CN108721781A - A kind of photoelectricity pace-making device assembly - Google Patents

A kind of photoelectricity pace-making device assembly Download PDF

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Publication number
CN108721781A
CN108721781A CN201810694801.0A CN201810694801A CN108721781A CN 108721781 A CN108721781 A CN 108721781A CN 201810694801 A CN201810694801 A CN 201810694801A CN 108721781 A CN108721781 A CN 108721781A
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Prior art keywords
photoelectricity
light
pacemaker
device assembly
light source
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谭雄进
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37205Microstimulators, e.g. implantable through a cannula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/378Electrical supply
    • A61N1/3787Electrical supply from an external energy source

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

The present invention provides a kind of photoelectricity to pace device assembly, including host, shading vest and photoelectricity pacemaker, photoelectricity pacemaker is arranged in heart surface, host provides light source, light is radiated at patient body-surface pacemaker corresponding position, light reaches pacemaker through bodily tissue, and pacemaker occurs photovoltaic reaction and generates pulse current stimulating mycardial contractility, maintains cardiac pumping function.

Description

A kind of photoelectricity pace-making device assembly
Technical field
The invention belongs to medical instruments fields, and in particular to a kind of photoelectricity pace-making device assembly.
Background technology
Cardiac pacing is meant with specific pulse current stimulating cardiac muscle cell, is made myocardium depolarization, is caused heart contraction With maintenance blood-pumping function.Cardiac pacing is effective therapy of symptomatic slow arrhythmia, while being also medicine The effective technology of uncontrollable intractable tachyarrhythmia or the contradictory complex arrhythmias of drug therapy.This Outside, cardiac pacing is additionally operable to the heart of cardiopathic diagnosis, cardiac electrophysiology stud, anesthesia, operation and the invasive inspection of heart Protection.
Emergency cardiac pacing is frequently with through vein endocardial pacing or non-invasive external cardiac pacing.In addition, still having through food Pipe cardiac pacing, through thoracic cavity cardiac muscle pace-making and Epicardial pacing etc..Dual chamber pacemaker (atrial-ventricular sequential pacing) used at present is main It is used for temporary atrioventricular block caused by openheart surgery, to maintain normal heart function.It is automatic to arrange pulse granting after impulsion The reactive mode in period.
Provisional pace-making application bipolar catheter electrode, plain conductor are the higher stainless steel of flexural strength, outside modeling Expect sheathing, quality is slightly hard and flexible, and The book of Changes vein is inserted and sent.Catheter tip electrode (termination electrode or cathode) is cylindricality tack Shape is easy to pull out;Another electrode (ring electrode or anode) away from termination electrode 1cm at, annularly.The conducting wire of two electrodes is in conduit Mutually insulated.Pacing electrode is placed in the chambers of the heart through vein, and epicardial lead is sewn on through thoracic cavity implantation on the external membrane of heart, current in outside heart Section's operation patients.Myocardial electrode is in linear or is slightly twist inserted into or screws in Epicardium, is commonly used in openheart surgery Occur the patient of heart block at once afterwards, or disposes temporary pacemaker to prevent the fortuitous event of convalescence for critical patient Occur, if temporary retardance, can be pulled out after recovery.
Provisional pacemaker is widely used in cardiac operation, such as:Occur after congenital heart disease operation repairing Atrioventricular block or severe bradycardia person temporarily use temporary cardiac pacing, wait for that local edema subsides to drop back and remove, pacemaker usually exists It places 7-10 days in vivo, after heart surface disposes Pacing lead, Pacing lead is passed through into tissue, is pierced by from cavum pericardiale To outside skin, and pacemaker is connected in vitro, after Rehabilitation is smooth, needs to handle Pacing lead, transfer to pace-making to lead by force Line is easy to damage cardiac muscular tissue, causes bleeding and causes pericardial tamponade;If Lead extraction does not only cut the part of exposing skin It is disconnected, it can cause to infect in conducting wire longer-term persistence body, and the serious hyperplasia of tissue can be stimulated.
Therefore, it is badly in need of a kind of novel temporary pacemaker at present and is not necessarily to wire connections external pacemaker, remains to transmit pulse electricity Stream stimulation mycardial contractility, causes wall motion of systole, maintains blood-pumping function.
Invention content
In order to overcome the above problem, risen by what photovoltaic reaction was powered in atrium or ventricle surfaces the present invention provides a kind of It fights device, is converted light into from extracorporeal irradiation to pacemaker surface by light source as electricity, generate pulse current stimulating scheming cellular contraction, Heart proper motion is maintained to realize.
The present invention provides following technical scheme:
A kind of photoelectricity pace-making device assembly, including host and photoelectricity pacemaker, the host includes that module occurs for light source, described It includes sequentially connected photophore and light source irradiation head that module, which occurs, for light source, and the photophore is full spectral wavelength monochromatic source, Light is pointed into photoelectricity pacemaker by light source irradiation head;
The photoelectricity pacemaker is made of photoelectric conversion piece and fixed band, and the photoelectric conversion piece passes through consolidating in its both sides Determine band and be sewn to ventricle or atrial surface, the photoelectric conversion piece irradiates the light source irradiation head through patient body tissue Light is converted into power supply, generates pulse current stimulating mycardial contractility, maintains cardiac pumping function.
Further, the component further includes shading vest, and the shading vest is worn on patient's upper body, and vest is generally Light screening material avoids other light sources from interfering pacemaker, vest surface to be equipped with interface in photoelectricity pacemaker corresponding position through vest, For being connected and fixed with light source irradiation head, light is radiated at through bodily tissue on photoelectricity pacemaker for the light source irradiation head.
Further, it is additionally provided with transformer between the power supply and photophore, for changing the intensity of light source;In the hair Optical filter and frequency modulator are additionally provided between light device and light source irradiation head, the optical filter is used to filter out the light of different wave length, realizes The adjusting of wavelength;It is additionally provided with frequency modulator, the frequency of frequency modulator light regulating output.
Further, the photoelectric conversion piece is crystal silicon chip, is also bonded under crystal silicon chip and is equipped with conductive layer, conductive layer It pastes in heart surface, for conducting electric current.
Further, the shading vest is elongated, and both ends interface is equipped with velcro, is connected to become annular.
Further, the conductive layer is electrode slice or electroconductive paste.
Further, the electrode slice of several detection surface electrocardiograms, the electrode slice point are equipped on the shading vest It is not arranged in the corresponding position with patient body, wherein:V1:The 4th intercostal of right border of sternum;V2:The 4th intercostal of left border of sternum;V3:V2 With the 2 line midpoints V4;V4:Left mid-clavicular line and the 5th intercostal intersection;V5:Left anterior axillary line is the same as V4 levels;V6:Left midaxillary line With V4 levels;V7:Left posterior axillary line is the same as V4 levels;V8:Left scapular line is the same as V4 levels;V9:Left ridge side line is the same as V4 levels;The host Further include cardioelectric monitor module, the electrode slice connects cardioelectric monitor module by conducting wire, the cardioelectric monitor module also according to It is secondary to be equipped with input circuit, Conduction choice, amplifying circuit, pen driving and form feeding device, the electrocardio-activity feelings for detecting patient Condition.
Further, the frequency modulator is equipped with sequentially connected driving motor, motor gear and several anti-dazzling screen wheels, driving Motor rotary electric machine gear so that the anti-dazzling screen wheel rotation on gear, light are projected away by the gap between anti-dazzling screen, passed through The speed of adjustment anti-dazzling screen wheel rotation carrys out the frequency of light regulating projection.
Further, the optical filter is equipped with a variety of filter glass, is placed in passage of light, is filtered by converting different eyeglasses Except the light of different wave length section, reach filter action.
Further, the photophore uses xenon lamp or halogen tungsten lamp.
Using above-mentioned technical proposal, the present invention has the advantages that:
The first, a kind of photoelectricity of the present invention paces device assembly, and photoelectricity pacemaker is placed in atrium or ventricle surfaces, by light from body External exposure shows to convert light into as electricity, generation pulse current stimulating scheming cellular contraction, to realize maintenance heart to pacemaker Proper motion, pacemaker of the invention is not necessarily to pass through the impulse generator outside wire connections, small to the extent of damage of heart, keeps away Exempt from conducting wire to stay in caused infection and hyperblastosis complication in skin.
The second, the present invention can adjust the intensity, frequency and wavelength of illumination using light source generator, and it is thin effectively to adjust heart The contraction frequency of born of the same parents;Maintain heart of patient blood-pumping function.
The working time that the photoelectricity pacemaker of the third present invention is converted into electric energy by luminous energy can be by changing photoelectric conversion material Expect that one month or so temporary pacemaker working time, long-term pacemaker of the invention can be placed in vivo for a long time, be attached to the heart to adjust It dirty surface rather than is placed in cardiac muscle, it is harmless to human body without removing.
Description of the drawings
Fig. 1 is the structural schematic diagram of light source generator.
Specific implementation mode
In order to make the purpose , technical scheme and advantage of the present invention be clearer, with reference to the accompanying drawings and embodiments, right The present invention is further elaborated.It should be appreciated that structure chart described herein and specific embodiment are only explaining this Invention, is not intended to limit the present invention.
Embodiment 1
The present invention provides a kind of photoelectricity to pace device assembly, including host and photoelectricity pacemaker, the host include light source Module occurs, it includes sequentially connected photophore and light source irradiation head that module, which occurs, for light source, and photophore is that full spectral wavelength is monochromatic Light is pointed into photoelectricity pacemaker by light source, light source irradiation head.Light source occurs module and is used to provide illumination for photoelectricity pacemaker.
Photoelectricity pacemaker is made of photoelectric conversion piece and fixed band, and photoelectric conversion piece passes through the fixed band suture in its both sides In ventricle or atrial surface, photoelectric conversion piece converts the light that the light source irradiation head is irradiated through patient body tissue to electricity Source generates pulse current stimulating mycardial contractility, maintains cardiac pumping function.
Preferably, photophore uses xenon lamp or halogen tungsten lamp.Photoelectric conversion piece is crystal silicon chip, is also bonded under crystal silicon chip Equipped with conductive layer, conductive layer is pasted in heart surface, for conducting electric current.In the present invention, the material of photoelectric conversion piece is not Silica-base material is shall be limited only to the extent, the material that luminous energy is converted into electric energy can be utilized to be understood to material ranges of the invention.Photoelectricity Conversion plate can there are many models, different model to use different luminous energy converting materials, and specific model can only be by the light of specific wavelength It is converted to electric energy and photovoltaic reaction is not occurred to the light of other wavelength, by projecting the light of different wave length, can make several The photoelectric conversion piece of a different model while work of staggering the time.
Crystalline silicon meeting natural degradation in human body can be controlled by the way that different metal element is added in its crystalline silicon configuration Make its degradation time, to adjust pacemaker usage time, under normal circumstances be used as temporary pacemaker in use, the working time at least For January.
Preferably, further include shading vest in component, shading vest is worn on patient's upper body, vest generally lightproof material Material, avoid other light sources through vest interfere pacemaker, vest surface photoelectricity pacemaker corresponding position be equipped with interface, for Light source irradiation head is connected and fixed, and is radiated at light on photoelectricity pacemaker through bodily tissue for light source irradiation head.
Preferably, shading vest is elongated, and both ends interface is equipped with velcro, is connected to become annular, is dressed convenient for patient.
Embodiment 2
The present invention provides another photoelectricity to pace device assembly, and the electrocardio of patient can be measured while pacemaker works Activity condition.Cardioelectric monitor module is integrated in host.Cardioelectric monitor module is equipped with input circuit, Conduction choice, amplification successively Circuit, pen driving and form feeding device, the electrocardio-activity situation for detecting patient.
The electrode slice of several detection surface electrocardiograms is equipped on shading vest, electrode slice is separately positioned on and patient body Corresponding position, wherein:V1:The 4th intercostal of right border of sternum;V2:The 4th intercostal of left border of sternum;V3:V2 and the 2 line midpoints V4; V4:Left mid-clavicular line and the 5th intercostal intersection;V5:Left anterior axillary line is the same as V4 levels;V6:Left midaxillary line is the same as V4 levels;V7:Left armpit Line is the same as V4 levels afterwards;V8:Left scapular line is the same as V4 levels;V9:Left ridge side line is the same as V4 levels;Electrode slice is connected to master by conducting wire In the cardioelectric monitor module of machine.
Embodiment 3
Transformer is additionally provided between power supply and photophore, for changing the intensity of light source;In photophore and light source irradiation head Between be additionally provided with optical filter and frequency modulator, optical filter is used to filter out the light of different wave length, realizes the adjusting of wavelength;It is additionally provided with frequency modulation Device, the frequency of frequency modulator light regulating output.
Frequency modulator is equipped with sequentially connected driving motor, motor gear and several anti-dazzling screen wheels, driving motor rotary electric machine Gear so that the anti-dazzling screen wheel rotation on gear, light is projected away by the gap between anti-dazzling screen, by adjusting anti-dazzling screen wheel The speed of rotation carrys out the frequency of light regulating projection.
Optical filter is equipped with a variety of filter glass, is placed in passage of light by converting different eyeglasses, filters out different wave length section Light, reach filter action.
Embodiments of the present invention above described embodiment only expresses, the description thereof is more specific and detailed, but can not Therefore it is interpreted as the limitation to the scope of the claims of the present invention.It should be pointed out that for those of ordinary skill in the art, Without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to the protection model of the present invention It encloses.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.

Claims (10)

1. a kind of photoelectricity paces device assembly, including host and photoelectricity pacemaker, which is characterized in that the host includes light source Module, it includes sequentially connected photophore and light source irradiation head that module, which occurs, for the light source, and the photophore is full spectral wavelength Light is pointed into photoelectricity pacemaker by monochromatic source, light source irradiation head;
The photoelectricity pacemaker is made of photoelectric conversion piece and fixed band, and the photoelectric conversion piece passes through the fixation band in its both sides It is sewn to ventricle or atrial surface, the light source irradiation head is penetrated the light that patient body tissue is irradiated by the photoelectric conversion piece It is converted into power supply, generates pulse current stimulating mycardial contractility, maintains cardiac pumping function.
2. photoelectricity according to claim 1 paces device assembly, which is characterized in that the component further includes shading vest, institute It states shading vest and is worn on patient's upper body, vest generally light screening material avoids other light sources from interfering pacemaker, the back of the body through vest Heart surface is equipped with interface in photoelectricity pacemaker corresponding position, for being connected and fixed with light source irradiation head, for the light source irradiation head Light is radiated at through bodily tissue on photoelectricity pacemaker.
3. photoelectricity according to claim 1 paces device assembly, which is characterized in that also set between the power supply and photophore There is transformer, for changing the intensity of light source;Optical filter and frequency modulator, institute are additionally provided between the photophore and light source irradiation head Light of the optical filter for filtering out different wave length is stated, realizes the adjusting of wavelength;It is additionally provided with frequency modulator, the output of frequency modulator light regulating Frequency.
4. photoelectricity according to claim 1 paces device assembly, which is characterized in that the photoelectric conversion piece is crystal silicon chip, It is also bonded under crystal silicon chip and is equipped with conductive layer, conductive layer is pasted in heart surface, for conducting electric current.
5. photoelectricity according to claim 2 paces device assembly, which is characterized in that the shading vest is elongated, both ends Interface is equipped with velcro, is connected to become annular.
6. photoelectricity according to claim 4 paces device assembly, which is characterized in that the conductive layer is electrode slice or conduction Paste.
7. photoelectricity according to claim 2 paces device assembly, which is characterized in that be equipped with several spies on the shading vest The electrode slice of surface electrocardiogram is surveyed, the electrode slice is separately positioned on the corresponding position with patient body, wherein:V1:Breastbone is right The 4th intercostal of edge;V2:The 4th intercostal of left border of sternum;V3:V2 and the 2 line midpoints V4;V4:Left mid-clavicular line intersects with the 5th intercostal Place;V5:Left anterior axillary line is the same as V4 levels;V6:Left midaxillary line is the same as V4 levels;V7:Left posterior axillary line is the same as V4 levels;V8:Left scapular line is same V4 is horizontal;V9:Left ridge side line is the same as V4 levels;The host further includes cardioelectric monitor module, and the electrode slice is connected by conducting wire Cardioelectric monitor module is connect, the cardioelectric monitor module is also equipped with input circuit, Conduction choice, amplifying circuit, pen driving successively And form feeding device, the electrocardio-activity situation for detecting patient.
8. photoelectricity according to claim 3 paces device assembly, which is characterized in that the frequency modulator is equipped with sequentially connected drive Dynamic motor, motor gear and several anti-dazzling screen wheels, driving motor rotary electric machine gear so that the anti-dazzling screen wheel rotation on gear, Light is projected away by the gap between anti-dazzling screen, and the frequency of light regulating projection is carried out by adjusting the speed of anti-dazzling screen wheel rotation Rate.
9. photoelectricity according to claim 3 paces device assembly, which is characterized in that the optical filter is equipped with a variety of optical filterings Piece is placed in passage of light by converting different eyeglasses, filters out the light of different wave length section, reach filter action.
10. photoelectricity according to claim 1 paces device assembly, which is characterized in that the photophore uses xenon lamp or halogen tungsten Lamp.
CN201810694801.0A 2018-06-29 2018-06-29 A kind of photoelectricity pace-making device assembly Pending CN108721781A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110231682A (en) * 2019-05-09 2019-09-13 上海大学 A kind of photoelectric fiber-optical and production method for nervous activity regulation

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Publication number Priority date Publication date Assignee Title
GB1344440A (en) * 1971-03-19 1974-01-23 Serdal Electron Med Energising electrically powered medical devices implanted in living organisms
US20020116033A1 (en) * 2001-02-20 2002-08-22 Wilson Greatbatch Controllable, wearable MRI-compatible cardiac pacemaker with pulse carrying photonic catheter and VOO functionality
US20030195570A1 (en) * 2002-04-11 2003-10-16 Deal Jeffrey T. MRI-compatible medical device with passive generation of optical sensing signals
WO2010029297A1 (en) * 2008-09-10 2010-03-18 Imperial Innovations Limited Photo-ionic pacemakers
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Publication number Priority date Publication date Assignee Title
CN110231682A (en) * 2019-05-09 2019-09-13 上海大学 A kind of photoelectric fiber-optical and production method for nervous activity regulation

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