


技术领域technical field
本实用新型涉及医疗器械领域,尤其涉及一种神经丛刺激系统及神经丛刺激器。 The utility model relates to the field of medical equipment, in particular to a nerve plexus stimulation system and a nerve plexus stimulator. the
背景技术Background technique
外周神经阻滞是很多外科手术的必需步骤,而准确定位神经丛的位置是阻滞手术成功的关键。传统的外周神经阻滞手术结合解剖图采用盲探法,即依赖医生的经验和患者对异感的反馈来判断注药针尖是否到达合适的位置。该方法难以准确定位神经丛,若患者处于昏迷或不配合时,该方法即无法实施。特别是患者若为肥胖患者,其体表由于堆积大量脂肪、体表解剖标志不明显,该方法效果即变得非常有限;又或者医生的经验不足,这种盲目试探的方法可能会对患者造成损伤。 Peripheral nerve block is a necessary step in many surgical operations, and accurate positioning of the nerve plexus is the key to successful block surgery. The traditional peripheral nerve block operation combined with anatomical diagrams adopts the blind detection method, which relies on the doctor's experience and the patient's feedback on the abnormal sensation to judge whether the injection needle tip has reached the appropriate position. This method is difficult to accurately locate the nerve plexus and cannot be performed if the patient is unconscious or uncooperative. Especially if the patient is obese, the effect of this method becomes very limited due to the accumulation of a large amount of fat on the body surface and the inconspicuous anatomical landmarks on the body surface; damage. the
可见,上述需要经过试探且难于量化的定位方法存在以下弊端:在试探过程中,若不慎将注药尖与神经直接接触,可能造成神经机械性损伤,给患者造成痛苦;若最终定位的位置离神经偏远,需要更大量的麻醉剂,不但造成浪费而且会对患者产生不良的副作用。因此,这种主观、难量化的定位方法对医生确定需要给患者多大的药量也提出了更大的挑战。若在手术过程中,因为没控制好药量导致患者在手术中醒来是件后果很严重的事。 It can be seen that the above-mentioned positioning method that needs to be tested and is difficult to quantify has the following disadvantages: during the testing process, if the injection tip is accidentally brought into direct contact with the nerve, it may cause mechanical damage to the nerve and cause pain to the patient; if the final positioning position Being remote from the nerve requires a larger amount of anesthetic, which is not only wasteful but also has adverse side effects on the patient. Therefore, this subjective and difficult-to-quantify positioning method also poses a greater challenge to doctors in determining how much medicine to give to patients. If the patient wakes up during the operation because the dosage of the drug is not well controlled, the consequences will be very serious. the
实用新型内容Utility model content
针对上述问题,本实用新型的目的是提供一种可客观、直接、精确确定神经丛位置的神经丛刺激系统及神经丛刺激器。 In view of the above problems, the purpose of this utility model is to provide a nerve plexus stimulation system and a nerve plexus stimulator which can objectively, directly and accurately determine the position of the nerve plexus. the
为达到上述目的,本实用新型所述神经丛刺激系统,包括:神经丛刺激器、辅助电极以及神经丛刺激针,所述辅助电极与所述神经丛刺激针经连接器与所述神经丛刺激器的刺激脉冲电流输出端相连接;其中, In order to achieve the above purpose, the nerve plexus stimulation system described in the present invention includes: a nerve plexus stimulator, an auxiliary electrode and a nerve plexus stimulation needle, and the auxiliary electrode and the nerve plexus stimulation needle are connected to the nerve plexus stimulation needle through a connector. The stimulus pulse current output terminal of the device is connected; where,
所述神经丛刺激器包括:工作参数调节设置模块、微处理器、刺激脉冲发送控制模块、显示模块和电源模块;其中, The nerve plexus stimulator includes: a working parameter adjustment setting module, a microprocessor, a stimulation pulse sending control module, a display module and a power supply module; wherein,
所述工作参数调节设置模块,包括至少一个调节按键和/或旋钮,各调节按键或旋钮经按键检测电路或旋转编码检测电路与所述微处理器相连;用于设置刺激脉冲电流幅度的最大可调节范围,调节输出脉冲电流的幅度、频率和/或脉宽; The working parameter adjustment and setting module includes at least one adjustment button and/or knob, and each adjustment button or knob is connected to the microprocessor through a button detection circuit or a rotary encoding detection circuit; it is used to set the maximum possible value of the stimulation pulse current amplitude. Adjustment range, adjust the amplitude, frequency and/or pulse width of the output pulse current;
所述微处理器,实时监测所述工作参数调节设置模块发出的各触控信号,依据各触控信号分别计算得出脉冲电流的幅度、频率和/或脉宽并将其存储到所述微处理器的存储介质中; The microprocessor monitors the touch signals sent by the working parameter adjustment and setting module in real time, calculates the amplitude, frequency and/or pulse width of the pulse current according to the touch signals, and stores them in the microprocessor. In the storage medium of the processor;
所述刺激脉冲发送控制模块,读取并依据所述微处理器存储介质中存储的工作参数控制向外发出的刺激脉冲电流; The stimulation pulse sending control module reads and controls the outgoing stimulation pulse current according to the working parameters stored in the microprocessor storage medium;
所述显示模块,与所述微处理器的显示信号输出端相连,用于显示刺激脉冲电流的幅度、频率和脉宽; The display module is connected to the display signal output terminal of the microprocessor for displaying the amplitude, frequency and pulse width of the stimulation pulse current;
所述电源模块,提供所述神经丛电刺激系统工作所需的电压。 The power supply module provides the voltage required for the nerve plexus electrical stimulation system to work. the
优选地,为便于使用者能很好的判断所述辅助电极是否贴牢,本实用新型所述神经丛刺激器还包括:阻抗测量模块,测量所述神经丛刺激针和所述辅助电极间的阻抗,所述微处理器依据测量所得阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果输出警报信号,并将阻抗测量值输出到所述显示模块进行显示。 Preferably, in order to make it easier for the user to judge whether the auxiliary electrode is firmly attached, the nerve plexus stimulator of the present invention also includes: an impedance measurement module, which measures the impedance between the nerve plexus stimulating needle and the auxiliary electrode. Impedance, the microprocessor calculates the actual stimulation pulse current according to the measured impedance value and compares it with the target stimulation pulse current output by the stimulation pulse sending control module, outputs an alarm signal according to the comparison result, and outputs the measured impedance value output to the display module for display. the
优选地,所述神经丛刺激器还包括:警报模块,其包括指示灯和/或蜂鸣器;所述微处理器接收所述阻抗测量模块输出的阻抗测量值,依据阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果向所述警报模块发送警报指令。 Preferably, the plexus stimulator also includes: an alarm module, which includes an indicator light and/or a buzzer; the microprocessor receives the impedance measurement value output by the impedance measurement module, and calculates the actual stimulation value according to the impedance value. The pulse current is compared with the target stimulation pulse current output by the stimulation pulse sending control module, and an alarm instruction is sent to the alarm module according to the comparison result. the
优选地,所述的电源模块还包括一防反接电路。 Preferably, the power module further includes an anti-reverse connection circuit. the
为达到上述目的,本实用新型所述神经丛刺激器,包括:工作参数调节设 置模块、微处理器、刺激脉冲发送控制模块、显示模块和电源模块;其中, In order to achieve the above object, the nerve plexus stimulator described in the utility model includes: a working parameter adjustment setting module, a microprocessor, a stimulation pulse sending control module, a display module and a power supply module; wherein,
所述工作参数调节设置模块,包括至少一个调节按键或旋钮,各调节按键或旋钮经按键检测电路或旋转编码检测电路与所述微处理器相连;用于设置刺激脉冲电流幅度的最大可调节范围,调节输出脉冲电流的幅度、频率和/或脉宽; The working parameter adjustment and setting module includes at least one adjustment button or knob, and each adjustment button or knob is connected to the microprocessor through a button detection circuit or a rotary encoding detection circuit; it is used to set the maximum adjustable range of the stimulation pulse current amplitude , to adjust the amplitude, frequency and/or pulse width of the output pulse current;
所述微处理器,实时监测所述工作参数调节设置模块发出的各触控信号,依据各触控信号分别计算得出脉冲电流的幅度、频率和/或脉宽并将其存储到所述微处理器的存储介质中; The microprocessor monitors the touch signals sent by the working parameter adjustment and setting module in real time, calculates the amplitude, frequency and/or pulse width of the pulse current according to the touch signals, and stores them in the microprocessor. In the storage medium of the processor;
所述刺激脉冲发送控制模块,读取并依据所述微处理器存储介质中存储的工作参数控制向外发出的刺激脉冲电流; The stimulation pulse sending control module reads and controls the outgoing stimulation pulse current according to the working parameters stored in the microprocessor storage medium;
所述显示模块,与所述微处理器的显示信号输出端相连,用于显示刺激脉冲电流的幅度、频率和脉宽; The display module is connected to the display signal output terminal of the microprocessor for displaying the amplitude, frequency and pulse width of the stimulation pulse current;
所述电源模块,提供所述神经丛刺激器工作所需的电压。 The power supply module provides the voltage required for the nerve plexus stimulator to work. the
优选地,本实用新型所述神经丛刺激器还包括:阻抗测量模块,测量外接于所述刺激脉冲发送控制模块输出端的神经丛刺激针和辅助电极间的阻抗,所述微处理器依据测量所得阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果输出警报信号,并将阻抗测量值输出到所述显示模块进行显示。 Preferably, the nerve plexus stimulator of the present invention further includes: an impedance measurement module, which measures the impedance between the nerve plexus stimulating needle and the auxiliary electrode externally connected to the output end of the stimulation pulse sending control module, and the microprocessor is based on the measured impedance. The impedance value calculates the actual stimulation pulse current and compares it with the target stimulation pulse current output by the stimulation pulse sending control module, outputs an alarm signal according to the comparison result, and outputs the measured impedance value to the display module for display. the
优选地,本实用新型所述神经丛刺激器还包括:警报模块,其包括指示灯和/或蜂鸣器;所述微处理器接收所述阻抗测量模块输出的阻抗测量值,依据阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果向所述警报模块发送警报指令。 Preferably, the nerve plexus stimulator of the present invention also includes: an alarm module, which includes an indicator light and/or a buzzer; the microprocessor receives the impedance measurement value output by the impedance measurement module, and calculates the impedance based on the impedance value The actual stimulation pulse current is compared with the target stimulation pulse current output by the stimulation pulse sending control module, and an alarm command is sent to the alarm module according to the comparison result. the
优选地,所述的电源模块还包括一防反接电路。 Preferably, the power module further includes an anti-reverse connection circuit. the
本实用新型的有益效果是:能够客观、直接、准确的确定出神经丛的位置,避免了现有主观、难量化的定位方法所造成的需多次定位寻找给患者带来的痛苦,或因定位的位置离神经偏远需要更大量的麻醉剂,或因神经丛位置判断不 准确而药量不够等诸多问题。 The beneficial effects of the utility model are: the position of the nerve plexus can be determined objectively, directly and accurately, avoiding the pain caused by the existing subjective and difficult-to-quantify positioning methods that require multiple positioning and searching, or The positioning position is remote from the nerve and requires a larger amount of anesthetic, or there are many problems such as insufficient drug dosage due to inaccurate judgment of the location of the nerve plexus. the
附图说明Description of drawings
图1是本实用新型所述神经丛刺激系统的结构示意图; Fig. 1 is the structural representation of nerve plexus stimulation system described in the utility model;
图2是本实用新型所述神经丛刺激器的外观示意图; Fig. 2 is the appearance schematic diagram of nerve plexus stimulator described in the utility model;
图3为本实用新型所述神经丛刺激器的内部电路原理图; Fig. 3 is the internal circuit schematic diagram of the nerve plexus stimulator described in the utility model;
图4是本实用新型的95V升压电路框图; Fig. 4 is the 95V step-up circuit block diagram of the present utility model;
图5是本实用新型所述防反接电路的电路框图; Fig. 5 is the circuit block diagram of anti-reverse connection circuit described in the utility model;
图6是本实用新型的负载阻抗测量等效电路图 Fig. 6 is the load impedance measurement equivalent circuit diagram of the present utility model
具体实施方式Detailed ways
下面结合说明书附图对本实用新型的具体实施方式做详细描述。 The specific embodiment of the utility model will be described in detail below in conjunction with the accompanying drawings. the
如图1所示为所述神经丛刺激系统的结构示意图,所述神经丛刺激系统包括:神经丛刺激器、辅助电极11以及神经丛刺激针9,所述辅助电极11与所述神经丛刺激针9经连接器15与所述神经丛刺激器的刺激脉冲电流输出端相连接;其中, As shown in Figure 1, it is the structure schematic diagram of described nerve plexus stimulation system, and described nerve plexus stimulation system comprises: nerve plexus stimulator,
所述神经丛刺激器包括:工作参数调节设置模块13、微处理器12、刺激脉冲发送控制模块8、显示模块6和电源模块5;其中, The plexus stimulator includes: a working parameter
所述工作参数调节设置模块13,包括至少一个调节按键和/或旋钮,各调节按键或旋钮经按键检测电路或旋转编码检测电路14与所述微处理器12相连;用于设置刺激脉冲电流幅度的最大可调节范围,调节输出脉冲电流的幅度、频率和/或脉宽; The working parameter
所述微处理器12,实时监测所述工作参数调节设置模块发出的各触控信号,依据各触控信号分别计算得出脉冲电流的幅度、频率和/或脉宽并将其存储到所述微处理器12的存储介质中; The
所述刺激脉冲发送控制模块8,读取并依据所述微处理器12存储介质中存 储的工作参数控制向外发出的刺激脉冲电流; The stimulation pulse sending
所述显示模块6,与所述微处理器12的显示信号输出端相连,用于显示刺激脉冲电流的幅度、频率和脉宽; The display module 6 is connected to the display signal output terminal of the
所述电源模块5,用于提供所述神经丛刺激系统工作所需的电压。 The
其中,本实用新型中所述的微处理器12为具有低功耗特性的微处理器,在系统处于待机状态时,微处理器进入低功耗模式运行;若一段时间内未对微处理器进行任何操作,微处理器即可自动关机。本实用新型中所述的神经丛刺激针为可导电材质,其表面除针尖部分直接裸露在外,其余部分均涂有绝缘材料。所述连接器连接在所述神经丛刺激器的脉冲输出端,具体为一根与神经丛刺激器固连的双股导线,用来连接辅助电极和神经丛刺激针,其包括:一个钮扣接头,用于连接所述辅助电极;以及一个连接端子,用于连接所述神经丛刺激针。 Wherein, the
作为本实用新型的进一步的实施例,本实用新型为能更精确的确定神经丛的位置,还包括一阻抗测量模块10,所述阻抗测量模块10分别与所述神经丛刺激针9和所述辅助电极11连接(如图1所示),用于测量所述神经丛刺激针9和所述辅助电极11之间的阻抗,并将阻抗值传输到所述微处理器12中。所述微处理器12依据接收到的阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,若实际刺激脉冲电流幅度与目标刺激脉冲电流幅度差值大于阈值(即神经丛刺激针9与辅助电极11之间的阻抗值过大时),则表明辅助电极11未贴牢需要重新贴敷辅助电极11或需要更换神经丛刺激针9,直至神经丛刺激针9与辅助电极11之间阻抗值降低,即实际刺激脉冲电流幅度与目标刺激脉冲电流幅度差值在阈值范围内。 As a further embodiment of the present utility model, the utility model also includes an
于一具体的实施例中,所述的阻抗测量模块10为阻抗测量电路,如图6所示该阻抗测量电路的等效电路图,其工作原理: In a specific embodiment, the
在输入端1001没有输入时,通过微处理器12内置的AD采集模块,采集到A、B、C三点的电压VAO、VBO、VCO。在输入端输入脉冲信号后,采集A、B、 When there is no input at the input terminal 1001, the voltages VAO , VBO , and VCO at points A, B, and C are collected through the built-in AD acquisition module of the
C三点的电压VA、VB、VC,因此在有输入脉冲时: The voltages VA , VB , and VC of the three points of C, so when there is an input pulse:
VR_Load=Vcc-R7×I3-V电容的压降 (6) VR_Load =Vcc -R7 ×I3 -Vcapacitor voltage drop (6)
ITest=I1+I2-I3 (7) ITest = I1 +I2 -I3 (7)
由公式(1)至(8)可算出负载电阻值。若计算所得的RLoad值过大,也反应了辅助辅助电极可能没有接触好,或需更换神经丛刺激针。 The load resistance value can be calculated from formulas (1) to (8). If the calculated RLoad value is too large, it also reflects that the auxiliary auxiliary electrode may not be in good contact, or the nerve plexus stimulation needle needs to be replaced.
作为本实用新型更进一步的实施例,本实用新型还包括:警报模块7,其包括指示灯和/或蜂鸣器。所述微处理器12接收所述阻抗测量模块10输出的阻抗测量值,依据阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果向所述警报模块发送警报指令。于一具体实施例中,本实用新型所述的指示灯可以是发光二极管(LED)指示灯,该LED指示灯可采用红绿双色LED指示灯。微处理器可通过控制LED指示灯的红灯亮、或绿灯亮、或红灯绿灯同时亮来标示三种不同的状态。微处理器依据目标电流和实际电流的情况发出控制指令以控制所述蜂鸣器发出频率 音量不同的的警报音。例如,当经所述微处理器12依据阻抗测量模块10输出的阻抗测量值计算出的实际刺激脉冲电流幅度与刺激脉冲发送控制模块发送给神经丛刺激针的目标脉冲电流的幅度的差值大于阈值时,微处理器12发送警报指令给警报模块7,此时蜂鸣器113将发出急促而尖锐的声音,LED指示灯111红灯闪烁;当差值在阈值范围内时,微处理器12发送警报指令给警报模块7,此时蜂鸣器113将发出缓和轻柔的声音,LED指示灯111绿灯闪烁;当差值等于阈值时,微处理器12发送警报指令给警报模块7,此时蜂鸣器113将发出音量频率正常的声音,LED指示灯111的红灯与绿灯同时亮。 As a further embodiment of the present invention, the present invention further includes: an alarm module 7, which includes an indicator light and/or a buzzer. The
作为本实用新型更进一步的实施例,本实用新型所述的电源模块5还包括一防反接电路4。通过防反接电路4,用户,特别是对产品电气特性不甚了解的用户,在将电池反向接入电路时,神经丛刺激系统中的电路并不会因此受到损坏。于一具体的实施例中,所述的防反接电路的电路原理图如图5所示。除图5所示的防反接电路外,本实用新型所述的防反接电路还可以使用现有技术中的任何类型的电池无极性连接结构的电路,其具体工作原理可以参见相关现有技术,本实用新型可引入作为参考。 As a further embodiment of the present invention, the
本实用新型所述的神经丛刺激器包括:工作参数调节设置模块、微处理器、刺激脉冲发送控制模块、显示模块和电源模块;其中, The nerve plexus stimulator described in the utility model includes: a working parameter adjustment setting module, a microprocessor, a stimulation pulse sending control module, a display module and a power supply module; wherein,
所述工作参数调节设置模块,包括至少一个调节按键或旋钮,各调节按键或旋钮经按键检测电路或旋转编码检测电路与所述微处理器相连;用于设置刺激脉冲电流幅度的最大可调节范围,输出脉冲电流的幅度、频率和/或脉宽; The working parameter adjustment and setting module includes at least one adjustment button or knob, and each adjustment button or knob is connected to the microprocessor through a button detection circuit or a rotary encoding detection circuit; it is used to set the maximum adjustable range of the stimulation pulse current amplitude , the amplitude, frequency and/or pulse width of the output pulse current;
所述微处理器,实时监测所述工作参数调节设置模块发出的各触控信号,依据各触控信号分别计算得出脉冲电流的幅度、频率和/或脉宽并将其存储到所述微处理器的存储介质中; The microprocessor monitors the touch signals sent by the working parameter adjustment and setting module in real time, calculates the amplitude, frequency and/or pulse width of the pulse current according to the touch signals, and stores them in the microprocessor. In the storage medium of the processor;
所述刺激脉冲发送控制模块,读取并依据所述微处理器存储介质中存储的工作参数控制向外发出刺激脉冲电流; The stimulation pulse sending control module reads and controls the external stimulation pulse current according to the working parameters stored in the storage medium of the microprocessor;
所述显示模块,与所述微处理器的显示信号输出端相连,用于显示刺激脉冲电流的幅度、频率和脉宽; The display module is connected to the display signal output terminal of the microprocessor for displaying the amplitude, frequency and pulse width of the stimulating pulse current;
所述电源模块,提供所述神经丛刺激器工作所需的电压。 The power supply module provides the voltage required for the nerve plexus stimulator to work. the
作为本实用新型进一步的实施例,所述神经丛刺激器还包括:阻抗测量模块,测量外接于所述刺激脉冲发送控制模块输出端的神经丛刺激针和辅助电极间的阻抗,所述微处理器依据测量所得阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果输出警报信号,并将阻抗测量值输出到所述显示模块进行显示。 As a further embodiment of the present invention, the plexus stimulator also includes: an impedance measurement module, which measures the impedance between the plexus stimulating needle and the auxiliary electrode externally connected to the output of the stimulation pulse sending control module, and the microprocessor Calculate the actual stimulation pulse current based on the measured impedance value and compare it with the target stimulation pulse current output by the stimulation pulse sending control module, output an alarm signal according to the comparison result, and output the measured impedance value to the display module for further processing show. the
作为本实用新型更进一步的实施例,所述神经丛刺激器还包括:警报模块,其包括指示灯和/或蜂鸣器。所述微处理器接收所述阻抗测量模块输出的阻抗测量值,依据阻抗值计算出实际刺激脉冲电流并将其与所述刺激脉冲发送控制模块输出的目标刺激脉冲电流进行比较,依据比较结果向所述警报模块发送警报指令。 As a further embodiment of the present invention, the nerve plexus stimulator further includes: an alarm module, which includes an indicator light and/or a buzzer. The microprocessor receives the impedance measurement value output by the impedance measurement module, calculates the actual stimulation pulse current according to the impedance value and compares it with the target stimulation pulse current output by the stimulation pulse sending control module, and sends The alarm module sends an alarm command. the
本实用新型为避免因辅助电极接反而引起神经丛刺激器内部电路的损坏,所述的电源模块还包括一防反接电路。 In order to avoid damage to the inner circuit of the nerve plexus stimulator due to reverse connection of the auxiliary electrodes, the utility model also includes a reverse connection prevention circuit. the
如图2和图3所示为本实用新型所述神经丛刺激器的一具体实施例的外观视图和内部电路原理图。如图2所示的神经丛刺激器包括:OLED显示屏101、开关按钮102、刺激电流幅度最大可调节范围的设置按钮103、刺激电流频率的设置按钮104、刺激电流脉宽的设置按钮105、显示屏菜单导航及确认按钮106~109、调节刺激电流幅度的旋转按钮110、LED指示灯111、蜂鸣器113以及设置在所述神经丛刺激器壳体内的微处理器、电池112、各升压降压电路和各部件之间的连接电路(如图3所示)。 Figure 2 and Figure 3 are the appearance view and internal circuit schematic diagram of a specific embodiment of the nerve plexus stimulator of the present invention. The nerve plexus stimulator as shown in Figure 2 comprises:
如图3所示,图2所示实施例的内部电路连接原理图,具体为:9V电池201通过防反接电路202为9V输出控制电路203提供9V的输入电压,9V输出控制电路203输出可被微处理器216控制的输出电压D9V。防反接电路202输出的 9伏电压通过降压电路209降至3.3V供微处理器216。同时,3.3V电压为3.3V输出控制电路208和按键检测电路211提供3.3V的输入电压。其中,3.3V输出控制电路208输出可被微处理器216控制的输出电压,该输出电压可控制所述蜂鸣器和所述LED灯的鸣叫和亮灯。将9V输出控制电路203输出的D9V电压经升压电路204升至12V为OLED显示屏和旋转编码检测电路所需的工作电压,并且将9V输出控制电路203输出的D9V电压经升压电路215升至95V,作为刺激脉冲发送控制模块(本实施例中具体为刺激脉冲发送控制电路214)的输入电压,将负载接在阻抗测量模块(在本实施例中具体为负载电阻测量电路213)上,在有脉冲输出时可检测出负载阻抗的大小。 As shown in Figure 3, the internal circuit connection schematic diagram of the embodiment shown in Figure 2 is specifically: the 9V battery 201 provides an input voltage of 9V for the 9V output control circuit 203 through the anti-reverse connection circuit 202, and the output of the 9V output control circuit 203 can be The output voltage D9V is controlled by the microprocessor 216 . The 9 volts output by the anti-reverse connection circuit 202 is reduced to 3.3V by the step-down circuit 209 for the microprocessor 216. At the same time, the 3.3V voltage provides 3.3V input voltage for the 3.3V output control circuit 208 and the key detection circuit 211 . Wherein, the 3.3V output control circuit 208 outputs an output voltage that can be controlled by the microprocessor 216, and the output voltage can control the beeping and lighting of the buzzer and the LED lamp. The D9V voltage output by the 9V output control circuit 203 is raised to 12V through the booster circuit 204 to be the working voltage required by the OLED display screen and the rotary encoding detection circuit, and the D9V voltage output by the 9V output control circuit 203 is raised to 12V by the booster circuit 215 To 95V, as the input voltage of the stimulation pulse transmission control module (specifically, the stimulation pulse transmission control circuit 214 in this embodiment), the load is connected to the impedance measurement module (specifically, the load resistance measurement circuit 213 in this embodiment), The load impedance can be detected when there is a pulse output. the
微处理器216控制OLED显示屏206的显示内容。微处理器216依据脉冲电流的工作参数输出控制指令给LED控制电路206和蜂鸣器控制电路212,指示灯在LED控制电路206的控制下发出不同颜色的光或不同频率的闪烁光,蜂鸣器在蜂鸣器控制电路212的控制下发出不同频率和不同音量大小的警报音。旋转编码检测电路207和按键检测电路211分别检测旋钮和按键的触发信号。微处理器216采用的是5MHz的外部晶振210。 The microprocessor 216 controls the display content of the OLED display 206 . The microprocessor 216 outputs control instructions to the LED control circuit 206 and the buzzer control circuit 212 according to the working parameters of the pulse current. The alarm sounds with different frequencies and different volumes under the control of the buzzer control circuit 212. The rotary encoding detection circuit 207 and the key detection circuit 211 respectively detect the trigger signals of the knob and the key. The microprocessor 216 uses an external crystal oscillator 210 of 5 MHz. the
其中,升压电路215的原理框图如图4所示:将D9V作为大功率电感301和升压芯片303的输入,升压芯片303的输出通过功率MOSFET302输出。升压芯片可以选用一切适用的现有技术中的产品,包括优选为Max1771的产品。 Wherein, the functional block diagram of the boost circuit 215 is shown in FIG. 4 : D9V is used as the input of the high-
防反接电路202其原理图同上述的图5,也可以是现有技术中的任何类型的电池无极性连接结构的电路。 The principle diagram of the anti-reverse connection circuit 202 is the same as the above-mentioned FIG. 5 , and it can also be any type of battery non-polarity connection structure circuit in the prior art. the
所述负载阻抗测量电路同上述的图6所示的阻抗测量电路等效电路图。 The load impedance measurement circuit is the same as the equivalent circuit diagram of the impedance measurement circuit shown in FIG. 6 above. the
本实用新型所述的神经丛刺激器的工作过程描述如下: The working process of the nerve plexus stimulator described in the utility model is described as follows:
当神经丛刺激器的开关按钮102处于开启状态时,OLED显示屏101在微处理器的控制下显示出工作参数及刺激器信息。所述工作参数包括:刺激电流的幅度、频率、脉宽、刺激电流幅度最大可调节的范围;所述刺激器信息包括: 电池电量图标。其中,刺激脉冲电流的频率和脉宽的大小及幅度的最大可调节范围保持上次关机前的设置值。 When the
所述OLED显示屏101上显示的各工作参数通过以下方式进行调节: Each working parameter displayed on the
当微处理器通过按键检测电路接收到用户通过刺激电流频率的设置按钮104发出的触控信号时,微处理器依据接收到的触控信号计算并修改其内存中已存储的刺激电流的频率值,并将该频率值传输到显示模块中在OLED显示屏101上显示出来; When the microprocessor receives the touch signal sent by the user through the
当微处理器通过按键检测电路接收到用户通过刺激电流脉宽的设置按钮105发出的触控信号时,微处理器依据接收到的触控信号计算并修改其内存中已存储的刺激电流的脉宽,并将该脉宽值传输到显示模块中在OLED显示屏101上显示出来; When the microprocessor receives the touch signal sent by the user through the
当微处理器通过按键检测电路接收到用户通过刺激电流幅度最大可调节范围的设置按钮103发出的触控信号时,微处理器依据接收到的触控信号计算并修改其内存中已存储的刺激电流的最大幅度可调节范围,并将该范围值传输到显示模块中在OLED显示屏101上显示出来。 When the microprocessor receives the touch signal sent by the user through the
上述工作参数调节完成后,所述的神经丛刺激器即可连接上神经丛刺激针和辅助电极进行使用了,其具体操作步骤如下: After the adjustment of the above working parameters is completed, the nerve plexus stimulator can be connected to the nerve plexus stimulation needle and the auxiliary electrode for use. The specific operation steps are as follows:
(1)在体表的特定位置处贴敷一辅助电极,并将神经丛刺激针插入人体特定位置内; (1) Apply an auxiliary electrode at a specific position on the body surface, and insert the nerve plexus stimulation needle into the specific position of the human body;
(2)用户可通过旋转按钮110来设置刺激脉冲电流的幅度,当微处理器通过旋转编码检测电路接收到用户通过旋转按钮110发出的触控信号时,微处理器依据接收到的触控信号计算并修改其内存中已存储的刺激电流的幅度,并将该幅度值传输到显示模块中在OLED显示屏101上显示出来; (2) The user can set the amplitude of the stimulating pulse current by rotating the button 110. When the microprocessor receives the touch signal sent by the user through the rotating button 110 through the rotary encoding detection circuit, the microprocessor Calculate and modify the amplitude of the stimulation current stored in its memory, and transmit the amplitude value to the display module to be displayed on the
(3)将刺激电流的幅度调节到1.0~1.5mA,观察患者的患者肌肉是否有收缩反应。若无明显反应则继续深入插入所述神经丛刺激针,若患者的肌肉有明 显的收缩反应,减低电流幅度,当刺激电流幅度降低至0.2~0.5mA(设定阈值)时,若仍然能够观察到明显的肌肉收缩反应,即认为所述神经丛刺激针的针尖已接近神经丛,此时即可通过所述神经丛刺激针注射麻醉剂。 (3) Adjust the amplitude of the stimulating current to 1.0-1.5mA, and observe whether the patient's muscles have a contraction response. If there is no obvious response, continue to insert the nerve plexus stimulation needle deeply. If the patient’s muscles have obvious contraction response, reduce the current amplitude. When an obvious muscle contraction response is detected, it is considered that the needle tip of the nerve plexus stimulating needle is close to the nerve plexus, and an anesthetic can be injected through the nerve plexus stimulating needle at this time. the
其中,蜂鸣器113和LED指示灯111会根据目标电流和实际电流的情况来发出不同频率和/或不同音量的报警音和不同颜色的光。例如,若刺激电流幅度的目标值和实际值的差值大于阈值,则蜂鸣器113将发出急促而尖锐的声音,LED指示灯111红灯闪烁,此时需重新贴敷所述辅助电极或更换所述神经丛刺激针,完成后再继续重复上述各步骤;若刺激电流幅度的目标值与实际值的差值在阈值范围内,则蜂鸣器113将发出缓和轻柔的声音,LED指示灯111绿灯闪烁,表明辅助电极和神经丛刺激针均正常。 Wherein, the
此外,当微处理器通过按键检测电路接收到用户通过显示屏菜单导航及确认按钮106~109发出的触控信号,微处理器依据该触控信号发出相应的可控制指令给所述显示模块,显示模块依据指令读取相应的数据并将其显示在OLED显示屏上,以便于用户查看各工作参数及刺激器信息。 In addition, when the microprocessor receives a touch signal sent by the user through the display screen menu navigation and confirmation buttons 106-109 through the key detection circuit, the microprocessor sends a corresponding controllable command to the display module according to the touch signal, The display module reads the corresponding data according to the instruction and displays it on the OLED display screen, so that the user can view various working parameters and stimulator information. the
本实用新型所述神经丛刺激系统的刺激方法,包括以下步骤: The stimulation method of the nerve plexus stimulation system described in the utility model comprises the following steps:
步骤1、在体表的特定位置处贴敷一辅助电极,并将神经丛刺激针插入人体特定位置内; Step 1. Apply an auxiliary electrode at a specific position on the body surface, and insert the nerve plexus stimulation needle into the specific position of the human body;
步骤2、通过工作参数调节设置模块设置脉冲电流的可调节幅度范围,并分别调节刺激脉冲电流的幅度、频率和/或脉宽; Step 2. Set the adjustable amplitude range of the pulse current through the working parameter adjustment setting module, and adjust the amplitude, frequency and/or pulse width of the stimulating pulse current respectively;
步骤3、微处理器实时监测所述工作参数调节设置模块发出的各触控信号,并依据各触控信号分别计算得出脉冲电流的幅度、频率和/或脉宽,并将其存储到所述微处理器的存储介质中,同时将上述参数在显示模块中进行显示; Step 3. The microprocessor monitors the touch signals sent by the working parameter adjustment setting module in real time, and calculates the amplitude, frequency and/or pulse width of the pulse current according to each touch signal, and stores them in the In the storage medium of the above-mentioned microprocessor, the above-mentioned parameters are displayed in the display module at the same time;
步骤4、刺激脉冲发送控制模块读取微处理器存储介质中的脉冲电流的幅度、频率和脉宽,并依据读取到的参数控制向外输出刺激脉冲电流;
步骤5、神经丛刺激针接通由刺激脉冲发送控制模块发出的刺激脉冲电流 后,观察并判断人体肌肉的收缩反应,若无明显反应,则继续深入插入所述神经丛刺激针;若反应剧烈,则通过工作参数调节设置模块继续降低刺激脉冲电流的幅度,电流幅度到设定阈值时,若观察到的肌肉收缩反应仍剧烈,则所述神经丛刺激针插入的位置已接近神经丛。
其中,为了能够更准确地确定神经丛的位置,上述刺激方法中还应该包括:测量所述神经丛刺激针和所述辅助电极间的阻抗,依据阻抗值计算出实际刺激脉冲电流幅度并将其与目标刺激脉冲电流幅度进行比较, Wherein, in order to determine the position of the nerve plexus more accurately, the above stimulation method should also include: measuring the impedance between the nerve plexus stimulating needle and the auxiliary electrode, calculating the actual stimulation pulse current amplitude according to the impedance value and calculating it Compared with the target stimulus pulse current amplitude,
若实际刺激脉冲电流幅度与目标刺激脉冲电流幅度的差值大于阈值,则警报模块发出警报,需重新贴敷所述辅助电极或更换神经丛刺激针,继续本步骤直至实际刺激脉冲电流幅度与目标刺激脉冲电流幅度的差值在阈值范围内; If the difference between the actual stimulation pulse current amplitude and the target stimulation pulse current amplitude is greater than the threshold value, the alarm module will issue an alarm, and the auxiliary electrode needs to be reapplied or the nerve plexus stimulation needle needs to be replaced. Continue this step until the actual stimulation pulse current amplitude is in line with the target. The difference in stimulus pulse current amplitude is within the threshold range;
若实际刺激脉冲电流幅度与目标刺激脉冲电流幅度的差值在阈值范围内,则继续上述步骤1~步骤5直至确定出所述神经丛刺激针插入的位置已接近神经丛。 If the difference between the actual stimulation pulse current amplitude and the target stimulation pulse current amplitude is within the threshold range, continue the above steps 1 to 5 until it is determined that the nerve plexus stimulation needle is inserted close to the nerve plexus. the
以上,仅为本实用新型的较佳实施例,但本实用新型的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本实用新型揭露的技术范围内,可轻易想到的变化或替换,都应涵盖在本实用新型的保护范围之内。因此,本实用新型的保护范围应该以权利要求所界定的保护范围为准。 The above are only preferred embodiments of the present utility model, but the scope of protection of the present utility model is not limited thereto. Any skilled person familiar with the art within the technical scope disclosed by the utility model can easily think of changes or Replacement should be covered within the protection scope of the present utility model. Therefore, the protection scope of the present utility model should be determined by the protection scope defined in the claims. the
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2011200966466UCN202078314U (en) | 2011-04-02 | 2011-04-02 | Nerve plexus stimulation system and nerve plexus stimulator |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2011200966466UCN202078314U (en) | 2011-04-02 | 2011-04-02 | Nerve plexus stimulation system and nerve plexus stimulator |
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| CN202078314Utrue CN202078314U (en) | 2011-12-21 |
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| CN2011200966466UExpired - LifetimeCN202078314U (en) | 2011-04-02 | 2011-04-02 | Nerve plexus stimulation system and nerve plexus stimulator |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102125431A (en)* | 2011-04-02 | 2011-07-20 | 北京品驰医疗设备有限公司 | Nerve plexus stimulation system, nerve plexus stimulator and nerve plexus stimulation method |
| CN103138719A (en)* | 2013-03-07 | 2013-06-05 | 复旦大学 | Controllable constant voltage pulse generation circuit |
| CN110882486A (en)* | 2019-12-26 | 2020-03-17 | 上海健康医学院 | Constant current type percutaneous nerve electrical stimulation circuit |
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102125431A (en)* | 2011-04-02 | 2011-07-20 | 北京品驰医疗设备有限公司 | Nerve plexus stimulation system, nerve plexus stimulator and nerve plexus stimulation method |
| CN103138719A (en)* | 2013-03-07 | 2013-06-05 | 复旦大学 | Controllable constant voltage pulse generation circuit |
| CN103138719B (en)* | 2013-03-07 | 2016-01-20 | 复旦大学 | Controllable constant voltage pulse generation circuit |
| CN110882486A (en)* | 2019-12-26 | 2020-03-17 | 上海健康医学院 | Constant current type percutaneous nerve electrical stimulation circuit |
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