于所述手掌部运动监 控器监测到的所述手掌部运动参数和所述腕部运动参数的增量启动视频监 控器,从而所述约束装置能够借助所述视频监控器启动非正常姿态的判定模 式。According to a preferred embodiment, the data processor is capable of activating a video monitor based on increments of the palm motion parameter and the wrist motion parameter monitored by the palm motion monitor, thereby constraining the The device is capable of initiating an abnormal posture determination mode by means of the video monitor.
根据一种优选的实施方式,所述手掌部约束套和所述肘部约束套均设置 有复位力传感器,所述复位力传感器采集在所述手掌部约束套和所述肘部约 束套限制手部的至少一个运动维度的情况下采集复位力,所述数据处理器能 够基于所述复位力调节所述手掌部约束套和所述肘部约束套的调整元件的 复位速率。According to a preferred embodiment, both the palm restraint cover and the elbow restraint are provided with a reset force sensor, and the reset force sensor collects data collected on the palm restraint and the elbow restraint to restrain the hand The data processor is capable of adjusting the rate of reduction of adjustment elements of the palm and elbow restraint sleeves based on the return force collected with at least one dimension of motion of the body part.
根据一种优选的实施方式,所述手掌部运动监控器、所述肘部运动监控 器和所述复位力传感器均与所述数据处理器无线连接。According to a preferred embodiment, the palm motion monitor, the elbow motion monitor and the reset force sensor are all wirelessly connected to the data processor.
根据一种优选的实施方式,所述数据处理器响应于所述调节信号与报警 终端通信连接,所述报警终端在所述手部约束套限制所述病人手部和腕部的 至少一个运动维度的情况下能够以声音、光线、文字、图片、影像中的至少 一种提示方式呈现。According to a preferred embodiment, the data processor is communicatively connected to an alarm terminal in response to the adjustment signal, and the alarm terminal limits at least one movement dimension of the patient's hand and wrist in the hand restraint sleeve It can be presented in at least one prompt mode of sound, light, text, picture, and video.
根据一种优选的实施方式,本发明公开了一种手部约束系统,包括:手 掌部运动监控器,其布置于手掌部约束套,用于监控所述病人的手掌部和腕 部运动,以获取手掌部运动参数和腕部运动参数,肘部运动监控器,其布置 于肘部约束套,用于监控所述病人的大臂和小臂运动,获取大臂运动参数和 小臂运动参数,和数据处理器,其分别与所述手掌部运动监控器和所述肘部 运动监控器数据连接,在所述大臂运动参数和所述小臂运动参数对应的活动 姿态触发预警条件的情况下,所述手掌部运动监控器在所述手掌部约束套不 限制所述手部和腕部活动的情况下采集所述手部运动参数和所述腕部运动 参数;其中,在所述手掌部运动参数和所述腕部运动参数对应的活动姿态触 发调整条件的情况下,所述手掌部约束套和所述肘部运动监控器中的调整部 件响应于所述数据处理器的调整信号按照限制所述病人手部的至少一个运 动维度的方式启动,以防止所述病人触及医疗用接触式仪器。According to a preferred embodiment, the present invention discloses a hand restraint system, comprising: a palm movement monitor, which is arranged on the palm restraint sleeve, and is used to monitor the movement of the patient's palm and wrist, so as to Obtaining palm motion parameters and wrist motion parameters, an elbow motion monitor, which is arranged on the elbow restraint sleeve, is used to monitor the motion of the patient's upper arm and forearm, and obtains the motion parameters of the upper arm and the forearm, and a data processor, which are respectively connected with the palm motion monitor and the elbow motion monitor in data connection, in the case that the active posture corresponding to the forearm motion parameter and the forearm motion parameter triggers an early warning condition , the palm motion monitor collects the hand motion parameters and the wrist motion parameters under the condition that the palm restraint sleeve does not restrict the movement of the hand and the wrist; wherein, in the palm When the motion parameters and the active posture corresponding to the wrist motion parameters trigger the adjustment condition, the adjustment components in the palm restraint sleeve and the elbow motion monitor respond to the adjustment signal of the data processor according to the limit. At least one dimension of motion of the patient's hand is activated to prevent the patient from reaching a medical contact device.
根据一种优选的实施方式,所述数据处理器响应于所述调节信号与报警 终端通信连接,所述报警终端在所述手部约束套限制所述病人手部和腕部的 至少一个运动维度的情况下能够以声音、光线、文字、图片、影像中的至少 一种提示方式呈现。According to a preferred embodiment, the data processor is communicatively connected to an alarm terminal in response to the adjustment signal, and the alarm terminal limits at least one movement dimension of the patient's hand and wrist in the hand restraint sleeve It can be presented in at least one prompt mode of sound, light, text, picture, and video.
附图说明Description of drawings
图1是本发明提供的一种约束装置的模块示意图;和Fig. 1 is a block schematic diagram of a restraint device provided by the present invention; and
图2是本发明提供的一种约束装置的结构示意图;2 is a schematic structural diagram of a restraint device provided by the present invention;
图3是本发明提供的一种约束装置的优选立体示意图;Fig. 3 is a preferred perspective schematic diagram of a restraint device provided by the present invention;
图4是本发明提供的一种优选的手掌部约束套。Fig. 4 is a preferred palm restraint sleeve provided by the present invention.
附图标记列表List of reference signs
100:手掌部约束套 100c:手指孔100:
200:肘部约束套 200a:第一气囊200: Elbow Restraint Sleeve 200a: First Airbag
300:手掌部运动监控器 200b:气管300:
400:肘部运动监控器 200c:外衬套400: Elbow
500:数据处理器 200d:内衬套500:
600:报警终端 200g:约束带600:
700:视频监控器 200f:穿戴侧开口700: Video monitor 200f: Wear side opening
800:复位力传感器 200c-1:气嘴800:
900:支撑囊板 100d:嘴孔900:
100a:腔体 200e:本体100a:
100b:柔性外壳 L:轴线100b: Flexible housing L: Axis
具体实施方式Detailed ways
下面结合附图1-4进行详细说明。Detailed description will be given below in conjunction with accompanying drawings 1-4.
实施例1Example 1
本实施例公开一种新型带监测报警功能的防误触手部约束装置。该手部 约束装置尤其是一种限制意识模糊或者无意识的病人的手部活动范围的约 束装置。该约束装置包括手掌部约束套100、肘部约束套200、手掌部运动 监控器300和肘部运动监控器400。The present embodiment discloses a novel hand restraint device with monitoring and alarm function for preventing false touches. The hand restraint device is, in particular, a restraint device that limits the range of motion of the hand of a patient who is confused or unconscious. The restraint device includes a
手掌部约束套100,其穿戴于病人的手掌部和腕部,用于能够限制手掌 部和腕部的活动范围。The
肘部约束套200,其穿戴于病人的手肘部,并能够将大臂和小臂恢复至 正常姿态。An
手掌部运动监控器300,其布置于手部约束套100,用于监控病人的手 部和腕部运动,以获取手掌部运动参数和腕部运动参数。手掌部运动监控器 300可以是加速度传感器、位移传感器、角度传感器中的至少一种。The
肘部运动监控器400,其布置于肘部约束套200,用于监控病人的大臂 和小臂运动,获取大臂运动参数和小臂运动参数。肘部运动监控器400可以 是加速度传感器、位移传感器、角度传感器中的至少一种。The
数据处理器500,其分别与手掌部运动监控器300和肘部运动监控器 400数据连接。数据处理器500可以包括有CPU、GPU、FPGA等具有数据 运算功能的服务器。The
根据临床观察,患者要触碰到插管至少需要完成如下动作:手臂弯曲而 且手掌位于特定位置。因此,基于临床观察和数据研究,本发明能够允许患 者的手部在非特定位置运动,而在手部进入特定位置时响应监控,以使得患 者的手部能够移出特定位置。这种方式能够有效地减小患者发生压疮、溃烂 的发生,并且患者使用该装置在治疗时能够有尊严。According to clinical observations, the patient needs to do at least the following actions to reach the cannula: the arm is flexed and the palm is in a specific position. Therefore, based on clinical observations and data studies, the present invention can allow the patient's hand to move in a non-specific position, but respond to monitoring when the hand enters a specific position, so that the patient's hand can move out of the specific position. This method can effectively reduce the occurrence of pressure ulcers and ulcers in patients, and patients can use the device with dignity during treatment.
首先,患者要触碰插管的腔体条件为:大臂和小臂是有一定的活动姿态。 也即:大臂和小臂的活动姿态需要触发预警条件。预警条件可以根据不同的 医疗用接触式器械位置、患者的手臂臂长、大臂和小臂的臂长等相关。比如, 医疗用接触式器械可以有:气管、胃管和尿管等。医生将患者手臂臂长、大 臂、小臂臂长、插管位置、插管体外长度等参数输入数据处理器500内,由 数据处理器500预生成预警条件空间姿态范围。预警条件的生成模型可以是 基于若干临床数据经过深度学习后生成。预警条件也可以是医生预定义的。 该预警条件是一个空间姿态范围,只要患者的活动姿态落入该空间姿态范 围,就会触发预警条件。而且,当小臂和大臂的活动姿态触发预警条件时, 患者也未必是会触碰到医疗用接触式器械,此时其仅是触碰到医疗用接触式 器械的概率增大,因而需要对手掌部和腕部的运动进行监控。为此,数据处 理器500配置为:在大臂运动参数和小臂运动参数对应的活动姿态触发预警 条件的情况下,向手掌部运动监控器300发出采集信号采集手部运动参数和腕部运动参数,此时,手掌部约束套100并不限制手掌部和腕部的活动。即: 在手掌部运动参数和腕部运动参数对应的活动姿态触发调整条件的情况下, 手掌部约束套100和/或肘部约束套200的调整部件响应于数据处理器500 的调整信号按照限制手部的至少一个运动维度的方式启动,以防止病人触及 医疗用接触式器械。调整条件也是预设的,其属于预警条件内的更窄的一个 活动空间范围。比如,调整条件可以是手掌距离插管的直线距离为5厘米。 而预警条件为手掌距离插管的直线距离为15厘米。按照限制手部的至少一 个运动维度可以是:限制手掌继续靠近插管的直线运动或者限制腕部继续向 插管偏转的角度等等。First of all, the cavity conditions for the patient to touch the cannula are: the upper arm and forearm have a certain active posture. That is: the active posture of the upper arm and the lower arm needs to trigger the warning condition. Early warning conditions can be related to different medical contact device positions, patient arm lengths, and arm lengths of the upper and lower arms. For example, medical contact devices may include: trachea, gastric tube, and urinary tube. The doctor inputs parameters such as the patient's arm length, upper arm, forearm length, intubation position, and intubation in vitro length into the
优选地,手部约束套100在肘部约束套200未启动肘部姿态调整之前 响应于调整信号,用于限制手掌部和/或腕部的至少一个运动维度以紧急避 开接触式器械。数据处理器500的调整信号是用于防止手部,特别是手掌部 触碰或者抓取插管的信号。由于人体的生理构造和生理反应,手掌部相比较 于手臂而言,触碰或者抓取插管的概率较大,因此,对于手部的紧急约束是 显得尤为重要的。比如,当患者的肢体动作反应强烈,尤其是在手臂进入预 警条件所对应的空间范围,数据处理器500会基于手掌部运动监控器采集的 手部运动参数和腕部运动参数提取强烈特征值,比如加速度、位移幅值等等 参数,以判定是否限制手掌部和/或腕部的至少一个运动维度以紧急避开接 触式器械。基于空间概念,运动维度是三维的6个自由度的,即可以防止手 掌部和/或腕部直线运动、转动等等。Preferably, the
优选地,肘部约束套200包括能够从其本体200e向腕部延伸的支撑囊 板900。本体200e同时也配置为可充气的。支撑囊板900配置为可充气的 囊板。其按照半开式穿戴于患者的小臂。支撑囊板900配置为:支撑囊板 900在其充气的情况下能够将小臂逐渐与大臂恢复至大致呈直线。支撑囊板 900在其未充气的情况下能够弯曲,以允许肘部自由运动。从而肘部可以基 于支撑囊版900的充气量以小臂能够相对于大臂在一定的运动范围内运动。反之,肘部约束套200能够在支撑囊版900逐渐充气的时候以肘部带动手 掌部的方式以限制手掌部进入禁止区域的方式恢复至正常状态。优选地,支 撑囊板900和本体200e是在手掌部的活动姿态触发调整条件的情况下开始 基于外部充气装置自动充气。优选地,相比较于手部约束套100的调整条件, 肘部约束套200是在患者的手掌部或者运动不强烈但是在调整条件对应的 空间范围停留的时间较长时触发的,用于以将患者的手部基于肘部约束套 200逐渐恢复至正常状态。Preferably,
优选地,数据处理器500能够基于手掌部运动监控器300监测到的手 掌部运动参数和腕部运动参数的增量启动视频监控器700。视频监控器700 是一种辅助的监控设备。手掌部运动参数和腕部运动参数的增量表征了手掌 部和腕部的运动强烈程度。启动视频监控器700,医护人员可以基于影像数 据来判定患者的非正常姿态,这对于传染病的防控是尤为重要的。由于在传 染病病房内,医护人员需要进行的工作繁杂而且穿戴防护用具,无法时刻或 者无法清晰地监控患者的肢体动作,进而无法对患者的情况进行记录。而且 患者的无意识动作是在不经意之间发生的,因此需要借助视频监控器700进 行监控,视频监控器700的视频信号由数据处理器500转发至防控终端, 由终端的医护人员进行远程监控,便于终端筹备医护人员对患者进行治疗方 案的调整。Preferably, the
优选地,手掌部约束套100和肘部约束套200均设置有复位力传感器 800。复位力传感器800采集在手掌部约束套100和肘部约束套200限制 手部的至少一个运动维度的情况下采集复位力。数据处理器500能够基于复 位力调节手掌部约束套100和肘部约束套200的调整元件的复位速率。也 即在对患者的手部进行恢复时,数据处理器500可以借助复位力来调节手掌 部约束套100和肘部约束套200的调整元件的执行速率,增强患者的舒适感。Preferably, both the
优选地,手掌部运动监控器300、肘部运动监控器400和复位力传感 器800均与数据处理器500无线连接。优选地,数据处理器500不设置于 肘部约束套200和手掌部约束套100,数据处理器500可以是设置在ICU 病房内部,其与手掌部运动监控器300、肘部运动监控器400和复位力传 感器800等传感器设备可以是通过蓝牙、EnOcean等协议实现无线通信连 接。从而,患者在穿戴肘部约束套200和手掌部约束套100之后,在视觉 上看是“无绳”约束,使得患者有尊严的在进行治疗。优选地,肘部运动监 控器400分别至少具有两个,至少一个在肘部约束套200的上端(对应患 者的大臂),至少一个在肘部约束套200的下端(对应患者的小臂)。优选地, 手掌部运动监控器300分别至少一个,其设置于手掌部运动监控器300的 活动参数,该活动参数与对应患者的小臂的肘部运动监控器400采集的参数 可以间接地反应腕部的活动情况。Preferably,
优选地,数据处理器500响应于调节信号与报警终端600通信连接。 报警终端600在手部约束套100限制病人手掌部和腕部的至少一个运动维 度的情况下能够以声音、光线、文字、图片、影像中的至少一种提示方式呈 现。也即在患者的手掌部和腕部运动激烈时,报警终端600会通过声音、光 线、文字、图片、影像记录手部和腕部在手部约束套100的约束情况下的限 制情况,可以提示医护人员患者的无意识动作得到有效的护理。Preferably, the
实施例2Example 2
本实施例可以是对实施例1的进一步改进和/或补充,重复的内容不再 赘述。在不造成冲突或者矛盾的情况下,其他实施例的优选实施方式的整体 和/或部分内容可以作为本实施例的补充。This embodiment may be a further improvement and/or supplement to
本实施例提供一种防止无意识手部危险动作的约束装置。如图2或3所 示,该约束装置包括肘部约束套200和手掌部约束套100。肘部约束套200 穿戴于患者的手肘部。手掌部约束套100放置于患者的手掌内侧,大致呈球 状或椭球状,即手心。在本发明中,肘部约束套200设置有第一气囊200a。 第一气囊200a内预先注入气体。第一气囊200a与布置于肘部约束套200 的气管200b处于连通状态。气管200b还与该手掌球100连通。手掌球 100是可膨胀球体。在本发明提供的约束装置的一种优选的实施方式为:将 肘部约束套200穿戴于患者手肘部位,患者的手掌握住手掌球。当患者的大 臂和小臂弯曲时,气囊被压缩,手掌球膨胀,患者的手指被手掌球张开,手 指关节无法曲拢,约束了指关节,从而使得患者手指无法拔管;其次,由于 第一气囊200a内注入了气体,第一气囊200a在大臂和小臂的弯曲时具有 反作用力,能够抵消大臂和小臂的弯曲时产生的作用力,由于无意识病人的 手臂弯曲是无意识的,其产生的作用力一般不会太大,气囊具有减缓大臂和 小臂弯曲趋势的作用,能够有效地缓冲患者无意识动作。对于气管插管的病 人而言,患者要完成无意识拔管动作至少具有如下动作:大臂和小臂需要弯 曲到一定程度,而且手指指关节无约束。本发明在患者大臂和小臂弯曲时, 第一气囊200a被压缩向手掌部约束套100充气,指关节变会基于第一气囊 200a的充气使得手掌球膨胀,而使得指关节被手掌球约束,而使患者无法 完成拔管动作。This embodiment provides a restraint device for preventing the dangerous movement of an unconscious hand. As shown in Figures 2 or 3, the restraint device includes an
优选地,在袖套穿戴于手肘部时,第一气囊200a位于大臂和小臂之间。 如图1所示,第一气囊200a设置于肘部约束套200的中部位置。在穿戴时, 肘部约束套200一部分穿戴于小臂,另一部分穿戴于大臂,而第一气囊200a 的轴线大致垂直于大臂和小臂之间的轴线L。也就是,第一气囊200a按照 其轴向差不多沿着肘关节的环向布置的方式穿戴于肘关节。第一气囊200a 能够基于大臂和小臂形成角度时产生的压力向手掌部约束套100注入气体。Preferably, when the cuff is worn on the elbow, the first air bag 200a is located between the upper arm and the lower arm. As shown in FIG. 1 , the first air bag 200 a is disposed at the middle position of the
优选地,优选地,肘部约束套200包括外衬套200c和内衬套200d。 外衬套200c和内衬套200d彼此固定连接。例如,外衬套200c和内衬套 200d可以是粘接的,也可以是缝合的。内衬套200d需要患者的皮肤贴合, 因此可选用如棉布材料支撑。Preferably, the
优选地,内衬套200d具有用于嵌合第一气囊200a通孔(未示出)。第 一气囊200a通过该通孔而紧贴于外衬套200c的内侧。例如,第一气囊200a 可以粘接在外衬套200c的内侧,而设置于该肘部约束套200内。Preferably, the
优选地,外衬套200c包括气嘴200c-1。外衬套200c具有套腔体(未 示出),可以注入气体,而使得肘部约束套200不容易弯曲,从而患者的大 臂和小臂不容易弯曲。比如,在患者无意识动作较多的医疗期间,医生可以 向外衬套200c内注入气体,而使得患者大臂和小臂尽量不弯曲。或者,在 患者无意识动作较少的医疗期间,医生可以排出外衬套200c内注入的气体, 而允许患者的大臂和小臂能够有所弯曲运动,此时其通过大臂和小臂之间的第一气囊200a缓冲大臂和小臂的弯曲运动并向手掌球内注入气体,约束手 指。Preferably, the
优选地,手掌部约束套100与气管200b可拆卸地连接。比如,手掌部 约束套100和气管200b通过螺纹连接。手掌部约束套100具有嘴孔100d。 嘴孔100d与气管200b处于连通状态。在患者手臂和小臂弯曲时,第一气 囊200a被压缩,膨胀求处于膨胀状态。在患者手臂和小臂舒展时,手掌部 约束套100内的气体重新回排至第一气囊200a内存储。Preferably, the
优选地,气管200b为波纹管。其可以基于患者小臂的长度调节。Preferably, the
优选地,手掌部约束套100设置有至少两个手指孔100c,以使得手掌 部约束套100能够穿戴于手掌。手指孔100c缝合于手掌球。优选地,手指 孔100c为三个,分别约束大拇指、中指和小指。Preferably, the
优选地,手掌部约束套100包括可膨胀的腔体100a。柔性外壳100b 包括由外向层依次为外表层、乳胶层、橡胶层和记忆海绵层。肉馅外壳200a 回转形成该腔体200b。Preferably, the
优选地,肘部约束套200与手掌部约束套100通过支撑囊板900连接。 支撑囊板900采用弹性棉制成。支撑囊板900一方面可以用于体贴患者的 小臂,一方面可以放置气管200b。优选地,气管200b可以粘接于支撑囊 板900。或者,支撑囊板900可以设置专门的通道,使得气管200b通过该 通道分别与第一气囊200a和手掌部约束套100连通。Preferably, the
优选地,如图2所示,肘部约束套200采用侧开式。即:肘部约束套 200具有穿戴侧开口200f,用于从手臂侧穿戴。然后,使用魔术贴粘合, 并且用约束带200g将袖套紧固于手臂上。由于如果无意识病人无法言语, 采用传统的从袖套两端穿戴的方式,医护人员不容易把握第一气囊200a是 否对准了肘关节。而采用这种侧开穿戴的方式,医护人员能够先将第一气囊 200a对准肘关节的内侧,再对袖套进行固定于患者手臂。Preferably, as shown in FIG. 2 , the
实施例3Example 3
本实施例可以是对实施例1的进一步改进和/或补充,重复的内容不再 赘述。在不造成冲突或者矛盾的情况下,其他实施例的优选实施方式的整体 和/或部分内容可以作为本实施例的补充。This embodiment may be a further improvement and/or supplement to
本实施例公开一种手部约束系统,包括:This embodiment discloses a hand restraint system, including:
手掌部运动监控器300,其布置于手掌部约束套100,用于监控病人的 手掌部和腕部运动,以获取手掌部运动参数和腕部运动参数,The
肘部运动监控器400,其布置于肘部约束套200,用于监控病人的大臂 和小臂运动,获取大臂运动参数和小臂运动参数,和
数据处理器500,其分别与手掌部运动监控器300和肘部运动监控器 400数据连接,The
在大臂运动参数和小臂运动参数对应的活动姿态触发预警条件的情况 下,手掌部运动监控器300在手掌部约束套100不限制手部和腕部活动的 情况下采集手部运动参数和腕部运动参数;Under the condition that the motion posture corresponding to the upper arm motion parameter and the lower arm motion parameter triggers the warning condition, the
其中,在述手掌部运动参数和腕部运动参数对应的活动姿态触发调整条 件的情况下,手掌部约束套100和肘部运动监控器400中的调整部件响应 于数据处理器500的调整信号按照限制病人手部的至少一个运动维度的方 式启动,以防止病人触及医疗用接触式仪器。Wherein, in the case where the active posture corresponding to the palm motion parameter and the wrist motion parameter triggers the adjustment condition, the adjustment components in the
优选地,数据处理器500响应于调节信号与报警终端600通信连接, 报警终端600在手部约束套100限制病人手部和腕部的至少一个运动维度 的情况下能够以声音、光线、文字、图片、影像中的至少一种提示方式呈现。Preferably, the
优选地,手掌部运动监控器300集成于手掌部约束套100,从而构成 手掌控制部。肘部运动监控器400集成于肘部约束套200,从而构成肘部 控制部。数据处理器500分别以无线连接方式与手掌控制部和肘部控制部建 立数据连接。手掌控制部和肘部控制部能够以彼此数据交互的方式建立动力 连接,以便在与手掌部运动参数和腕部运动参数对应的活动姿态触发调整条 件的情况下,两者调整部件能够响应于数据处理器的调整信号限制病人手部 的至少两个运动维度。即,手掌控制部和肘部控制部能够彼此联动,在至少 两个自由度上同时防止病人触及医疗用接触式仪器。手掌控制部和肘部控制 部在两个或以上运动维度上的同时调整存在伤及病人的危险,故此手掌控制 部和肘部控制部的彼此联动具有过载保护(即倘若两者限位合力超过一定幅 度),则本发明的手部约束系统将不顾数据处理器500的指令信号而给出重 置指令以终止调整运动,并通过报警终端600进行报警。在至少两个运动维 度上的调整动作构成本发明的优选技术方案,这适用于病人依赖设备维持生 存的情况(例如依赖呼吸机和透析机生存的情况),其中,触敏操作面板上 的误触本身就会导致危及生命的严重后果。手掌控制部和肘部控制部的联动 均可以采取步进的方式,数据处理器500能够预先确定两者步进运动所产生 的合力并在超出特定阈值的情况下予以重置并给出报警。在至少两个运动维 度上的调整动作构成本发明的优选技术方案,其原因还在于它也适用于儿童 患者,在以较为激烈的方式防止触及医疗用接触式仪器的同时,也保障患者 的适度运动自由范围。经过临床检验,儿童患者没有出现明显拒绝佩戴的情 况,也就是说,向患者给予适当运动自由度反而带来了显著更安全的动作限 制效果。Preferably, the
仅在一个运动维度上的调整动作是本发明优选的技术方案,这是因为数 据处理器500的运算分析工作量得以最小化,且在成本与安全之间找到了一 个最优解决方案。但在与手掌部运动监控器300和肘部运动监控器400数 据连接的数据处理器500根据动作分析判断单个运动维度不足以阻止病人 触及医疗用接触式仪器的危险运动之时,数据处理器500将间隙性依次和/ 或交替启动手掌控制部和肘部控制部(和/或依次和/或交替启动手掌部约束 套100和肘部运动监控器400中的若干调整部件)的调整运动。在调整运 动期间,间隙性依次和/或交替启动的调整动作优选以步进的方式且优选在 一个运动方向(运动维度)上完成。在一个运动方向(运动维度)上执行调 整运动期间,数据处理器500根据危险运动(病人触及医疗用接触式仪器时 所执行的运动)的加速度来调整在单个运动方向上的步进运动幅度,同时分 析确定下一个运动是应当由手掌控制部还是由肘部控制部来执行。“交替” 是指手掌控制部和肘部控制部彼此交替介入,分别执行不同运动方向上的运动。而“依次”是指手掌控制部和肘部控制部之一在时间上连续地执行若干 步进运动,“依次”尤其是执行一个方向上的多次运动。以上控制方式是因 为,本发明的发明人一方面认识到卧床人员骨骼脆弱,易于发生骨折,而另 一方面设备安全也应当以人为本,故优先考虑人员安全。而通过这种控制方 式,能够在最大限度保障医疗用接触式仪器的运行可靠的前提下,避免对卧 床病人造成伤害。The adjustment action in only one motion dimension is the preferred technical solution of the present invention, because the computational analysis workload of the
需要注意的是,上述具体实施例是示例性的,本领域技术人员可以在本 发明公开内容的启发下想出各种解决方案,而这些解决方案也都属于本发明 的公开范围并落入本发明的保护范围之内。本领域技术人员应该明白,本发 明说明书及其附图均为说明性而并非构成对权利要求的限制。本发明的保护 范围由权利要求及其等同物限定。It should be noted that the above-mentioned specific embodiments are exemplary, and those skilled in the art can come up with various solutions inspired by the disclosure of the present invention, and these solutions also belong to the disclosure scope of the present invention and fall within the scope of the present invention. within the scope of protection of the invention. It should be understood by those skilled in the art that the description of the present invention and the accompanying drawings are illustrative rather than limiting to the claims. The protection scope of the present invention is defined by the claims and their equivalents.
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