Development of a Urinary Monitoring Device and IntelligentManagement System for Neurogenic Bladder Patients

• Main Authors: CHEN, JING-YI, 陳競一
• Other Authors: CHEN, PEI-JARN
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/83exrc

碩士 === 南臺科技大學 === 電機工程系 === 106 === In clinical, neuropathic bladder dysfunction in spinal cord injury (SCI) patients need to control of water intake and clean intermittent catheterization (CIC) because of the loss of urinary reflex. If they don’t do CIC, they will lead to Bladder swelling and complications of the urinary system. According to the SCI patient questionnaire statistics, the main reasons for the inconvenience and the decline in quality of life are control of urination time, difficult to find the wheelchair accessible, and control of dietary intake. However, there is still no single wearable device for bladder care so far. In that case, this study developed a system that separated into two parts, the functions of bladder monitoring and care management. The first part used ultrasound to development of a small wearable urinary monitoring device (UMD), which could estimate the storage of the bladder urine by measuring the distance between the anterior and posterior walls of the bladder. The second part linked to Google Map through app and the cloud database to create an intelligent management system (IMS). It could provide four functions: catheterization timekeeping, seeking the wheelchair accessible, historical records, care advices, and urine measurement. The results of the UMD test showed that the device attached the skin and fat phantom of 24 mm, it could detect the transverse diameter (TD) is 6 to 12 cm signal change of bladder phantom. And, both the signal estimation and the actual TD error are within 5 mm so that the signal could be set Threshold values to remind urination. The results of the IMS test showed that the satisfaction questionnaire was completed after 10 days of 6 SCI patients using this system; the scores of the questionnaires were 1-5 points from low to high, and the average score was 4.26. Representing this system has considerable effectiveness for Improving SCI patients with urination problem. Based on the results of this experiment, the study will conduct human clinical trials in the future. The device could help patients grasp the timing of urination and integrate with the IMS to improve the quality of life and the health of the disabled. Moreover, it could be used as a future clinical long-term bladder care medical treatment.