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CN107412930A - A kind of respiratory assistance apparatus - Google Patents

A kind of respiratory assistance apparatus Download PDF

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Publication number
CN107412930A
CN107412930A CN201710263730.4A CN201710263730A CN107412930A CN 107412930 A CN107412930 A CN 107412930A CN 201710263730 A CN201710263730 A CN 201710263730A CN 107412930 A CN107412930 A CN 107412930A
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CN
China
Prior art keywords
controller
respiratory cycle
regulating valve
air
patient
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Application number
CN201710263730.4A
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Chinese (zh)
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CN107412930B (en
Inventor
帅梦琦
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Jiaxing Lai Pu Sheng Medical Technology Co Ltd
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00Instruments for auscultation
    • A61B7/003Detecting lung or respiration noise
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Pulmonology (AREA)
  • Molecular Biology (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The invention discloses a kind of respiratory assistance apparatus, and it includes air bottle, oxygen cylinder, regulating valve, gas mixer chamber, breathing mask, belly bladder, breath sound harvester, ultrasonoscopy device and controller.Respiration assistance service can be accurately provided to patient according to the real-time biological information of patient by the present invention.

Description

A kind of respiratory assistance apparatus
Technical field
The invention belongs to medical instruments field, and in particular to one kind is according to the real-time biological information of patient, there is provided accurately supply The respiratory assistance apparatus of oxygen amount.
Background technology
Some patients of the respiratory disease requirement with these diseases are supplied to air or oxygen-enriched air mixture.Gas This supply can be used commonly known as respiratory assistance apparatus respiratory assistance apparatus carry out, conventional lung ventilator is all by both Fixed oxygen-supplying amount, frequency is supported to provide oxygen rich gas for patient.However, the patient's condition of different patients is not quite similar, even for same One patient, it is also not necessarily identical in the health of different time.Therefore, conventional lung ventilator can not because of people and preferably, or Because when and accurate Respiration assistance service preferably is provided.
The content of the invention
To solve the above problems, the present invention proposes following technical scheme:
A kind of respiratory assistance apparatus, including air bottle, oxygen cylinder, the first regulating valve, the second regulating valve, gas mixer chamber and Breathing mask, first regulating valve are used for the pressure and/or flow for adjusting the air stream from air bottle, second regulation Valve is used for the pressure and/or flow for adjusting the pure oxygen gas flow from oxygen cylinder, pure oxygen mixed with air in gas mixer chamber to Predetermined concentration simultaneously exports oxygen rich gas for patient's use to breathing mask, in addition to:
Breath sound harvester, for gathering sound caused by the breathing of patient lung, formation sound wave signal, and pass Transport to controller;
Ultrasonoscopy device, for sending ultrasonic wave to patient lung and receiving the ultrasonic wave of lung's backspace, form reflection The ultrasonoscopy of patient lung real-time planar area, and the ultrasonoscopy is transmitted to controller;
Belly bladder, it is the flexible air-bag of banding, can circumferentially be located at the belly of patient, and pass through the 3rd with air bottle Regulating valve connects;
Controller, it is filled with the first regulating valve, the second regulating valve, the 3rd regulating valve, breath sound harvester, ultrasonoscopy Confidence number connects, and the controller generates sound wave change curve according to the sound wave signal, and calculates each breathing respectively The slope of inspiratory limb broken line in cycle and the slope of expiration section broken line, meanwhile, controller calculates each according to the ultrasonoscopy The maximum and minimum of the area of plane of the lung of individual respiratory cycle;
When the slope of the inspiratory limb broken line in the slope more previous respiratory cycle of the inspiratory limb broken line in any respiratory cycle Change, and when rate of change is more than first predetermined value, controller makes the abnormal judgement of air-breathing, further, controller meter The difference between the maximum of the respiratory cycle and the maximum of previous respiratory cycle is calculated, if the difference is negative, and difference is exhausted Second predetermined value is more than to value, then controller controls the second regulating valve to make the pure oxygen that the inspiratory limb of next respiratory cycle is provided Flow increase;
When the slope of the expiration section broken line in the slope more previous respiratory cycle of the expiration section broken line in any respiratory cycle Change, and when rate of change is more than first predetermined value, controller makes exhale abnormal judgement, further, controller meter The difference between the minimum of the respiratory cycle and the minimum of previous respiratory cycle is calculated, if the difference is just, and difference is exhausted To value be more than second predetermined value, then controller control the 3rd regulating valve, make belly bladder next respiratory cycle expiration section Inflated by air bottle so that air sac pressing belly, form abdominal pressure, promote patient's exhaled gas.
Preferably, oxygen concentration sensor is provided with the gas mixing room.
Preferably, the belly bladder is additionally provided with the vent valve for deflation, and belly bladder is connected to gas by vent valve Body mixing chamber.
By the present invention can according to the biological information of patient, because of people preferably, because when and accurate breathing preferably is provided Assistant service.
Brief description of the drawings
Fig. 1 shows the principle assumption diagram of the present invention;
Fig. 2 shows the change of breath sound;
Fig. 3 shows the area change of lung ultrasound image.
Embodiment
The present invention is described in detail below in conjunction with accompanying drawing.
As shown in figure 1, respiratory assistance apparatus includes:
Air bottle 1, oxygen cylinder 3, the first regulating valve 2, the second regulating valve 4, gas mixer chamber 5 and breathing mask 6, described One regulating valve 2 is used for the pressure and/or flow for adjusting the air stream from air bottle 1, and second regulating valve 4, which is used to adjust, to be come From the pressure and/or flow of the pure oxygen gas flow of oxygen cylinder 3, pure oxygen is mixed to predetermined concentration simultaneously with air in gas mixer chamber 5 Oxygen rich gas is exported to breathing mask 6 to use for patient, in addition to:
Breath sound harvester 7, for gather patient lung breathing caused by sound, formed sound wave signal, and Transmit to controller 11;
Ultrasonoscopy device 8, for sending ultrasonic wave to patient lung and receiving the ultrasonic wave of lung's backspace, form reflection The ultrasonoscopy of patient lung real-time planar area, and the ultrasonoscopy is transmitted to controller 11;
Belly bladder 9, it is the flexible air-bag of banding, can circumferentially be located at the belly of patient, and pass through the with air bottle 1 Three regulating valves 10 connect;
Controller 11, it is with the first regulating valve 2, the second regulating valve 4, the 3rd regulating valve 10, breath sound harvester 7, super The signal of acoustic image device 8 connects.
As shown in Fig. 2 controller 11 generates sound wave change curve according to the sound wave signal, and calculate respectively each The slope of inspiratory limb broken line in respiratory cycle and the slope of expiration section broken line, meanwhile, as shown in figure 3, controller 11 is according to institute State the maximum and minimum of the area of plane of the lung of ultrasonoscopy calculating each respiratory cycle;
During eupnea, sound wave change curve each respiratory cycle it is linear basically identical, and when expiratory dyspnea when, It can cause to be short of breath, the slope of each section of broken line can change.When the inspiratory limb broken line in any respiratory cycle slope compared with The slope of inspiratory limb broken line in the previous respiratory cycle changes, and when rate of change is more than first predetermined value, controller is made The abnormal judgement of air-breathing;
Further, within a respiratory cycle, the lobe of the lung because of suction gas and volume becomes big, because of exhaled gas, volume becomes Small, there is maximum and minimum in the shaded area for being reflected in the ultrasonoscopy Shang Ze lungs of lung.Normal breathing, maximum It is substantially invariable with minimum, such as has difficulty in breathing, the lobe of the lung can not obtain enough air and becoming size has variation.Control Device processed calculates the difference DELTA F between the maximum of the respiratory cycle and the maximum of previous respiratory cycle, if the difference DELTA F is It is negative, and the absolute value of difference DELTA F is more than second predetermined value, then the second regulating valve of controller control makes the suction of next respiratory cycle The flow increase for the pure oxygen that gas section is provided;
When the slope of the expiration section broken line in the slope more previous respiratory cycle of the expiration section broken line in any respiratory cycle Change, and when rate of change is more than first predetermined value, controller makes exhale abnormal judgement, further, controller meter The difference DELTA F between the minimum of the respiratory cycle and the minimum of previous respiratory cycle is calculated, if the difference DELTA F is just, and it is poor Value Δ F absolute value is more than second predetermined value, then controller controls the 3rd regulating valve, makes belly bladder in next respiratory cycle Expiration section inflated by air bottle so that air sac pressing belly, formed abdominal pressure, promote patient's exhaled gas.
One skilled in the art would recognize that without departing substantially from as the spirit and scope of the invention described in general manner, Various changes and/or modification can be carried out to the invention shown in each specific embodiment.Therefore, in terms of all For, embodiment here is considered as illustrative and and non-limiting.Equally, the present invention includes any feature Combination, the combination of any feature especially in Patent right requirement, even if the combination of this feature or feature is not in patent It is explicitely stated in claim or each embodiment here.

Claims (4)

1. a kind of respiratory assistance apparatus, it is characterised in that device, controller, respiratory surface including gathering user's biological information Cover, belly bladder and apparatus of oxygen supply, controller adjust oxygen-supplying amount in real time according to the real-time biological information of user.
2. a kind of respiratory assistance apparatus, including air bottle, oxygen cylinder, the first regulating valve, the second regulating valve, gas mixer chamber and exhale Mask is inhaled, first regulating valve is used for the pressure and/or flow for adjusting the air stream from air bottle, second regulating valve For adjusting the pressure and/or flow of the pure oxygen gas flow from oxygen cylinder, pure oxygen is mixed to pre- with air in gas mixer chamber Determine concentration and export oxygen rich gas to breathing mask to use for patient, it is characterised in that:
Breath sound harvester, for gather patient lung breathing caused by sound, formed sound wave signal, and transmit to Controller;
Ultrasonoscopy device, for sending ultrasonic wave to patient lung and receiving the ultrasonic wave of lung's backspace, form reflection patient The ultrasonoscopy of lung's real-time planar area, and the ultrasonoscopy is transmitted to controller;
Belly bladder, it is the flexible air-bag of banding, can circumferentially be located at the belly of patient, and pass through the 3rd regulation with air bottle Valve connects;
Controller, it believes with the first regulating valve, the second regulating valve, the 3rd regulating valve, breath sound harvester, ultrasonoscopy device Number connection, the controller generate sound wave change curve according to the sound wave signal, and calculate each respiratory cycle respectively The slope of interior inspiratory limb broken line and the slope of expiration section broken line, meanwhile, controller calculates each exhale according to the ultrasonoscopy Inhale the maximum and minimum of the area of plane of the lung in cycle;
When the slope of the inspiratory limb broken line in the slope more previous respiratory cycle of the inspiratory limb broken line in any respiratory cycle occurs Change, and when rate of change is more than first predetermined value, controller makes the abnormal judgement of air-breathing, further, controller calculates this Difference between the maximum of respiratory cycle and the maximum of previous respiratory cycle, if the difference is negative, and the absolute value of difference More than second predetermined value, then controller controls the stream for the pure oxygen that the second regulating valve provides the inspiratory limb of next respiratory cycle Amount increase;
When the slope of the expiration section broken line in the slope more previous respiratory cycle of the expiration section broken line in any respiratory cycle occurs Change, and when rate of change is more than first predetermined value, controller makes abnormal judgement of exhaling, further, controller, which calculates, to be somebody's turn to do Difference between the minimum of respiratory cycle and the minimum of previous respiratory cycle, if the difference is just, and the absolute value of difference More than second predetermined value, then the 3rd regulating valve of controller control, makes belly bladder empty in the expiration section of next respiratory cycle Inflating gas cylinder so that air sac pressing belly, form abdominal pressure, promote patient's exhaled gas.
3. the respiratory assistance apparatus as described in claim 1-2, oxygen concentration sensor is provided with the gas mixing room.
4. the respiratory assistance apparatus as described in claim 1-3, the belly bladder is additionally provided with the vent valve for deflation, belly Air bag is connected to gas mixer chamber by vent valve.
CN201710263730.4A 2017-04-21 2017-04-21 A kind of respiratory assistance apparatus Active CN107412930B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710263730.4A CN107412930B (en) 2017-04-21 2017-04-21 A kind of respiratory assistance apparatus

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Application Number Priority Date Filing Date Title
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CN107412930B CN107412930B (en) 2018-10-16

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110404145A (en) * 2018-04-26 2019-11-05 罗远明 A kind of accurate adjustable and without carbon dioxide retention oxygen therapy device of fraction of inspired oxygen
CN114052767A (en) * 2022-01-14 2022-02-18 常州复睿特生物科技有限公司 Lung cancer molecular marker detection device
CN116369898A (en) * 2023-06-06 2023-07-04 青岛市第五人民医院 Respiratory data reminding system for critical diseases

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2090274U (en) * 1991-03-07 1991-12-11 燕相山 Auxiliary respiratory apparatus
US20080202525A1 (en) * 2007-02-23 2008-08-28 General Electric Company Setting mandatory mechanical ventilation parameters based on patient physiology
CN104399164A (en) * 2014-12-01 2015-03-11 北京神鹿腾飞医疗科技有限公司 Intelligent respirator and aerating method of using the respirator
CN104840351A (en) * 2015-05-29 2015-08-19 韩锋 Wearable external chest compression respirator synchronous to expiratory phase
WO2016020825A1 (en) * 2014-08-04 2016-02-11 Koninklijke Philips N.V. Translating respiratory therapy parameters
CN106372447A (en) * 2016-10-30 2017-02-01 苏州市克拉思科文化传播有限公司 Intelligent medical sickbed management system
CN106512163A (en) * 2016-12-12 2017-03-22 山东省千佛山医院 Intelligent oxygen-supplying and remote monitoring respirator

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2090274U (en) * 1991-03-07 1991-12-11 燕相山 Auxiliary respiratory apparatus
US20080202525A1 (en) * 2007-02-23 2008-08-28 General Electric Company Setting mandatory mechanical ventilation parameters based on patient physiology
WO2016020825A1 (en) * 2014-08-04 2016-02-11 Koninklijke Philips N.V. Translating respiratory therapy parameters
CN104399164A (en) * 2014-12-01 2015-03-11 北京神鹿腾飞医疗科技有限公司 Intelligent respirator and aerating method of using the respirator
CN104840351A (en) * 2015-05-29 2015-08-19 韩锋 Wearable external chest compression respirator synchronous to expiratory phase
CN106372447A (en) * 2016-10-30 2017-02-01 苏州市克拉思科文化传播有限公司 Intelligent medical sickbed management system
CN106512163A (en) * 2016-12-12 2017-03-22 山东省千佛山医院 Intelligent oxygen-supplying and remote monitoring respirator

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110404145A (en) * 2018-04-26 2019-11-05 罗远明 A kind of accurate adjustable and without carbon dioxide retention oxygen therapy device of fraction of inspired oxygen
CN114052767A (en) * 2022-01-14 2022-02-18 常州复睿特生物科技有限公司 Lung cancer molecular marker detection device
CN116369898A (en) * 2023-06-06 2023-07-04 青岛市第五人民医院 Respiratory data reminding system for critical diseases
CN116369898B (en) * 2023-06-06 2024-02-20 青岛市第五人民医院 Respiratory data reminding system for critical diseases

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Effective date of registration: 20180903

Address after: 314100 C7 building 201, Chuang Road, Dayun Town, Jiashan, Jiaxing, Zhejiang, 201

Applicant after: Jiaxing Lai Pu Sheng Medical Technology Co., Ltd.

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