A kind of wireless and wired esophageal acid basicity monitor with position monitoring function
Technical field
This utility model relates to a kind of medical apparatus and instruments, relates in particular to a kind of wireless esophageal acid basicity monitor and wired esophageal acid basicity monitor with position monitoring function.
Background technology
Gastro oesophageal reflux disease (GORD) (GERD) is meant stomach or the anti-esophagus that flows to of duodenum content, causes multiple complications, has damaged patient's quality of life.
The patient carried out 24 hours esophageal acid basicity continuous monitoring under physiological situation, the acid-base value data that write down can provide esophagus whether to have the objective evidence of excessive regurgitation of gastric juice.
One thinks that pH is 5.5-7.0 in the normal esophageal, and pH<4 are considered to the anti-stream of acid index, and the parameters of pH monitoring is all done the basis with this in 24 hours esophaguses.Following 6 parameter role judge index commonly used: 1. total percentage time of pH<4 in 24 hours; 2. percentage time of orthostatism pH<4; 3. percentage time of dorsal position pH<4; 4. the anti-number of times that flows; 5. be longer than 5 minutes anti-stream number of times; 6. continue the longest anti-stream time.With above-mentioned parameter and normal value relatively, can estimate esophagus and whether have that excessive acid is counter flows.
This shows, patient's position is very important detection index in esophageal acid basicity continuous monitoring process, and in the prior art, the position state of different time is by the manual record of patient oneself, when the needs of patients record is stance or sitting posture (being orthostatism), when is prone position (being clinostatism).During doctor's analyzing and diagnosing, promptly the data of manually putting down in writing according to the patient are judged.The shortcoming of this way is that through training, its record is not objective for the patient, and error of omission or misdescription often take place, and these all directly have influence on last diagnosis of doctor and treatment.
Summary of the invention
The purpose of this utility model provides a kind of wireless esophageal acid basicity monitor and wired esophageal acid basicity monitor of monitoring patient body position's information in monitoring esophageal acid basicity.
For achieving the above object, wireless esophageal acid basicity monitor of the present utility model is positioned in the esophagus, comprise capsule shell and be arranged at capsule shell interior acidity-basicity sensor, microprocessor and wireless transmitter, wireless transmitter is connected with microprocessor with acidity-basicity sensor, wherein, also be provided with the position induction apparatus in the capsule shell, the position induction apparatus is connected with microprocessor, and microprocessor outwards sends the signal of collecting by wireless transmitter.Adopt this structure acidity-basicity sensor that the acid-base value of esophagus is monitored, the position induction apparatus carries out synchronous objective record to patient body position's change, and the doctor can make diagnostic result and therapeutic scheme more accurately according to these two groups of data.
Position induction apparatus of the present utility model comprises insulating vessel, electrolyte and two electrodes, two electrodes are arranged at respectively on the relative position at insulating vessel inner bottom part and top, and cause the insulating vessel outside by lead respectively, more specifically, the inwall of insulating vessel of the present utility model is cylindrical or elliptical cylinder-shape, an electrode is located on the lower surface of insulating vessel inwall, another electrode is located on the upper surface of insulating vessel inwall, electrolyte is housed in the insulating vessel, has the gap between electrolyte and the insulating vessel inwall.
Adopt above structure, the signal of position induction apparatus output is at least two kinds, can when electrolyte only contacts with an electrode, be in " disconnection " state between two electrodes with " 0 " and " 1 " expression, and the signal of its output is " 0 "; When electrolyte contacts with two electrodes simultaneously, be in " conducting " state between two electrodes, the signal of its output is " 1 ".After the position induction apparatus was installed to esophagus, its position with respect to esophagus was fixed.A kind of specific embodiments is as follows: the axial direction of the position induction apparatus of cylindrical or elliptical cylinder-shape can be perpendicular to the ground.When the patient was in stance or sitting posture (being orthostatism), electrolyte only contact with electrode on the lower surface of insulating vessel inwall, is in " disconnection " state between two electrodes, and the signal that the position induction apparatus is exported is " 0 "; When the patient when orthostatism is changed into clinostatism, the insulating vessel of position induction apparatus is run-off the straight thereupon also, and when tilting to certain angle, electrolyte contacts with two electrodes simultaneously, be in " conducting " state between two electrodes, the signal of position induction apparatus output is " 1 ".
Wired esophageal acid basicity monitor of the present utility model comprises conduit and acidity-basicity sensor, acidity-basicity sensor is located at the end in the conduit, one end of conduit is inserted and positioned in the esophagus, acidity-basicity sensor is connected with external device by the lead that is arranged in the conduit, wherein, be positioned on the inwall of Endo-esophageal conduit or the outer wall and be fixed with the position induction apparatus, it is connected with external device by the lead that is placed through in the conduit.Described position induction apparatus comprises insulating vessel, electrolyte and two electrodes, two electrodes are arranged at respectively on the relative position at insulating vessel inner bottom part and top, and cause the insulating vessel outside by lead respectively, electrolyte is housed in the insulating vessel, has the gap between electrolyte and the insulating vessel inwall.The inwall of described insulating vessel is cylindrical or elliptical cylinder-shape, and an electrode is located on the lower surface of insulating vessel inwall, and another electrode is located on the upper surface of insulating vessel inwall.
Compared with prior art, wireless and wired esophageal acid basicity monitor of the present utility model is by installing the position induction apparatus, the change situation of automatically objective record patient position in monitoring esophageal acid basicity, thus the accuracy of diagnosis and treatment further improved.
Description of drawings
Below in conjunction with the drawings and specific embodiments this utility model is described in further detail: Fig. 1 is the user mode figure of the wireless esophageal acid basicity of this utility model monitor; Fig. 2 is the structural representation of wireless esophageal acid basicity monitor; Fig. 3 is the user mode figure of the wired esophageal acid basicity of this utility model monitor; Fig. 4 is the partial structurtes sketch map of wired esophageal acid basicity monitor; Fig. 5 is that position induction apparatus of the present utility model is in the structural representation under " disconnection " state; Fig. 6 is that position induction apparatus of the present utility model is in the structural representation under " conducting " state; Fig. 7 is that position induction apparatus of the present utility model is in another structural representation under " conducting " state.
The specific embodiment
It is as follows that herein part term is carried out explanation of nouns: term herein " acidity-basicity sensor " is for using the electronic component of electrode by the acid-base value in the potentiometry testing environment.Term " electrolyte " is for having the solution of electric conductivity.Term " esophagus " is the digestive tube of pharynx between the stomach function regulating, can think to have the Endo-esophageal end regions that the medical assessment of gastro oesophageal reflux disease (GORD) is worth here.
Shown in Fig. 1 to 2, wireless esophageal acid basicity monitor 1 of the present utility model is positioned in the esophagus, comprise capsule shell 11 and be arranged at acidity-basicity sensor 12, microprocessor 13 and wireless transmitter 14 in the capsule shell 11, wireless transmitter 14 is connected with microprocessor 13 with acidity-basicity sensor 12, wherein, also be provided with position induction apparatus 2 in the capsule shell 11, position induction apparatus 2 is connected with microprocessor 13, microprocessor 13 outwards sends the signal of collecting by wireless transmitter 14, and the signal that is sent by wireless transmitter 14 is received by external device 3.
As shown in Figs. 3-4, wired esophageal acid basicity monitor 4 of the present utility model comprises conduit 41 and acidity-basicity sensor 12, acidity-basicity sensor 12 is located at the end 42 in the conduit 41, one end 42 of conduit 41 is inserted and positioned in the esophagus, acidity-basicity sensor 12 is connected with external device 3 by the lead that is arranged in the conduit 41, wherein, be positioned on the inwall of Endo-esophageal conduit 41 or the outer wall and be fixed with position induction apparatus 2, it is connected with external device 3 by the leads that are placed through in the conduit 41.
As shown in Figure 5, position induction apparatus 2 of the present utility model comprises insulating vessel 21, electrolyte 22 and two electrodes 23,24, two electrodes 23,24 are arranged at respectively on the relative position at insulating vessel 21 inner bottom parts and top, and cause insulating vessel 21 outsides by lead respectively, more specifically, the inwall of insulating vessel 21 of the present utility model is cylindrical or elliptical cylinder-shape, an electrode 23 is located on the lower surface of insulating vessel 21 inwalls, another electrode 24 is located on the upper surface of insulating vessel 21 inwalls, electrolyte 22 is housed in the insulating vessel 21, there is gap 25 between electrolyte 22 and insulating vessel 21 inwalls, i.e. electrolyte 22 underfill insulating vessels 21.
As shown in Figs. 5 to 7, a kind of specific embodiments is as follows: after position induction apparatus 2 was installed to esophagus, its position with respect to esophagus was fixed.The axial direction of the insulating vessel 21 of cylindrical or elliptical cylinder-shape can be perpendicular to the ground.When the patient was in stance or sitting posture (being orthostatism), an electrode 23 on the lower surface of 22 of electrolyte and insulating vessel 21 inwalls contacted, and is in " disconnection " state between two electrodes, and the signal of position induction apparatus 2 outputs is " 0 "; When the patient when orthostatism is changed into clinostatism, the also run-off the straight thereupon of the insulating vessel 21 of position induction apparatus 2, when tilting to certain angle, electrolyte 22 contacts with two electrodes 23,24 simultaneously, be in " conducting " state between two electrodes 23,24, the signal of position induction apparatus 2 outputs is " 1 ".
More than be a kind of scheme of the present utility model, the insulating vessel 21 of position induction apparatus 2 can be other shapes, and its fixed position with respect to esophagus also is not limited to the described upright position of above embodiment.For example, the axial direction of the insulating vessel 21 of cylindrical or elliptical cylinder-shape can be parallel to the ground, when the patient is in stance or sitting posture (being orthostatism), electrolyte 22 contacts with two electrodes simultaneously, be in " conducting " state between two electrodes, the signal of position induction apparatus 2 outputs is " 1 "; When the patient when orthostatism is changed into clinostatism, an electrode 23 on the lower surface of 22 of electrolyte and insulating vessel 21 inwalls contacts, and is in " disconnection " state between two electrodes 23,24, the signal of position induction apparatus 2 outputs is " 0 ".Promptly fall into protection domain of the present utility model as long as can identify patient's position state from the signal of output.
The external equipment 3 that is used for receiving esophageal acid basicity signal that monitor sends can be that prior aries such as computer, monitor can write down or the equipment of analytical data.