Disclosure of Invention
In order to solve the above problems, namely, to solve the problem that peripheral nerve injury is liable to cause urinary muscle group disorder, urinary incontinence and urination disorder. Patients with these symptoms often fail to urinate normally, and their ability to control urine and quality of life are poor.
An embedded bionic urinary control system comprises a nerve electrophysiological detection unit for detecting damage by performing nerve electrophysiological detection on peripheral nerve;
the electrical signal monitoring module is connected with the upstream of the damaged nerve unit and used for monitoring the input of nerve signals;
The electric signal output module is connected with the damaged electric signal monitoring module and is connected with the downstream of the damaged nerve unit;
The central controller comprises a power supply unit and a control unit, and the electric signal output module, the electric signal monitoring module and the control unit are connected.
The urine volume monitoring module comprises a bladder tension sensor, wherein the bladder tension sensor is attached to the bladder wall and connected with the control unit, the bladder tension sensor is a flexible sensor, a threshold value is set by the bladder tension sensor, and if the muscle tension exceeds the threshold value, an electric signal is transmitted to the downstream.
The myoelectric signal output module is respectively connected with the bladder urine control muscle group and comprises a bladder sphincter stimulating unit and a bladder detrusor stimulating unit, the bladder sphincter stimulating unit is connected with the bladder sphincter, the bladder detrusor stimulating unit is connected with the bladder detrusor, and the myoelectric signal output module is connected with the control unit.
The power supply unit comprises a wireless charger and a lithium battery, the wireless charger is connected with the lithium battery, and the central controller is buried under the abdomen skin.
The central controller comprises a shell, a mounting cavity with a downward opening is formed in the shell, a sealing cover is arranged at the opening end of the mounting cavity, the sealing cover is in butt joint with the shell, a rubber pad is arranged between the shell and the sealing cover, and the shell is connected with the sealing cover through a screw.
The control unit is fixedly connected to the sealing cover, the lithium battery is fixedly connected to one side, away from the sealing cover, of the control unit, the wireless charger is fixedly connected to one side, away from the control unit, of the lithium battery, the wireless charger is abutted to one side wall, away from the sealing cover, of the mounting cavity, and the wireless charger is located on one side, close to belly skin tissue, of the central controller.
The sealing cover is provided with an annular partition plate, and the partition plate is abutted with a side wall of the mounting cavity, which is far away from the sealing cover.
The utility model discloses a portable electronic device, including casing, partition panel, control unit, electric signal monitoring module, urine volume monitoring module, electromyographic signal output module, the casing has offered the patchhole on, the patchhole runs through the partition panel, be provided with the interface on the control unit, electric signal monitoring module, electric signal output module, urine volume monitoring module, electromyographic signal output module pass through wire and interface connection respectively, the wire runs through the patchhole, be provided with the closure on the casing, the closure includes fixed ring on the casing, still include fixed connection be in the rubber ring of fixed ring intra-annular, fixed ring the rubber ring with the patchhole is coaxial.
The connector is connected with the wire in a point contact mode, the partition plate is rotatably arranged on the sealing cover, the partition plate is connected with a driving piece, and the driving piece can drive the partition plate to rotate along the axis of the partition plate.
The electric signal monitoring module comprises a flexible electric signal sensor, and the flexible electric signal sensor is wrapped outside the nerve fiber.
The beneficial effects of the invention are as follows:
1. According to the invention, through the arrangement of the electric signal monitoring module and the electric signal output module, the damaged part of the afferent nerve or the efferent nerve can be reconnected, the smooth loop of the peripheral nerve is ensured, and the normal urination of a patient is ensured.
2. According to the invention, through the arrangement of the urine volume monitoring module, the sensor of the afferent nerve is damaged, when the sensor cannot work normally, the bladder tension sensor can sense the urine volume in the bladder, and when the urine volume reaches a threshold value, the central controller and the electric signal output module control the patient to urinate normally.
3. According to the invention, the electromyographic signal output module is arranged to cause damage to the bladder urine control muscle group, and can send signals to the bladder urine control muscle group when the bladder urine control muscle group cannot work normally, so that a patient can urinate normally.
4. According to the invention, through the arrangement of the wireless charger, the power can be transmitted to the central controller in a wireless transmission mode, so that the central controller is ensured to be used for a long time, and meanwhile, the central controller is embedded in the abdomen of a patient, so that the patient can charge the central controller conveniently.
5. According to the invention, the sealing performance of the joint of the shell and the sealing cover is ensured through the arrangement of the rubber pad, so that a large amount of liquid in the human body is prevented from entering the shell, the control unit and the power supply unit in the shell are damaged, and the service life of the device is influenced.
6. According to the invention, the wireless charger is arranged on one side, close to the abdominal skin tissue, of the wireless charger, so that the wireless charger can be more attached to external input equipment during operation, the transmission of power is facilitated, meanwhile, the sealing cover is arranged on one side, far away from the abdominal skin tissue, of the wireless charger, and a later-stage operator can conveniently open the abdominal skin of a patient, and the central controller is maintained.
7. According to the invention, the sealing performance between the closing cover and the shell is further improved through the arrangement of the partition plate, so that if liquid in a patient enters the shell through a gap between the closing cover and the shell, the partition plate can block the liquid from entering the shell, and the use safety of the device is further improved.
8. The invention is convenient for the connection between each module and the central processing unit through the connection between the lead and the interface, so that the lead can avoid the connection between the tissues in the human body and the central processing unit according to the different installation positions of different modules when the system is installed, and the lead is connected with the interface after avoiding the tissues in the human body, thereby facilitating the installation of the system.
9. According to the invention, through the arrangement of the partition plate and the driving piece, when the control unit is damaged, in order to prevent the central controller from sending error signals to each module, the partition plate is rotated, so that the lead is disconnected with the connector, and the transmission of electric signals is stopped.
Detailed Description
Preferred embodiments of the present invention are described below with reference to the accompanying drawings. It should be understood by those skilled in the art that these embodiments are merely for explaining the technical principles of the present invention, and are not intended to limit the scope of the present invention.
As shown in fig. 1, the embodiment of the invention discloses an embedded bionic urinary control system, which comprises a nerve electrophysiological detection, wherein a damaged unit is detected by performing nerve electrophysiological detection on peripheral nerves;
the electrical signal monitoring module is connected with the upstream of the damaged nerve unit and used for monitoring the input of nerve signals;
The electric signal output module is connected with the damaged electric signal monitoring module and is connected with the downstream of the damaged nerve unit;
central controller 1 the central controller 1 comprises a power supply unit 12 and a control unit 11, and the electric signal output module and the electric signal monitoring module are connected with the control unit 11.
Specifically, nerve tissues of a patient are clinically detected, dead point detection is carried out on the nerve tissues through electrophysiological instruments such as patch clamp, micro-motors and the like, specific parts in peripheral nerves of the urinary tract of the patient are positioned to be damaged, and then an electric signal monitoring module and an electric signal output module are installed;
When urination signals are transmitted, the urination signals firstly enter the electric signal monitoring module, the electric signal monitoring module sends signals to the central processing unit 1, the central processing unit 1 sends signals to the electric signal output module after receiving the signals, and the electric signal output module transmits the signals to the downstream of the afferent nerve injury so as to control the normal urination of the patient;
When urination signals are transmitted, the urination signals are transmitted through the afferent nerves and then transmitted to the sensor, then the signals are transmitted to the efferent nerves, then the signals are monitored by the electric signal monitoring module, the electric signal monitoring module sends signals to the central processing unit 1, the central processing unit 1 receives the signals and then sends signals to the electric signal output module, and the electric signal output module transmits the signals to the downstream of the injured part of the efferent nerves, so that normal urination of the patient is realized.
When the urination signal is transmitted, the urination signal firstly enters the electric signal monitoring module, then the electric signal monitoring module sends a signal to the central processing unit 1, the central processing unit 1 receives the signal and then sends the signal to the electric signal output module, and the electric signal output module transmits the signal to the downstream of the damage part of the efferent nerve, thereby realizing normal urination of patients.
Further, the neuroelectrophysiologic detection is the prior art and will not be described in detail.
Through the setting of signal of telecommunication monitoring module and signal of telecommunication output module, can link up afferent nerve or efferent neural damage position again, guarantee that peripheral nerve's loop is unobstructed, guarantee that the patient can normally urinate.
Further, as shown in fig. 2, the urine volume monitoring module comprises a bladder tension sensor, wherein the bladder tension sensor is attached to the bladder wall and is connected with the control unit 11, the bladder tension sensor is a flexible sensor, the bladder tension sensor sets a threshold value, and if the muscle tension exceeds the threshold value, an electric signal is transmitted downstream.
Further, according to the bladder size of the patient, a corresponding threshold value is set for the bladder tension sensor.
Specifically, when the patient detects that the sensor is detected after passing through the neuroelectrophysiology detection, namely when the bladder wall is damaged, the bladder tension sensor is attached to the bladder wall, then the bladder tension sensor is connected with the electric signal monitoring module, the electric signal monitoring module is connected with the central controller 1, the central controller 1 is connected with the electric signal output module, the electric signal output module is connected with the downstream of the sensor, namely, the efferent nerve, when the bladder tension sensor senses that the muscular tension of the bladder wall exceeds a threshold value, the electric signal is sent to the electric signal monitoring module, the electric signal is sent to the central controller 1, after the processing of the central controller 1, the central controller 1 sends a signal to the electric signal output module, and the electric signal output module sends a signal to the efferent nerve, so that the normal urination of the patient is controlled.
Through the setting of urine volume monitoring module for afferent nerve's inductor receives the damage, and when unable normal work, bladder tension sensor can respond to the urine volume capacity in the bladder, when reaching the threshold value, through central controller 1 and electric signal output module control patient normal urination.
Further, as shown in FIG. 3, the myoelectric signal output module is connected with the bladder urine control muscle group, and comprises a bladder sphincter stimulating unit and a bladder detrusor stimulating unit, wherein the bladder sphincter stimulating unit is connected with the bladder sphincter, the bladder detrusor stimulating unit is connected with the bladder detrusor, and the myoelectric signal output module is connected with the control unit 11.
Specifically, when the patient is subjected to neurophysiologic detection, an effector is detected, namely, the bladder urine control muscle group is damaged, an electric signal monitoring module is connected with the upstream of the bladder urine control muscle group, an electric signal output module is connected with an electromyographic signal output module, the electromyographic signal output module is connected with the bladder urine control muscle group, when the electric signal monitoring module monitors that the electric signal is input, the electric signal monitoring module sends a signal to the central processing unit 1, the central processing unit 1 sends a signal to the electric signal output module, the electric signal output module sends a starting signal to the electromyographic signal output module, and meanwhile, the central processing unit 1 transmits electric power to the electromyographic signal output module through the control unit 11, so that the electromyographic signal output module sends a signal to the bladder urine control muscle group, and the patient is controlled to urinate normally.
Through the setting of electromyographic signal output module for bladder urine accuse muscle crowd takes place to damage, when unable normal work, electromyographic signal output module can send the signal to bladder urine accuse muscle crowd, makes the patient can normally urinate.
Further, as shown in fig. 6, the power supply unit 12 includes a wireless charger 121 and a lithium battery 122, the wireless charger 121 is connected to the lithium battery 122, and the central controller 1 is buried under the abdomen.
It should be noted that, the control unit 11 and the wireless charger 121 are conventional techniques, and will not be described again.
Specifically, the power supply unit 12 provides power to the control unit 11, so as to ensure the operation of the control unit 11, when the electric quantity of the lithium battery 122 in the power supply unit 12 is insufficient, the lithium battery is charged through the wireless charger 121, that is, the output end of the wireless charger 121 is placed on the abdomen of the patient, the power is transmitted to the wireless charger 121 through a wireless transmission mode, and the wireless charger 121 stores the received power into the lithium battery 122.
Through the setting of wireless charger 121, can be through wireless transmission's mode to central controller 1 electric power transmission, guarantee the long-time use of central controller 1, central controller 1 is buried in patient's belly simultaneously, makes things convenient for the patient to charge central controller 1.
Further, as shown in fig. 7, the central controller 1 includes a housing 13, a mounting cavity 14 with a downward opening is provided in the housing 13, a sealing cover 15 is provided at an open end of the mounting cavity 14, the sealing cover 15 abuts against the housing 13, a rubber pad is provided between the housing 13 and the sealing cover 15, and the housing 13 is connected with the sealing cover 15 through a screw.
Further, as shown in fig. 8, the closing cap 15 is connected to the housing 13 by eight screws uniformly arranged in the circumferential direction.
Specifically, the control unit 11 and the power supply unit 12 are mounted in the housing 13, and then the closing cover 15 and the rubber pad are mounted on the housing 13 by screws.
Through the setting of rubber pad for the leakproofness of the junction of casing 13 and closing cap 15 is guaranteed, avoids the inside liquid of human in a large number to enter into casing 13, makes the control unit 11 and the power unit 12 wherein damage, influences the life of device.
Further, as shown in fig. 6, the control unit 11 is fixedly connected to the sealing cover 15, the lithium battery 122 is fixedly connected to a side of the control unit 11 away from the sealing cover 15, the wireless charger 121 is fixedly connected to a side of the lithium battery 122 away from the control unit 11, the wireless charger 121 abuts against a side wall of the mounting cavity 14 away from the sealing cover 15, and the wireless charger 121 is located on a side of the central controller 1 close to the abdominal skin tissue.
Specifically, when installed, one side of the wireless charger 121 is installed against the patient's abdominal skin tissue.
Through the one side installation that is close to abdomen crust tissue with wireless charger 121 for wireless charger 121 can laminate more with external input equipment at the during operation, makes things convenient for the transmission of electric power, and closing cap 15 is located the one side installation of keeping away from abdomen crust tissue simultaneously, makes things convenient for later stage operating personnel to open patient abdomen crust, maintains central controller 1.
Further, as shown in fig. 7, an annular partition plate 16 is disposed on the closing cover 15, and the partition plate 16 abuts against a side wall of the mounting cavity 14 away from the closing cover 15.
By the arrangement of the partition plate 16, the tightness between the closing cover 15 and the housing 13 is further improved, so that if the liquid in the patient enters the housing 13 through the gap between the closing cover 15 and the housing 13, the partition plate 16 can block the liquid from entering the housing 13, and the use safety of the device is further improved.
Further, as shown in fig. 7, the casing 13 is provided with an insertion hole 17, the insertion hole 17 penetrates through the partition plate 16, the control unit 11 is provided with an interface 111, the electric signal monitoring module, the electric signal output module, the urine volume monitoring module and the myoelectric signal output module are respectively connected with the interface 111 through wires 18, the wires 18 penetrate through the insertion hole 17, the casing 13 is provided with a sealing member 19, the sealing member 19 comprises a fixing ring 191 fixedly connected to the casing 13, and further comprises a rubber ring 192 fixedly connected to an inner ring surface of the fixing ring 191, and the fixing ring 191, the rubber ring 192 and the insertion hole 17 are coaxial.
Further, the number of insertion holes 17, closure 19, and connectors 111 is dependent on the individual modules to be connected.
Specifically, when the system is installed in a patient, each module is first connected to the corresponding location, after which the central controller 1 is installed, after which each module is connected to the central controller 1 by means of a wire 18, i.e. the wire 18 is inserted into the housing 13 by means of an insert 19 and the wire 18 is connected to the interface 111, while the rubber ring 192 closes the gap between the wire 18 and the insertion hole 17.
Through the connection between the wire 18 and the interface 111, make things convenient for the connection between each module and the central processing unit 1 for when the system is installed, can be according to the different mounted position of different modules, make the wire can avoid the internal tissue of human to be connected with the central processing unit 1, avoid the internal tissue of human after again being connected with the interface 111 with the wire, make things convenient for the installation of system.
Further, as shown in fig. 7, the connector 111 is connected to the wire 18 in a point contact manner, the partition plate 16 is rotatably disposed on the closing cover 15, the partition plate 16 is connected to a driving member 10, and the driving member 10 can drive the partition plate 16 to rotate along the axis of the partition plate 16.
Further, the driving piece 10 comprises an electromagnetic slide rail 101 fixedly connected to a side wall of the mounting cavity 14 far away from the sealing cover 15, the electromagnetic slide rail 101 is annular, two electromagnetic slide blocks 102 are slidably connected in the electromagnetic slide rail 101, an L-shaped rod 103 is fixedly connected to the lower side of each electromagnetic slide block 102, the two electromagnetic slide blocks 102 are symmetrically arranged in the electromagnetic slide rail 101, the two electromagnetic slide blocks 102 synchronously move, the L-shaped rod 103 is fixedly connected with the partition plate 16, an annular slide groove with an opening facing the mounting cavity 14 is formed in the sealing cover 15, an annular slide plate is fixedly connected to one end of the partition plate 16 close to the sealing cover 15, the annular slide plate is slidably connected in the annular slide groove, and a rubber strip is arranged in a gap between the annular slide plate and the annular slide groove.
It should be noted that, the electromagnetic slide block 102 and the electromagnetic slide rail 101 are in the prior art, and are not described in detail.
Specifically, when the control unit 11 is damaged, in order to avoid that the central controller 1 sends error signals to each module, the electromagnetic slide block 102 is started, so that the electromagnetic slide block 102 slides a certain distance in the electromagnetic slide rail 101, the electromagnetic slide block 102 drives the partition plate 16 to rotate a certain angle through the L-shaped rod 103, the partition plate 16 drives the end part of the wire 18 to move a certain distance, so that the wire 18 is disconnected with the connector 111, and the transmission of the electrical signal is stopped.
By providing the partition plate 16 and the driving member 10, when the control unit 11 is damaged, the partition plate 16 is rotated to disconnect the lead wire 18 from the connector 111 and stop the transmission of the electric signal in order to avoid the central controller 1 from transmitting an error signal to each module.
The electric signal monitoring module comprises a flexible electric signal sensor, and the flexible electric signal sensor is wrapped outside the nerve fiber.
The method comprises the steps of clinically detecting nerve tissues of a patient, detecting dead spots of the nerve tissues through an electrophysiological instrument such as a patch clamp and a micro motor, positioning out a specific part of the peripheral nerve of the patient, installing an electric signal monitoring module and an electric signal output module, connecting the electric signal monitoring module with the upstream of the damaged part of the afferent nerve when the afferent nerve is damaged but the efferent nerve is normal, connecting the electric signal output module with the downstream of the damaged part of the afferent nerve to realize bridging, when the urination signal is transmitted, firstly, entering the electric signal monitoring module, transmitting a signal to a central processor 1 through the electric signal monitoring module, after the central processor 1 receives the signal, transmitting the signal to the electric signal output module, transmitting the signal to the downstream of the afferent nerve damage to control the normal urination of the patient, when the afferent nerve is damaged, connecting the electric signal monitoring module with the upstream of the efferent nerve damage, and connecting the electric signal output module with the downstream of the damaged part of the afferent nerve to realize bridging, when the urination signal is transmitted, transmitting the urination signal to the central processor 1 through the afferent nerve damage, sensing the electric signal, transmitting the signal to the electric signal to the central processor 1, and then transmitting the signal to the central processor to the monitored signal to the central processor after the central processor 1. When the urination signal is transmitted, the urination signal firstly enters the electric signal monitoring module, then the electric signal monitoring module sends a signal to the central processing unit 1, the central processing unit 1 receives the signal and then sends the signal to the electric signal output module, and the electric signal output module transmits the signal to the downstream of the damage part of the efferent nerve, thereby realizing normal urination of patients.
When the bladder tension sensor senses that the muscular tension of the bladder wall exceeds a threshold value, an electric signal is sent to the electric signal monitoring module, the electric signal is sent to the central controller 1, and after the treatment of the central controller 1, the central controller 1 sends a signal to the electric signal output module, and the electric signal output module sends a signal to the efferent nerves, so that the normal urination of the patient is controlled. When the electric signal monitoring module monitors the electric signal input, the electric signal monitoring module sends a signal to the central processing unit 1, the central processing unit 1 sends a signal to the electric signal output module, the electric signal output module sends a starting signal to the electric signal output module, and meanwhile, the central processing unit 1 sends power to the electric signal output module through the control unit 11, so that the electric signal output module sends a signal to the bladder urine control muscle group, and normal urination of the patient is controlled. The power supply unit 12 supplies power to the control unit 11, so that the control unit 11 is ensured to operate, when the electric quantity of the lithium battery 122 in the power supply unit 12 is insufficient, the lithium battery is charged through the wireless charger 121, namely, the output end of the wireless charger 121 is placed on the abdomen of a patient, the power is transmitted to the wireless charger 121 in a wireless transmission mode, and the wireless charger 121 stores the received power into the lithium battery 122. When the system is installed in a patient, the modules are first connected to the corresponding locations, after which the central controller 1 is installed, after which the modules are connected to the central controller 1 by means of wires 18, i.e. wires 18 are inserted into the housing 13 via the inserts 19 and wires 18 are connected to the interface 111, while the rubber ring 192 closes the gap between the wires 18 and the insertion holes 17. When the control unit 11 is damaged, in order to avoid that the central controller 1 sends error signals to each module, the electromagnetic slide block 102 is started, so that the electromagnetic slide block 102 slides in the electromagnetic slide rail 101 for a certain distance, the electromagnetic slide block 102 drives the partition plate 16 to rotate for a certain angle through the L-shaped rod 103, the partition plate 16 drives the end part of the wire 18 to move for a certain distance, the wire 18 is disconnected with the interface 111, and the transmission of the electric signals is stopped.
It should be noted that, in the description of the present invention, terms such as "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", and the like, which indicate directions or positional relationships, are based on the directions or positional relationships shown in the drawings, are merely for convenience of description, and do not indicate or imply that the apparatus or elements must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In addition, it should be noted that, in the description of the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, integrally connected, mechanically connected, electrically connected, directly connected, indirectly connected through an intermediate medium, or in communication between two elements. The specific meaning of the above terms in the present invention can be understood by those skilled in the art according to the specific circumstances.
The terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, article, or apparatus/means that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, article, or apparatus/means.
Thus far, the technical solution of the present invention has been described in connection with the preferred embodiments shown in the drawings, but it is easily understood by those skilled in the art that the scope of protection of the present invention is not limited to these specific embodiments. Equivalent modifications and substitutions for related technical features may be made by those skilled in the art without departing from the principles of the present invention, and such modifications and substitutions will fall within the scope of the present invention.