CN103190897B - Hand-held multi-lead electrocardiogram signal acquiring method and device - Google Patents
Hand-held multi-lead electrocardiogram signal acquiring method and device Download PDFInfo
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- CN103190897B CN103190897B CN201310141841.XA CN201310141841A CN103190897B CN 103190897 B CN103190897 B CN 103190897B CN 201310141841 A CN201310141841 A CN 201310141841A CN 103190897 B CN103190897 B CN 103190897B
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Abstract
A kind of hand-held electrocardio acquisition device (1), including box body (10), the bottom surface of the box body (10) is provided with the left leg electrode (6) that can be contacted with the left leg of user and reference electrode (7), the other positions of box body (10) are provided with left hand electrodes (2) and right hand electrode (4).When use, hold the electrocardio acquisition device (1), user's left hand is set to contact left hand electrodes (2), the right hand contacts right hand electrode (4), the electrocardio acquisition device (1) is pressed on the left leg of user, contact left leg electrode (6) and reference electrode (7) with the left leg of user, to obtain synchronous multi-lead electrocardiosignal.The device uses simply, easy to operate, and can obtain synchronous multi-lead electrocardiosignal, so as to provide the electrocardiosignal more valuable to diagnostic analysis, is easy to universal.
Description
Technical field
Generally, the present invention relates to ECG signal acquisition methods and electrocardiosignal acquisition device and electrocardiogram system, especially
It is a kind of hand-held multi-lead electrocardiogram signal acquiring method, device and electrocardiogram system.
Background technique
Information about testee's cardiac function is usually provided with electrocardiosignal acquisition device (ECG) measurement.Passing through will
Sensor is placed on the suitable position of testee, and electrode measures waveform from testee's human body surface and sends such as ECG dress to
It sets or electrocardio notes down instrument (hoter), amplified display or the waveform graph for printing expression testee's heart condition, with
It is supplied to doctor or professional technician analyzes and diagnoses.
The low current signal that heartbeat is obtained from body surface at least needs to arrange two electrodes in body surface.
Low current signal between two electrodes is respectively connected to the cathode and anode of galvanometer by conducting wire, just constitutes lead
(lead).Obtaining electrocardiosignal has a various lead modes, for example, there are commonly standard lead (standard leads) I, II,
III, Wilson precordial leads (precordial leads) V1-V6, augmented unipolar limb lead (augmented unipolar
Limb leads) aVR, aVL, aVF, this 12 leads also constitute common 12 lead electrocardiogram.Due to current precordial leads electricity
Before pole is all arranged on the wall of the chest, therefore precordial leads are also referred to as wall of the chest lead (chest leads), and number is also not necessarily limited to
V1-V6 six, but extend to right chest and left chest back, the lead of right chest position is there are commonly V3R, V4R, V5R, after left chest
Carrying on the back common lead has V7-V9, and the lead of these extensions and 12 conventional leads also constitute the 18 conventional at present lead hearts together
Electrograph.
Electrode arrangement can get the action message of reflection Heart tissue in different positions.For example, precordial leads enclose
It is wound on a plane of structure of left and right ventricles, can reflect the activity condition of heart plane of structure (horizontal plane) part range.
And standard lead and augmented unipolar limb lead can reflect heart face amount (frontal using four limbs as electrode arrangement object
Plane activity condition).In order to obtain sufficient information to carry out analyzing and diagnosing to testee's heart condition, usually need
Multi-lead electrocardiosignal is wanted, especially synchronous multi-lead electrocardiosignal, this needs multiple in corresponding multiple anatomical location arrangements
Electrode, the professional for generally requiring professional institution just can be carried out.But arrhythmia cordis is often again paroxysmal, Ren Mente
It does not need to be tested in time self in usual life and is further looked at and analyzed to record arrhythmia cordis at any time.
In view of this, a variety of portable electrocardiographs have been provided in the prior art, for example, see patent document 1.
The portable hand disclosed in (such as patent document 1: Chinese patent discloses No. CN1868400A) however, existing
Holding formula electrocardio acquisition device is all single lead electrocardio acquisition device, by two flashlight poles of left and right and indifferent electrode, obtains standard I
Lead electrocardiogram.This electrocardio acquisition device is although easy to operate, easy to carry, but leads electrocardiogram due to not more, only
There is standard I lead, most of myocardial ischemia disease can not be diagnosed, especially no standard II lead electrocardiogram, no
Effective standard P wave can be sampled, therefore to atrial arrhythmia without important diagnostic meaning.Certain single lead electrocardiogram instrument can also incite somebody to action
Electrode contacts different anatomical locations and obtains the electrocardiosignals of different leads, but the different lead electrocardiosignals obtained are not
Synchronous, it is also very unfavorable for condition-inference.
Therefore it provides a kind of cheap, volume is minimum, easy to carry, convenient for the available more of layman's operation
The electrocardiosignal acquisition device of lead synchronous electrocardiosignal is extremely important.
Summary of the invention
This electrocardiosignal acquisition device using being designed based on traditional electrocardio Wilson lead system, use with it is existing at present
10 electrode, 12 lead electrocardiogram having structure and application method different with the hand-held cardiac electric recording apparatus of single lead, it may be assumed that the telecommunications
Number acquisition device is provided with left hand electrodes, right hand electrode, left leg electrode and reference electrode, holds electrocardiosignal using both hands and obtains
Device compresses left hand electrodes and right hand electrode, and simultaneously with the another two electricity being arranged on the electrocardiosignal acquisition device panel
Extreme pressure lives left leg skin, forms synchronous I, II Lead Synchronous ECG, then calculate III, aVR, aVL, aVF tetra- with mathematical formulae
A limb leads forms all 6 limb leads.
An embodiment of the invention is a kind of hand-held electrocardio acquisition device, for obtaining electrocardiosignal, including box
Body is provided with left hand electrodes and right hand electrode, and left leg that can simultaneously with the skin contact of the left leg of user on the box body
Electrode and reference electrode totally four electrodes.
Since four electrodes being arranged on a box body, including the conventional reference electrode contacted with right leg and left leg is electric
Pole setting on a box body, and make its with left leg skin contact, therefore can the whole 6 limb leads electrocardios of synchronization gain
While figure, the miniaturization of box body is realized, box body is placed in such as pocket convenient for user, it can basis whenever and wherever possible
It needs to carry out electrocardiogram test.Further, since electrode does not need to contact with right leg, it is only necessary to draw left leg trouser legs, therefore, reduce
User has drawn the operation of trouser legs, for etc. handicapped people especially the elderly it is very convenient.Further, it is also possible to avoid
Place more than public place et al. carries out needing to slough inconvenience and embarrassment brought by clothing when the test of multi-lead electrocardiosignal.
Preferably, the same face of the box body is arranged in the left leg electrode and the reference electrode.Since left leg is electric
The same face of box body is arranged in pole and reference electrode, convenient for that will be provided with left leg electricity while holding the electrocardio acquisition device
Pole and reference electrode are pressed on one side on left leg.
Preferably, the distance between the left leg electrode and the reference electrode are adjustable.In this way, applicable not the same year
The user in age uses.
Preferably, the left leg electrode of the electrocardio acquisition device and the electrode contact of the reference electrode protrude from institute
Box surface is stated, and it is adjustable that the electrode contact, which leaves the distance of the box body,.Since leg electrode can stretch, because
This is for very thin user, even if skin collapses, electrode can also be contacted with leg skin well.
Preferably, effect of the electrode contact by elastic pressure can so be further ensured that the electrode contact energy
Always it is contacted with the skin stabilization of the left leg of user.
Preferably, the box body of the electrocardio acquisition device, which is provided with, prevents user's left hand and the right hand from holding anti-structure.In this way,
The left hand contact right hand electrode and right hand contact left hand electrodes of user, avoids that correct electrocardiogram cannot be obtained when can avoid using
Defect.
Preferably, circuit is provided in the box body of the electrocardio acquisition device, the circuit includes wireless communication module.
In this way, the electrocardio acquisition device can be carried out wireless communication with various digital terminals or tele-medicine work station, convenient for that will obtain
Electrocardiosignal send in time, also make it possible the result diagnosed by analysis back to the electrocardio acquisition device.
Preferably, the wireless communication module can be logical with digital terminal, such as mobile phone, tablet computer, laptop etc.
Bluetooth is crossed to carry out wireless communication.In this way, can use the powerful data processing energy of digital terminal especially portable digital terminal
The electrocardiogram that power is shown, the hope of test waveform He other results can be seen in real time or in time by meeting user, and make this
The circuit of electrocardio acquisition device itself can greatly simplify, to simplify the structure of the electrocardio acquisition device, reduce cost.
Preferably, the electrocardio acquisition device includes the circuits such as memory and driver module, and on the box body
It is provided with display screen.In this way, the electrocardio acquisition device may make up the complete electrocardiograph of a miniaturization, user can be straight
It connects and sees ecg wave form and other test results on the display screen of the electrocardio acquisition device in real time.
Preferably, which can be integrally designed with various digital terminals such as mobile phone, tablet computer etc..Such as
This, the various beneficial functions such as can not only keep the amusement of various hand-held digital terminals, and communicate, surf the web, but also can use the hand
It holds digital terminal conveniently and measures electrocardiogram in real time, and show or test result is provided, to expand the function of digital terminal
Can, improve the use scope of digital terminal.
Preferably, the electrocardio acquisition device be provided with can external cardiac diagnosis lead signal lead signals interface.In this way, can
To be attached by a variety of extended modes and other electrocardioelectrodes, so as to the heart of simply and easily synchronization gain more multi-lead
Electrograph, meets certain special illness analyses and diagnosis needs the needs of more lead electrocardiogram.
Another embodiment of the invention is related to a kind of electrocardiogram system.It includes nothing that the electrocardiogram system, which includes above-mentioned,
The electrocardio acquisition device of the circuit of line communication module and a hand-held digital terminal, the hand-held digital terminal are loaded with particular procedure
Software can be communicated with the wireless communication module of the electrocardio acquisition device to obtain the electrocardiosignal and be handled, and will
The electrocardiogram obtained after processing is shown on the display of the hand-held digital terminal.
Preferably, the processing and display are real-time.
Preferably, the electrocardiogram system further includes a tele-medicine workstation servers, the tele-medicine work station
Server can be communicated to obtain the electrocardiosignal with the wireless communication module of the electrocardio acquisition device, or be held with described
Digital terminal communication is to obtain the electrocardiosignal or the obtained electrocardiogram after the hand-held digital terminal processing.
Preferably, above-mentioned hand-held digital terminal is one of mobile phone and tablet computer, the circuit and the hand-held number
Word terminal integrated design.
Another embodiment of the invention is related to a kind of electrocardiosignal acquisition methods, only by a hand-held hand-held electrocardio
Acquisition device, and the hand-held electrocardio acquisition device is pressed on the skin at oneself left any position of leg, in this way, by simple
Operation, so that it may synchronization gain up to 6 lead limb leads electrocardiograms.Due to only needing to contact with the left leg of user, it is only necessary to
A trouser legs are drawn, it is inconvenient brought by electrocardios test to carry out to avoid in public places et al. more inconvenient places, also has
Electrocardio test operation is carried out conducive to the handicapped people such as the elderly.
Preferably, the electrocardiosignal acquisition device includes box body, and left hand electrodes, right hand electricity are provided on the box body
Pole, left leg electrode and reference electrode contact the left hand with left hand in use, user holds the electrocardiosignal acquisition device
Electrode contacts the right hand electrode with the right hand, the left leg electrode and reference electrode of the electrocardiosignal acquisition device is pressed
On the left leg of oneself.In this way, by shirtsleeve operation, the electrocardiogram of this method energy 6 limb leads of synchronization gain.And due to
The electrocardiosignal acquisition device may be produced that portable small box body, and therefore, this method is highly suitable for obtaining whenever and wherever possible
Much Lead Synchronous ECGs.
Preferably, electrocardiosignal acquisition device used in above-mentioned electrocardiosignal acquisition methods further comprises lead signals
Interface, above-mentioned electrocardiosignal acquisition methods further include by the lead of one or more wall of the chest electrodes before executing above-mentioned steps
Signal output cable is connect with the lead signals interface, and one or more of wall of the chest electrodes are fixed on user oneself chest
On the corresponding anatomical location of wall.In this way, can while obtaining up to 6 limb leads electrocardiograms by shirtsleeve operation
The easily electrocardiogram of synchronization gain one or more heart wall lead.
In another preferred implementation method of above-mentioned electrocardiosignal acquisition methods, the electrocardiosignal acquisition device is into one
Step includes lead signals interface, and above-mentioned electrocardiosignal acquisition methods further include being provided with one before executing above-mentioned steps
The belt-shaped device of multiple wall of the chest electrodes is fixed on the chest of user oneself, and the lead that described belt-shaped device one end is arranged in is believed
Number output terminal is electrically connected with the lead signals interface with cable.In this way, obtaining up to 6 by more shirtsleeve operation
While a limb leads electrocardiogram, it is convenient to which the multiple heart wall leads of synchronization gain are especially convenient to obtain synchronous 12
Lead or synchronous 18 lead electrocardiogram.
Detailed description of the invention
Fig. 1 is the top surface oblique view of one embodiment of hand-held electrocardio acquisition device of the present invention.
Fig. 2 is the bottom surface oblique view of one embodiment of hand-held electrocardio acquisition device of the present invention.
Fig. 3 is a kind of schematic diagram of application method of hand-held electrocardio acquisition device of the present invention.
Fig. 4 is can the structural schematic diagram of electrode position adjustment structure stirred of multistage in one embodiment of the invention.
Fig. 5 is a kind of structural schematic diagram for the columnar electrode that can reconcile electrode extension in one embodiment of the invention.
Fig. 6 is the circuit modular structure figure of hand-held electrocardio acquisition device of the present invention.
Fig. 7 is a kind of structural schematic diagram of belt-shaped device that can be used in combination with hand-held electrocardio acquisition device of the present invention.
Specific embodiment
(basic structure and application method)
Referring to Fig. 1 and Fig. 2, whole hand-held electrocardio acquisition device 1 is substantially in rectangular shape, including box body 10.Do not make
For limitation, only convenient for statement, each face for defining box body 10 is respectively top surface A1, bottom surface A2, leading flank A3, trailing flank A4, a left side
Side A5, right side A6.Left hand electrodes 2 and right hand electrode 4 are provided on the top surface A1 of box body 10, A2, which is protruded above, in bottom surface sets
It is equipped with left leg electrode 6 and reference electrode 7.
In use, as shown in figure 3, user 100 holds electrocardio acquisition device 1, with the thumb of left hand 101 and the right hand 102 or
Palm thenar portion not Jie Chu left hand electrodes 2 and right hand electrode 4, meanwhile, it is (right on left leg 103 that electrocardio acquisition device 1 is pressed
In the user for losing leg, contact and the immediate metastomium of left leg 103 can be moved into), due to the left side contacted with leg 103
Leg electrode 6 and reference electrode 7 protrude setting to outside box body 10, so that holding electrocardio acquisition device 1 and being pressed in left leg 103
The skin contact that left leg electrode 6 and reference electrode 7 can well with left leg 103 when upper.In this way, from left hand 101 (anode) to the right side
Hand 102 (cathode) obtains standard I lead signals, and standard II lead letter is obtained from left leg 103 (anode) to the right hand 102 (cathode)
Number.Tetra- limb leads signals of standard III, aVR, aVL, aVF are calculated with mathematical formulae again, to obtain synchronous 6 limbs
Body lead signals.If respectively indicating its corresponding lead electrocardiosignal with I, II, III, aVR, aVL, aVF, calculation formula can table
It is shown as:
III=II-I (1)
AVR=-1/2 (II+I) (2)
AVL=I-1/2II (3)
AVF=II-1/2I (4)
Since left hand electrodes 2, right hand electrode 4, left leg electrode 6 and reference electrode 7 are arranged at hand-held electrocardio by the present invention
On device 1, in this way, by simply operating, so that it may synchronization gain standard I lead and standard II lead electrocardiosignal.Meanwhile it is logical
It crosses and is calculated using standard I lead and standard II lead electrocardiosignal, further obtain standard III lead and augmented unipolar
The electrocardiosignal of limb leads aVR, aVL, aVF, to be able to satisfy the diagnosis of most of heart disease.
(improved hand electrode structure)
The electrode fault (i.e. the right hand contact left hand electrodes by left hand contact right hand electrode) contacted due to left hand and the right hand
Will lead to cannot obtain correct electrocardiogram, and a kind of improved procedure is left hand electrodes 2 and the right hand electricity in the top surface A1 of box body 10
Filling mark 12 near pole 4.But for gerontal patient, or part cannot differentiate the people of mark, fill the mode of mark according to
It is so less reliable, it is just difficult to touch the structure of respective electrode it is therefore preferable that holding mistake in top surface A1 design right-hand man.Example
Such as, as shown in Figure 1, each extending over setting from leading flank A3 to top surface A1, there are two the recess portions for meeting human finger shape, i.e., left
Left hand electrodes 2 are arranged in left hand recess portion 3 for hand recess portion 3 and right hand recess portion 5, and right hand electrode 4 is arranged in right hand recess portion 5.Such as
Core electricity acquisition device 1 is held instead by patient from trailing flank, and finger is protruded into respective recess will be very inconvenient, thus help to disappear
Except anti-mistake is held in left and right.Meanwhile if patient holds the top surface A1 of device and bottom surface A2 instead, due to the left hand contacted with hand
Electrode 2 and right hand electrode 4 are arranged in the lesser recess portion in space, and leg is relatively sturdy and flat, holds anti-rear 3 He of left hand recess portion
Electrode in right hand recess portion 5 cannot be in contact with leg and patient is made to recognize to hold mistake, therefore being designed in this way can also be with
It eliminates patient and box body top surface A1 and bottom surface A2 is held into anti-mistake.
(improved leg electrode structure)
Electrode position can be arranged to reference electrode 7 in the sturdy difference of size in order to adapt to the people leg of all ages and classes
Adjustment structure.Electrode position adjustment structure can be the multistage toggle switch of the electrode position of various adjustable reference electrodes 7.
Fig. 4 is a kind of schematic diagram of electrode position adjustment structure including multistage toggle switch.The electrode position adjusts knot
Structure 8 includes that the rectangle opened up on the bottom surface A2 of box body 10 adjusts window 9, and is attached on box body 10, with adjusting window 9
The partly overlapping switch box body 80 in position.Switching box body 80 includes a dismountable plate 81 parallel with the bottom surface A2 of box body 10,
Wherein Fig. 4 (a) is the front view after dismantling board falling 81 out of box body 10 to outside box body 10, and Fig. 4 (b) is to cut open in Fig. 4 (a) along F-F
The cross-sectional view of line.
The position Chong Die with the adjusting window 9 of box body 10 is provided with electrode pressing plate 83, electrode pressing plate in switch box body 80
83 adjust a part of window 9 along the longitudinal direction covering for adjusting window 9, and are switched on and off the limiting unit 82 at 80 both ends of box body
It is limited in switch box body 80.Opposite with electrode pressing plate 83, the fixation on box body 10 of another longitudinal direction of edge adjusting window 9 is set
It is equipped with electrode supporting plate 91.Slit 93 is formed between electrode pressing plate 83 and electrode supporting plate 91, for placing reference electrode 7.Electricity
The one side close with electrode supporting plate 91 of extreme pressure plate 83 is corrugated, is replaced by arc-shaped depression portion 83A with arc protrusion 83B and is constituted.
Resilient support members 84 are provided between one side of the electrode pressing plate 83 far from electrode supporting plate 91 and switch box body 80, are flexibly supported
State of the element 84 always in compression, therefore an elastic pressure can be provided always and act on electrode pressing plate 83, and pass through electrode
Pressing plate 83 and act on reference electrode 7.Elastic element 84 for example can be a compressed spring, in addition, in order to fix elastic element
84, the elastic element support plate 85 of the position for fixing elastic element 84 can be set.Preferably, elastic element 84 can basis
The length setting of electrode pressing plate 83 is multiple.In addition, can be carried on the back in electrode supporting plate 91 for the intensity of intensifier electrode support plate 91
One or more ribs 92 are arranged in side from installation reference electrode 7.
Under normal circumstances, reference electrode 7 will be trapped in an arc-shaped depression portion 83A and electrode supporting plate 91 for electrode pressing plate 83
Between.Appropriateness firmly stirs reference electrode 7, then elastic element 84 can be overcome to be supplied to reference electrode 7 by electrode pressing plate 83
Elastic pressure makes reference electrode 7 cross adjacent arc protrusion 83B from an arc-shaped depression portion 83A and is moved to adjacent another
A arc-shaped depression portion 83A.As child in use, reference electrode 7 is toggled it to the position closer to left leg electrode 6, make reference electrode 7
Become smaller with left 6 distance d of leg electrode；And work as adult in use, by reference electrode 7 to stirring far from the direction of left leg electrode 6,
The distance d of the two is set to become larger.For the distance between reference electrode and left leg electrode, due to medically generally requiring it small
In 4cm, it is therefore preferred that the substantially 4cm when the distance d minimum of left leg electrode 6 and reference electrode 7, as the distance d of the two
When maximum, the two can also increase hand-held electrocardio and obtain at a distance of substantially 10cm although excessive distance is advantageous measurement
Take the volume of device 1 and not readily portable.Movable reference electrode 7 often stirs the removable substantially distance of 1cm of a gear.
In some cases, the leg of some especially thin people shows greatly uneven, even at this point, electrode
Contact outwardly protrudes, also different surely well to contact with testee's leg skin well.In order to solve this problem, with leg
Contact left leg electrode 6 and reference electrode 7 be preferably electrode length can to outside box body elastic telescopic electrode.
Fig. 5 show a kind of electrode length can to outside box body the columnar electrode 200 of elastic telescopic structure, the columnar electrode
200 include the electrode contact 21 with testee's skin contact, can be connect with conducting wire with by signal leading-out portion 22 derived from signal
And the cylinder 23 between electrode contact 21 and signal leading-out portion 22.The arbitrary cross section of the columnar electrode 200 is preferably in
The maximum gauge of round or ellipse, cylinder 23 and signal leading-out portion 22 is roughly the same, and box body 10 is arranged in order to pass through
Mounting hole 15 (or such as above-mentioned slit 93) on the A2 of bottom surface.In addition, one end on cylinder 23 close to signal leading-out portion 22 is set
It is equipped with gasket card slot 25.When installation, it first is arranged a hollow spring 26 on the cylinder 23 between electrode contact 21 and box body 10, when
After a part of signal leading-out portion 22 and cylinder 23 passes through the mounting hole 15 on box body 10, with gasket retainer ring 211 by electrode clamping
On box body 10.It is stretched out to outside box body 10 as far as possible in this way, hollow spring 26 provides an elastic pressure to electrode contact 21, is made
Electrode contact 21 can with the skin of testee it is be more good contact.
Signal leading-out portion 22 can be various suitable connecting wires with by structure derived from signal.Such as bolt arrangement, even
The washer for being connected to conducting wire is set on bolt, and nut is recycled to tighten.Preferably, signal leading-out portion 22 is, for example, as shown in Figure 5
Shaped like in fastener in the pin thread shape of protrusion, in use, fastening the female thread being connect with conducting wire and the pin thread to by signal
Export.The connection of this removably movable connection method is very stable, and being connected and disconnected from all easily for conducting wire and electrode facilitates electricity
The installation of pole.
In addition, in order to reduce the abrasion of hollow spring 26 and gasket retainer ring 211 to box body 10, and make columnar electrode 200
Smoothly moved in the slit 93 of such as electrode position adjustment structure 8, can on cylinder 23, hollow spring 26 with
Electrode pads 210 are set between box body 10 and between box body 10 and gasket retainer ring 211.
It is highly preferred that the diameter of the hollow spring 26 is variation, such as intermediate maximum, both ends are gradually become smaller, in this way, working as
When compressing the hollow spring 26, the spring ring of minor diameter can be retracted in the spring ring of major diameter so that compression after spring length
It can be extremely short.
(circuit structure and electrocardiogram system)
Fig. 6 indicates the modular structure for the circuit 300 being arranged in box body 10.Multichannel amplification module 30, which receives, comes from Multi-path electricity
The signal of pole input simultaneously carries out enhanced processing, under the control of microprocessor 33, converts, will simulate by A/D conversion module 31
Signal is converted into digital signal, is sent to various reception terminals by wireless communication module 32.
Wireless communication module 32 preferably uses bluetooth (Bluetooth) wireless communication protocol, or to be based on IEEE 802.11
For standard, the wireless communication technique that habit is referred to as Wi-Fi (Wireless Fidelity) is carried out wireless communication, with realize with
The wireless communication of the various commonly used digital terminals such as mobile phone, tablet computer, laptop, in this way, by being loaded in digital terminal
Relevant treatment software, so that it may Automatic analysis be carried out to electrocardiosignal, and by electrocardiogram, heart rate, correlation analysis and diagnosis
Etc. as a result various information are shown on the display of digital terminal.Generally, the electrocardio that digital terminal needs further to will acquire
Signal is sent to tele-medicine workstation servers, analyzes and examines to be supplied to the professional such as doctor of professional institution
It is disconnected, and receive the analysis and diagnosis result of return and shown.Wireless communication module 32 can also be using suitable remote biography
Defeated various wireless communication modes, such as 3G, 4G wireless communication on various ordinary meanings, in this way, electrocardio acquisition device 1 obtains
Electrocardiosignal can directly be transferred to tele-medicine workstation servers at a distance.In addition, wireless communication module is also possible to together
When the wireless communication module based on various wireless communication agreement or technology, to improve alternative and convenience.
Multichannel amplification module 30, A/D conversion module 31, wireless communication module 32 and microprocessor 33 constitute circuit 300
Basic comprising modules are indicated, structure is simple in Fig. 6 by solid line, at low cost, but are needed and digital terminal or tele-medicine work
Making station combination could use.
In order to make user have better use feeling, circuit 300 can also further include some additional functional modules, in Fig. 6
In be indicated with dashed lines.For example, it is preferable to the power module 34 constituted using rechargeable battery, to be provided to total circuit 300
Power supply.It is managed and monitors for the battery capacity of power module 34, so that reminding user when battery electric power is inadequate
It carries out battery and recharges electricity monitoring module 35.Certainly, micro power input interface, such as USB power source are set on box body 10
Input interface is with also possible from various digital terminals or other external power supply input powers, or both the above is arranged simultaneously
Power supply method of supplying, to improve convenience.In addition, circuit 300 can also be including memory 36 and driver module 37, together
When, display screen 16 can be set in the top surface of box body 10, show the driving display screen 16 of driver module 37.The display
Screen 16 is, for example, liquid crystal display (LCD), or referred to as Organic Light Emitting Diode (OLED, Organic Light-
Emitting Diode) or Organic Electricity laser display (OELD, Organic Electroluminesence Display)
OLED screen curtain.In this way, related software directly can be loaded in electrocardio acquisition device 1, obtained by the display display of screen 16
Electrocardiogram, and receive the analysis that returns from the digital terminals such as tele-medicine workstation servers or mobile phone and tablet computer
With diagnostic result and show, so that electrocardio acquisition device 1 is whole to may be constructed a complete electrocardiograph.In addition, can be into one
Step loads in memory 36 and automatically analyzes diagnostic software 38, more analyzes and diagnoses result in real time to provide.
Preferably, which can be integrally designed with various digital terminals such as mobile phone, tablet computer etc., share
Its box body and partial circuit module, such as microprocessor, wireless communication module, display etc., in this way, can both keep various hand-held
The amusement of digital terminal such as communicates, surfs the web at the various beneficial functions, and it is convenient and in real time to can use the hand-held digital terminal
Ground measures electrocardiogram, and shows or provide test result and improve making for digital terminal to expand the function of digital terminal
Use range.
(other attachmentes)
But 6 lead electrocardiogram are still insufficient for the diagnosis of the heart disease state of an illness sometimes, in particular with hand-held
6 lead signals that four electrodes being arranged on formula electrocardio acquisition device 1 obtain are limb leads signal, therefore, the present invention
Hand-held electrocardio acquisition device 1 is provided with external lead signals interface 11 (referring to Fig. 1 or Fig. 2), can by external one or
Multiple wall of the chest lead signals are to obtain more ecg informations.
When only needing to connect one or two lead outside, it will can directly be set to such as patch type electrode or sucker of chest
Formula electrode is wired to lead signals interface 11.Referring again to Fig. 3, when it illustrates being connected with a wall of the chest electrode 13 outside
Application method.Wall of the chest electrode 13 is attached or is adsorbed on the corresponding anatomical location of chest 105, it will by subsidiary cable 14
Electrode signal is transmitted to lead signals interface 11.
Although user can connect multiple external wall of the chest electrodes to electrocardio acquisition device 1 simultaneously, even if by each external chest
Wall electrode arrangement position identifies or illustrates on electrocardio acquisition device 1, these are correctly completed for layman and is led
The connection of the arrangement and conducting wire that join electrode is still difficult.Therefore, when needing the outer lead signals connected more, it is preferred to use
The various belt-shaped devices that wall of the chest electrode can be preset, can conveniently be fixed on chest.
Fig. 7 shows a kind of band shape dress for being preset with wall of the chest electrode that can be used cooperatively with electrocardio acquisition device 1 of the present invention
It sets.The belt-shaped device 400 includes the first connector 42 and the second connector 43 of intermediate band body 40 and both ends.Belt-shaped device
400 entirety are elongated shapes, that is to say, that are noticeably greater than belt-shaped device from the length of first the 42 to the second connector of connector 43
400 width.The length of band body 40 can only correspond roughly to chest width between the armpit of human body two sides, can also be from
Band body 40 to by close end first connector 42 or one of the second connector 43 or both simultaneously naturally extension or
One extension 41 of additional allows extension 41 to extend to testee back or even encloses belt-shaped device 400
It is enclosed around the entire chest one of testee.
Belt-shaped device 400 can use the first connector 42 and the second connector 43 is fixed on testee's chest two sides,
Such as first connector 42 and the second connector 43 can be the sucker being adsorbed on body or its with certain adsorption capacity
His adhesion arrangement, when belt-shaped device 400 can be around human chest one week, the first connector 42 and the second connector 43 be can be
It is mutually bonded fixed or lock to fix, the first connector 42 and the second connector 43 can be various well known can cooperate and make
The lock or fastener that can be unbuttoned.
Band body 40 is the flexible-belt body of the multilayered structure of non-conductive single layer structure or overlapping, and the material of each layer can be
Various textile fabrics, rubber, plastics, film etc..
Substantially anatomical location on band body 40 according to selection is provided with multiple for the electricity of wall of the chest electrode 44 to be arranged
Pole setting unit 45.It should be noted that, if it is desired, electrode setting unit 45 can also be set on the extension 41 of band body 40,
So as to by electrode arrangement at testee back.Also, it is each in belt-shaped device 400 or in which certain electrode setting units 45 tool
There is slit, the setting position for the wall of the chest electrode 44 being disposed therein can be adjusted.
The shared lead signals output terminal 46 of setting in 40 one end of band body, by being printed on 40 surface of band body or burying
The conducting wire 47 being located in the interlayer (when band body 40 is made up of multiple layers) of band body 40 is defeated by wall of the chest electrode 44 and lead signals
(each wall of the chest electrode is electrically connected the electrical connection of terminal 46 with lead signals output terminal, but is schematically shown only in figure out
One conducting wire 47), then it is with cable 14 that lead signals output terminal 46 and the lead signals interface being arranged on box body 10 11 is electric
Connection.Dress is obtained by being prewired in belt-shaped device 400, and using cable connection belt-shaped device 400 and electrocardiosignal
1 is set, various operations are carried out to belt-shaped device 400 in this way, excessive conducting wire or cable can be eliminated and be easy to interfere user, or even will lead
The defect of line connection error.
Preferably, it is provided with 6 wall of the chest electrodes 44 in the belt-shaped device 400, is surveyed with adapting to 12 conventional lead ECG
Amount.
Preferably, 12 wall of the chest electrodes 44 are provided with, in the belt-shaped device 400 to adapt to 18 conventional lead ECG
Measurement.
It should be understood that the drawings and the specific embodiments of the present invention are for the present invention will be described rather than is limited
It is fixed.
For example, although box body 10 is substantially in rectangular shape in above embodiment, it is apparent that other shapes are also can be with
, such as in ellipsoid, the electrode contacted with hand and the electrode contacted with leg are arranged in two hemisphere tables up and down of ellipsoid
On face.
For another example, although the leading flank A3 of box body 10 is arranged in lead signals interface 11 in above embodiment, this is only
It is to be illustrative rather than definitive thereof, it is clear that lead signals interface 11 can also be arranged in the other positions of box body 10, as long as not shadow
Ring the contact of electrode and the hand of user and leg.
For another example, the top surface of box body 10 is arranged in the left hand electrodes 2 and right hand electrode 4 that contact with hand, but this is only used for
It is illustrative and not limiting, it is clear that left hand electrodes 2 and right hand electrode 4 can also be arranged in other sides or position of box body 10, example
If left hand electrodes 2 can be set in left side A5, right hand electrode 4 is arranged in right side A6, as long as not influencing electrode and user
Contact of the hand with leg.
For another example, the present invention is provided with electrode position adjustment structure 8 to reference electrode 7, it is apparent that can also be to left leg electrode 6
Electrode position adjustment structure is set without electrode position adjustment structure or left leg electrode 6 is arranged to reference electrode 7 and with reference to electricity
Electrode position adjustment structure is all arranged in pole 7, as long as in short, the distance between adjustable left leg electrode 6 and reference electrode 7 can
With.
For another example, in the usage mode of the electrocardio acquisition device 1 shown in Fig. 3, the reference electrode of electrocardio acquisition device 1 and left leg
Electrode is contacted with the shank of user, but other location contacts of the reference electrode and/or left leg electrode and the left leg of user
It is possible, such as huckle or ankle part, any of the reference electrode and left leg electrode are any with left leg in a word
The skin contact at position is all possible, or even can contact in trunk in the case where left leg missing close to the position of left leg.
For another example, it in above embodiment, for the left hand electrodes 2 and right hand electrode 4 contacted with hand, illustrates with user's
Thumb or palm thenar portion contact mode, but be designed as with other location contacts of the hand of user be obviously also can with, example
It is such as contacted with other fingers, or grasps electrode, be in close contact electrode and the centre of the palm.
The present invention has the advantages that significant.Since the setting of left hand electrodes, right hand electrode, left leg electrode and reference electrode being existed
On one mancarried device, and reference electrode and left leg electrode are arranged close to, therefore are passed through hand-held device and simply pressed
It is pressed on left leg, so that it may obtain 6 at least synchronous lead electrocardiogram, can especially obtain standard II lead electrocardiogram, wrap
The wave of P containing standard, therefore can be used for the needs of the ecg analysis of nearly all common arrhythmia cordis of clinic, including standard P wavelength-division
Such as room morning including analysis, atrial fibrillation, block popular in the market singly lead handheld electrocardiograph device and can only do minority to overcome
The drawbacks of several arrhythmia analysis.It is more importantly that the synchronization multi-lead signal of device output maintains traditional electrocardio
The diagnosis of figure machine it is more comprehensive, operation is again very simple and fast, therefore is easy to universal.
Claims (15)
1. one kind can obtain the hand-held multi-lead synchronous electrocardiosignal acquisition device (1) of multiple standard lead electrocardiosignals, packet
Box body (10) are included, left hand electrodes (2) and right hand electrode (4) are provided on the box body (10), it is characterised in that: in the box
It is provided on body (10) press the electrocardiosignal acquisition device when testing on the left leg of user can simultaneously and user
The left leg electrode (6) of left leg skin contact and reference electrode (7), and the circuit (300) of processing is amplified to electrode signal.
2. electrocardiosignal acquisition device according to claim 1, it is characterised in that: the synchronous electrocardio of the hand-held multi-lead
Signal acquisition device is six lead synchronous electrocardiosignal acquisition device of standard, and definition is standard I from left hand anode to right hand cathode
Lead signals, from left leg anode to right hand cathode be standard II lead signals, then remaining four standard lead signal III, aVR,
AVL, aVF are respectively as follows:
III=II-I；
AVR=-1/2 (II+I)；
AVL=I-1/2 II；
AVF=II-1/2 I.
3. electrocardiosignal acquisition device according to claim 1, it is characterised in that: the left leg electrode (6) and the ginseng
It is adjustable for examining the distance between electrode (7) (d).
4. electrocardiosignal acquisition device according to claim 1, it is characterised in that: the left leg electrode (6) and the ginseng
Examining electrode (7) includes electrode contact (21), and the electrode contact (21) protrudes from the box body (10) surface, and the electrode touches
It is adjustable that head (21), which leaves the distance of the box body (10),.
5. electrocardiosignal acquisition device according to claim 4, it is characterised in that: the electrode contact (21) is by elasticity
The effect of pressure contacts the electrode contact (21) and the skin stabilization of the left leg of the user.
6. electrocardiosignal acquisition device according to claim 1, it is characterised in that: being provided on the box body (10) can be outer
Connect the lead signals interface (11) of cardiac diagnosis lead signal.
7. electrocardiosignal acquisition device according to any claim from 1 to 6, it is characterised in that: the box body
(10) being provided with prevents user's left hand and the right hand from holding anti-structure, contacts the right hand electrode to avoid the left hand of user when using
(4), the right hand contact left hand electrodes (2).
8. electrocardiosignal acquisition device according to any claim from 1 to 6, it is characterised in that: the circuit
It (300) include multichannel amplification module (30), A/D conversion module (31), wireless communication module (32) and microprocessor (33).
9. a kind of electrocardiogram system, including an electrocardiosignal acquisition device according to claim 8 and a hand-held number are eventually
End, the hand-held digital terminal are loaded with particular procedure software, can be with the wireless communication module of the electrocardiosignal acquisition device
(32) communication is to obtain the electrocardiosignal and be handled, and the electrocardiogram obtained after processing is shown in the hand-held number
On the display of terminal.
10. electrocardiogram system according to claim 9, it is characterised in that: it further include a tele-medicine workstation servers,
The tele-medicine workstation servers can be communicated with the wireless communication module (32) of the electrocardiosignal acquisition device to obtain
The electrocardiosignal, or communicate with the hand-held digital terminal to obtain the electrocardiosignal or through the hand-held digital terminal
The obtained electrocardiogram after processing.
11. electrocardiogram system according to claim 9 or 10, it is characterised in that: the hand-held digital terminal be mobile phone and
One of tablet computer, the electrocardiosignal acquisition device and the hand-held digital terminal are integrally designed.
12. a kind of include using synchronous obtain of the electrocardiosignal acquisition device (1) as described in claim 1-5 any claim
The method of the multi-lead electrocardiosignal of multiple standard lead electrocardiosignals, which comprises the following steps:
(a) user holds the electrocardiosignal acquisition device (1)；
(b) the electrocardiosignal acquisition device (1) is pressed on the skin at any position of the left leg of user oneself.
13. a kind of method as claimed in claim 12, it is characterised in that: when executing the step (a), the contact of user's left hand
The left hand electrodes (2), the right hand, which contacts the right hand electrode (4), makes the left leg electrode (6) when executing the step (b)
Skin contact with the reference electrode (7) with the left leg.
14. a kind of method as described in claim 12 or 13, it is characterised in that: the electrocardiosignal acquisition device (1) is into one
Step includes lead signals interface (11), before executing the step (a) and the step (b), also executes following steps:
(c) even by the lead signals output cable (14) of one or more wall of the chest electrodes (44) and the lead signals interface (11)
It connects, and one or more of wall of the chest electrodes is fixed on the corresponding anatomical location of user oneself wall of the chest.
15. a kind of method as described in claim 12 or 13, it is characterised in that: the electrocardiosignal acquisition device (1) is into one
Step includes lead signals interface (11), before executing the step (a) and the step (b), also executes following steps:
(d) belt-shaped device (400) that one is provided with multiple wall of the chest electrodes (44) is fixed on to the chest of user oneself, the band
One end that shape dress sets (400) is provided with lead signals output terminal (46), with cable (14) by the institute of the belt-shaped device (400)
Lead signals output terminal (46) is stated to be electrically connected with the lead signals interface (11).
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| CN201310141841.XA CN103190897B (en) | 2013-04-23 | 2013-04-23 | Hand-held multi-lead electrocardiogram signal acquiring method and device |
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| CN201310141841.XA CN103190897B (en) | 2013-04-23 | 2013-04-23 | Hand-held multi-lead electrocardiogram signal acquiring method and device |
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| CN103190897B true CN103190897B (en) | 2019-03-29 |
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| TWI539931B (en) * | 2014-01-03 | 2016-07-01 | 緯創資通股份有限公司 | ECG measurement method and device |
| CN106999082A (en) * | 2014-11-14 | 2017-08-01 | 斯蒂芬·德雷克 | Systems and methods for performing an electrocardiogram |
| CN105943028A (en) * | 2016-07-14 | 2016-09-21 | 苏州咖丢卫私康信息科技有限公司 | Heart health examination system |
| CN107647863A (en) * | 2017-10-31 | 2018-02-02 | 美合实业（苏州）有限公司 | A kind of portability ECG Gathering System of multi-communication mode |
| WO2019113944A1 (en) * | 2017-12-15 | 2019-06-20 | 深圳迈瑞生物医疗电子股份有限公司 | Lead electrode identification apparatus and method, storage medium, and medical monitoring device |
| JP7102266B2 (en) * | 2018-07-06 | 2022-07-19 | オムロンヘルスケア株式会社 | Belt and electrocardiographic measuring device |
| CN109893122A (en) * | 2019-03-28 | 2019-06-18 | 黄加庆 | The mobile phone of feasible multi-lead ECG examination and cardioelectric monitor |
| CN110115578A (en) * | 2019-04-25 | 2019-08-13 | 维灵（杭州）信息技术有限公司 | A kind of three electrode of compatibility and two electrode detection lead electrocardiosignal methods and detector |
| CN113317795B (en) * | 2020-02-29 | 2022-11-22 | 华为技术有限公司 | Signal measurement method and device |
| CN113180682A (en) * | 2021-05-28 | 2021-07-30 | 深圳市埃微信息技术有限公司 | Method and device for collecting double-lead electrocardiogram |
| CN114343658A (en) * | 2021-12-30 | 2022-04-15 | 首都医科大学附属北京世纪坛医院 | Closed-loop percutaneous concha vagus nerve stimulator based on ECG signals |
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Effective date of registration: 20160526 Address after: 100094, room 1, building 538, No. 110, Yongfeng Tun, Haidian District, Beijing Applicant after: CARDIOCLOUD MEDICAL TECHNOLOGY (BEIJING) CO.,LTD. Address before: 100070, building 1, No. 1, nuclear Road, Fengtai District, Beijing, 301 Applicant before: Beijing Biolat Science & Technology Development Co.,Ltd. |
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Denomination of invention: Handheld multi lead synchronous electrocardiogram signal acquisition method and device Effective date of registration: 20230724 Granted publication date: 20190329 Pledgee: Zhongguancun Beijing technology financing Company limited by guarantee Pledgor: CARDIOCLOUD MEDICAL TECHNOLOGY (BEIJING) CO.,LTD. Registration number: Y2023990000376 |