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CN104474623B - Suction-type anaesthetic vaporizer defecator - Google Patents

Suction-type anaesthetic vaporizer defecator Download PDF

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Publication number
CN104474623B
CN104474623B CN201410502541.4A CN201410502541A CN104474623B CN 104474623 B CN104474623 B CN 104474623B CN 201410502541 A CN201410502541 A CN 201410502541A CN 104474623 B CN104474623 B CN 104474623B
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defecator
drug reservoir
suction
evaporation
housing
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CN104474623A (en
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冯泽国
王卫东
米卫东
郭梦倬
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Chinese PLA General Hospital
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Abstract

本本发明涉及一种吸入式麻醉蒸发过滤装置,该种具有恒温加热功能的吸入式麻醉蒸发过滤装置,可在不同环境温度下,保证吸入麻醉剂蒸发浓度的稳定性。该种吸入式麻醉蒸发过滤装置,包括:过滤器壳体、设置在壳体一侧的呼吸机连接端、设置在壳体另一侧的受试者吸入端,该壳体的内腔设有过滤装置,还包括:与过滤器壳体连通的储药容器,该储药容器中设有蒸发部件和温度控制部件,该温度控制部件经由蒸发部件能够对储药容器中的麻醉药进行加热,储药容器内的麻醉药加热并蒸发后流入到过滤器壳体中。

The invention relates to an inhalation anesthesia evaporative filtering device. The inhalation anesthetic evaporative filtering device with a constant temperature heating function can ensure the stability of the inhaled anesthetic evaporation concentration under different ambient temperatures. The inhalation anesthesia evaporation filtering device includes: a filter housing, a ventilator connection end arranged on one side of the housing, and a subject inhalation end arranged on the other side of the housing. The filter device also includes: a drug storage container communicated with the filter housing, the drug storage container is provided with an evaporating component and a temperature control component, and the temperature control component can heat the anesthetic drug in the drug storage container through the evaporating component, The anesthetic drug in the drug storage container flows into the filter housing after being heated and evaporated.

Description

吸入式麻醉蒸发过滤装置Inhalation anesthesia evaporative filtration device

技术领域technical field

本发明涉及一种过滤装置,特别涉及一种用于医学临床上的吸入式麻醉蒸发过滤装置。The invention relates to a filter device, in particular to an inhalation type anesthesia evaporation filter device used in clinical medicine.

背景技术Background technique

目前,我国医疗所配备的麻醉机是标准的临床常规设备,其主要问题是功能单一、体积庞大、重量大、包装运输和组装使用极不方便,此类麻醉机所带吸入麻醉药挥发罐结构复杂、体积笨重、安装运输不便。通常,伤员多为多发伤和复合伤,其伤情复杂严重、创伤范围大,需要手术处理部位多,常需要施行全身麻醉。全身麻醉效果确切、完善、迅速,可作为手术麻醉的首选方式,但全身麻醉对设备条件要求较高,尤其是吸入全身麻醉。对于严重创伤患者使用全凭静脉麻醉存在一些弊端:因静脉全麻主要采用复合给药方法,药物之间相互作用可引起药动学和药效学发生变化,导致对其麻醉效应预测难度增大,可控性差;全凭静脉麻醉较浅时,易发生术中知晓;静脉全麻药物的消除依赖于患者的肝、肾功能及内环境状态,如果患者肝肾功能不全,则术后可能发生苏醒延迟等并发症;静脉全麻过程中,存在剂量相关的呼吸和循环的抑制作用,易导致严重循环抑制。与全凭静脉麻醉相比,采用吸入全身麻醉的患者可以在保持自主呼吸的前提下选择性的抑制知觉,且术后清醒较为迅速、可以预测,拔管时间更短,术后机械通气时间短,患者离院早。At present, the anesthesia machines equipped in my country's medical treatment are standard clinical routine equipment. The main problems are single function, bulky size, heavy weight, and extremely inconvenient packaging, transportation and assembly. Complex, bulky, inconvenient for installation and transportation. Usually, most of the wounded are multiple injuries and compound injuries. The injuries are complicated and serious, and the trauma range is large. There are many parts that need surgical treatment, and general anesthesia is often required. The effect of general anesthesia is accurate, perfect and rapid, and it can be used as the first choice for surgical anesthesia, but general anesthesia requires high equipment conditions, especially inhalation general anesthesia. There are some disadvantages in the use of total intravenous anesthesia for severe trauma patients: because intravenous general anesthesia mainly adopts compound administration method, the interaction between drugs can cause changes in pharmacokinetics and pharmacodynamics, which makes it more difficult to predict the anesthesia effect , the controllability is poor; when total intravenous anesthesia is shallow, intraoperative awareness is prone to occur; the elimination of intravenous general anesthesia depends on the patient's liver, kidney function and internal environment status, if the patient's liver and kidney function is insufficient, postoperative Complications such as delayed recovery; during intravenous general anesthesia, there is a dose-related inhibition of respiration and circulation, which can easily lead to severe circulation inhibition. Compared with total intravenous anesthesia, patients with inhaled general anesthesia can selectively suppress consciousness while maintaining spontaneous breathing, and wake up more quickly and predictably after surgery, with shorter extubation time and shorter postoperative mechanical ventilation time , the patient left the hospital early.

为了最大程度发挥医疗效果和功能,并且在有限的空间范围内放置更多医疗设备,最大地节省空间,因此我们设想将麻醉机设计的尽可能小,便于移动,以便能够在紧急的特殊情况下的快速移动和携带。目前通常使用的麻醉机在无麻醉废气处理系统的情况下,吸入麻醉药经麻醉机的废气管道排向手术间内,会对战时不宽敞的手术室造成空气污染。便携式吸入麻醉装置正是适应此类特殊环境的有效医疗设备并且其采用循环紧闭麻醉或活性炭纤维吸附技术可以减少麻醉药的空气污染。In order to maximize the medical effect and function, and place more medical equipment in a limited space to save space, we envisage designing the anesthesia machine as small as possible for easy movement, so that it can be used in emergency special cases quick movement and portability. The anesthesia machine commonly used at present does not have an anesthesia waste gas treatment system, and the inhaled anesthetic is discharged into the operating room through the exhaust gas pipe of the anesthesia machine, which will cause air pollution to the operating room which is not spacious during wartime. The portable inhalation anesthesia device is an effective medical device adapted to such a special environment, and its use of closed-loop anesthesia or activated carbon fiber adsorption technology can reduce the air pollution of anesthesia.

目前,国内外已有大量研究证明采用微量输液泵输注吸入麻醉剂于呼吸回路应用于吸入麻醉中的可行性及有效性。国内目前报告的使用挥发性麻醉药物的输注装置包括:与呼吸机螺纹管连接的一直径约2mm的长胶管,一金属三通开关,以及装有七氟烷或异氟烷注射器的微量注射泵。这种方法虽然简单易行,但主要问题吸入麻醉药物挥发浓度不稳定且没有解决吸入麻醉药带来的手术室环境污染问题。At present, a large number of studies at home and abroad have proved the feasibility and effectiveness of using a micro-infusion pump to infuse inhalation anesthetics into the breathing circuit for inhalation anesthesia. The infusion devices using volatile anesthetic drugs currently reported in China include: a long rubber tube with a diameter of about 2mm connected to the threaded tube of the ventilator, a metal three-way switch, and a micro-injection device equipped with a sevoflurane or isoflurane syringe. Pump. Although this method is simple and easy to implement, the main problem is that the volatile concentration of inhaled anesthetics is unstable and the problem of environmental pollution in the operating room caused by inhaled anesthetics has not been solved.

发明内容Contents of the invention

针对现有技术中的不足,本发明提供了一种具有恒温加热功能的吸入式麻醉蒸发过滤装置,可在不同环境温度下,保证吸入麻醉剂蒸发浓度的稳定性。Aiming at the deficiencies in the prior art, the present invention provides an inhalation anesthesia evaporation filtering device with a constant temperature heating function, which can ensure the stability of the evaporation concentration of inhalation anesthetics under different ambient temperatures.

为了解决上述问题,该种吸入式麻醉蒸发过滤装置,包括:过滤器壳体、设置在壳体一侧的呼吸机连接端、设置在壳体另一侧的受试者吸入端,该壳体的内腔设有过滤装置,还包括:与过滤器壳体连通的储药容器,该储药容器中设有蒸发部件和温度控制部件,该温度控制部件经由蒸发部件能够对储药容器中的麻醉药进行加热,储药容器内的麻醉药加热并蒸发后流入到过滤器壳体中。In order to solve the above problems, this inhalation anesthesia evaporation filtering device includes: a filter housing, a ventilator connection end arranged on one side of the housing, and a subject inhalation end arranged on the other side of the housing, the housing The inner cavity of the inner cavity is provided with a filtering device, and also includes: a drug storage container communicated with the filter housing, and an evaporation component and a temperature control component are arranged in the drug storage container, and the temperature control component can control the temperature of the drug storage container through the evaporation component. The anesthetic is heated, and the anesthetic in the drug storage container flows into the filter housing after being heated and evaporated.

优选地,所述温度控制部件包括:控制器、温度传感器和加热电阻,温度传感器和加热电阻分别固设在所述蒸发部件上,控制器根据温度传感器传送的温度值,控制加热电阻的发热量,从而控制蒸发部件的蒸发速率。Preferably, the temperature control component includes: a controller, a temperature sensor and a heating resistor, the temperature sensor and the heating resistor are respectively fixed on the evaporation component, and the controller controls the heating value of the heating resistor according to the temperature value transmitted by the temperature sensor , so as to control the evaporation rate of the evaporation component.

优选地,所述蒸发部件为蒸发棒,该蒸发棒由多孔陶瓷、棉麻或PTC热敏电阻陶瓷制成;所述过滤装置由活性炭纤维制成。Preferably, the evaporation component is an evaporation rod made of porous ceramics, cotton or PTC thermistor ceramics; the filter device is made of activated carbon fibers.

优选地,所述过滤装置上设有细菌过滤层,该细菌过滤层面向所述呼吸机连接端。Preferably, a bacterial filter layer is provided on the filter device, and the bacterial filter layer faces the connecting end of the ventilator.

优选地,所述储药容器固设在过滤器壳体的底部;储药容器的出药口设置在所述过滤装置与受试者吸入端之间。Preferably, the medicine storage container is fixed at the bottom of the filter housing; the medicine outlet of the medicine storage container is arranged between the filter device and the inhalation end of the subject.

优选地,所述储药容器通过软管、卡扣或者螺纹与过滤器壳体底部可分离式连接;储药容器的出药口设置在所述过滤装置与受试者吸入端之间。Preferably, the medicine storage container is detachably connected to the bottom of the filter housing through a hose, buckle or thread; the medicine outlet of the medicine storage container is arranged between the filter device and the inhalation end of the subject.

优选地,所述储药容器中设有隔层,该隔层将麻醉药与温度控制部件分隔开,所述蒸发部件贯穿于该隔层两侧。Preferably, a partition is provided in the drug storage container, and the partition separates the anesthetic from the temperature control component, and the evaporation component penetrates both sides of the partition.

优选地,所述受试者吸入端上设有气体采样口,用于与气体采样设备连接。Preferably, the inhalation end of the subject is provided with a gas sampling port for connecting with a gas sampling device.

本发明的有益效果是:该种便携式吸入麻醉蒸发过滤装置具有轻便、简单、可靠地特点。与国外已有的产品相比,本产品增加了温度调控装置,可以适应各种温度变化,具有更为广泛的适应性;其麻醉气体浓度可控性好,麻醉效果可控;设计结构分为一体式和分体式,可供不同条件选择;成本较国内外产品更低。The beneficial effects of the present invention are: the portable inhalation anesthesia evaporation filtering device has the characteristics of portability, simplicity and reliability. Compared with existing foreign products, this product has added a temperature control device, which can adapt to various temperature changes and has wider adaptability; its anesthetic gas concentration is well controllable, and the anesthesia effect is controllable; the design structure is divided into One-piece and split-type, available for different conditions; the cost is lower than that of domestic and foreign products.

附图说明Description of drawings

图1为吸入式麻醉蒸发过滤装置的结构示意图,其中过滤器壳体与储药容器可分离连接;Fig. 1 is a schematic structural diagram of an inhalation anesthesia evaporation filter device, wherein the filter housing is detachably connected to the drug storage container;

图2为吸入式麻醉蒸发过滤装置的又一结构示意图,其中过滤器壳体与储药容器采用一体式结构。Fig. 2 is another structural schematic diagram of an inhalation anesthesia evaporation filtering device, wherein the filter housing and the drug storage container adopt an integrated structure.

具体实施方式detailed description

下面结合附图对本发明做进一步地说明。The present invention will be further described below in conjunction with the accompanying drawings.

如图1所示,一种吸入式麻醉蒸发过滤装置,包括:过滤器壳体1,该壳体外部形状优选为圆形或椭圆形。设置在壳体一侧的呼吸机连接端11,用于与呼吸机连接。以及设置在壳体另一侧的受试者吸入端12,通过导管与使用者的口腔连接。该壳体的内腔设有过滤装置13,该过滤装置13可以由活性炭纤维制成。采用活性炭纤维可以使空气可自由通过,但因其可吸附麻醉剂,故对麻醉药物作用具有单向性,可阻止麻醉药物由呼出端进入大气,进而避免造成空气污染,该种改进正是弥补了目前国内相关装置的缺陷。该过滤装置还与过滤器壳体1连通的储药容器2,该储药容器中设有蒸发部件21和温度控制部件22,该温度控制部件通过加热装置控制蒸发部件21发热,从而能够对储药容器2中的麻醉药进行加热,储药容器2内的麻醉药加热并蒸发后流入到过滤器壳体1中。As shown in FIG. 1 , an inhalation anesthesia evaporative filtration device includes: a filter housing 1 , the outer shape of which is preferably circular or oval. The ventilator connecting end 11 provided on one side of the housing is used for connecting with the ventilator. And the subject inhalation end 12 arranged on the other side of the housing is connected to the user's mouth through a catheter. The inner cavity of the housing is provided with a filter device 13, which can be made of activated carbon fibers. The use of activated carbon fibers can allow air to pass freely, but because it can absorb anesthetics, it has a one-way effect on anesthetics, which can prevent anesthetics from entering the atmosphere from the exhalation end, thereby avoiding air pollution. This improvement just makes up for it. Defects of current domestic related devices. The filter device is also connected to the drug storage container 2 of the filter housing 1. The drug storage container is provided with an evaporating component 21 and a temperature control component 22. The temperature control component controls the evaporating component 21 to generate heat through a heating device, so that the storage The anesthetic in the drug container 2 is heated, and the anesthetic in the drug storage container 2 flows into the filter housing 1 after being heated and evaporated.

优选地,该温度控制部件22包括:控制器23、温度传感器24、加热电阻25以及功率驱动电路26,温度传感器24和加热电阻25分别固设在所述蒸发部件21上,控制器信号输出端经由功率控制电路与加热电阻电连接,温度传感器与控制器的信号输入端电连接,控制器根据温度传感器传送的温度值,控制加热电阻25的发热量,从而控制蒸发部件21的蒸发速率。Preferably, the temperature control component 22 includes: a controller 23, a temperature sensor 24, a heating resistor 25 and a power drive circuit 26, the temperature sensor 24 and the heating resistor 25 are respectively fixed on the evaporation component 21, and the controller signal output terminal The power control circuit is electrically connected to the heating resistor, and the temperature sensor is electrically connected to the signal input terminal of the controller. The controller controls the heating value of the heating resistor 25 according to the temperature value transmitted by the temperature sensor, thereby controlling the evaporation rate of the evaporation component 21 .

所述蒸发部件21为蒸发棒,该蒸发棒可由多孔陶瓷、棉麻或PTC热敏电阻陶瓷制成,具有恒温发热、自然寿命长、节能、安全性能好的优点。此外,在过滤装置13上设有细菌过滤层14,该细菌过滤层面向所述呼吸机连接端11,即位于过滤装置与呼吸机连接端之间,用于形成过滤细菌的第一过滤层。The evaporating part 21 is an evaporating rod, which can be made of porous ceramics, cotton or PTC thermistor ceramics, and has the advantages of constant temperature heating, long natural life, energy saving, and good safety performance. In addition, a bacterial filter layer 14 is provided on the filter device 13 . The bacterial filter layer faces the ventilator connection end 11 , that is, is located between the filter device and the ventilator connection end, and is used to form a first filter layer for filtering bacteria.

所述储药容器2与过滤器壳体1底部可采用可分离式连接方式,例如通过软管或者卡扣或螺纹连接。储药容器2的出药口设置在所述过滤装置13与受试者吸入端12之间。这样储药容器便于更换,可二次利用。The drug storage container 2 and the bottom of the filter housing 1 can be connected in a detachable manner, for example, through a flexible hose or buckle or screw connection. The medicine outlet of the medicine storage container 2 is arranged between the filter device 13 and the inhalation end 12 of the subject. In this way, the medicine storage container is convenient to replace and can be reused.

如图2所示,所述储药容器2也可直接固设在过滤器壳体1的底部,储药容器2的出药口设置在所述过滤装置13与受试者吸入端12之间,该种结构简单可靠,药物挥发速率快,且便于携带,尤其是适用于应用在野战医院中。As shown in Figure 2, the drug storage container 2 can also be directly fixed on the bottom of the filter housing 1, and the drug outlet of the drug storage container 2 is arranged between the filter device 13 and the inhalation end 12 of the subject , the structure is simple and reliable, the volatilization rate of the drug is fast, and it is easy to carry, especially suitable for application in field hospitals.

如图1所示,所述储药容器2中设有隔层27,该隔层将麻醉药与温度控制部件22分隔开,避免麻醉药物与加热部件接触,所述蒸发部件21贯穿于该隔层两侧。As shown in Figure 1, the drug storage container 2 is provided with an interlayer 27, which separates the anesthetic drug from the temperature control part 22 to prevent the anesthetic drug from contacting the heating part, and the evaporation part 21 runs through the Compartment sides.

此外,所述受试者吸入端12上设有气体采样口1a,用于与气体采样设备连接,可以随时监测气体浓度。In addition, the subject's inhalation port 12 is provided with a gas sampling port 1a, which is used to connect with a gas sampling device, so that the gas concentration can be monitored at any time.

该种便携式吸入麻醉蒸发过滤装置具有轻便、简单、可靠地特点。与国外已有的产品相比,本产品增加了温度调控装置,可以适应各种温度变化,具有更为广泛的适应性;麻醉气体浓度可控性好,麻醉效果可控;设计结构分为一体式和分体式,可供不同条件选择;成本较国内外产品更低。The portable inhalation anesthesia evaporation filtering device has the characteristics of portability, simplicity and reliability. Compared with the existing foreign products, this product adds a temperature control device, which can adapt to various temperature changes and has wider adaptability; the anesthetic gas concentration is well controllable, and the anesthesia effect is controllable; the design structure is integrated Type and split type, which can be selected under different conditions; the cost is lower than that of domestic and foreign products.

本装置辅以静脉麻醉药或周围神经阻滞技术,可以满足各类野战创伤手术伤病员的手术麻醉需求。并且其使用方便,功能完善,还可用于基层医院或ICU患者的镇静。The device is supplemented with intravenous anesthetics or peripheral nerve block technology, which can meet the surgical anesthesia needs of various field trauma surgery patients. Moreover, it is easy to use and has perfect functions, and can also be used for sedation of patients in primary hospitals or ICUs.

需要注意的是,具体实施方式仅仅是对本发明技术方案的解释和说明,不应将其理解为对本发明技术方案的限定,任何采用本发明的技术方案而仅作局部改变的,仍应落入本发明的保护范围内。It should be noted that the specific embodiment is only an explanation and description of the technical solution of the present invention, and should not be interpreted as a limitation on the technical solution of the present invention. Any use of the technical solution of the present invention with only partial changes shall still fall within within the protection scope of the present invention.

Claims (5)

1. a kind of suction-type anaesthetic vaporizer defecator, including:Filter housings (1), the respirator company for being arranged on housing side Connect end (11), be arranged on the experimenter suction side (12) of housing opposite side, the inner chamber of the housing is provided with defecator (13), which is special Levy is also to include:The drug reservoir (2) connected with filter housings (1), be provided with the drug reservoir evaporation component (21) and Temperature control unit (22), the temperature control unit can enter to the anesthetics in drug reservoir (2) via evaporation component (21) Row heating, the anesthetics in drug reservoir (2) are heated and are flowed into after evaporating in filter housings (1);
The temperature control unit (22) includes:Controller (23), temperature sensor (24) and adding thermal resistance (25), temperature sensing Device (24) and adding thermal resistance (25) are installed in the evaporation component (21) upper end respectively, and controller is transmitted according to temperature sensor Temperature value, control adding thermal resistance (25) caloric value, so as to control the evaporation rate of evaporation component (21);
The evaporation component (21) to evaporate rod, be made up of porous ceramicss, linen-cotton or PTC thermistor ceramics by the evaporation rod;Institute State defecator (13) to be made up of NACF;
Interlayer (27) is provided with the drug reservoir (2), anesthetics are separated by the interlayer with temperature control unit (22), described Evaporation component (21) is through the interlayer both sides.
2. suction-type anaesthetic vaporizer defecator according to claim 1, it is characterised in that:On the defecator (13) Bacteriological filter layer (14) is provided with, the bacteriological filter layer (14) is towards the respirator connection end (11).
3. suction-type anaesthetic vaporizer defecator according to claim 2, it is characterised in that:The drug reservoir (2) is solid It is located at the bottom of filter housings (1);The medicine outlet of drug reservoir (2) is arranged on the defecator (13) and is sucked with experimenter Between end (12).
4. suction-type anaesthetic vaporizer defecator according to claim 3, it is characterised in that:The drug reservoir (2) is led to Cross the detachable connection of flexible pipe, buckle or screw thread and filter housings (1) bottom;The medicine outlet of drug reservoir (2) is arranged on Between the defecator (13) and experimenter suction side (12).
5. suction-type anaesthetic vaporizer defecator according to claim 4, it is characterised in that:The experimenter suction side (12) gas sampling mouth (1a) is provided with, for being connected with gas sampling device.
CN201410502541.4A 2014-09-26 2014-09-26 Suction-type anaesthetic vaporizer defecator Expired - Fee Related CN104474623B (en)

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CN110215584B (en) * 2019-07-15 2022-02-18 河南科技大学第一附属医院 Anaesthesia device with concentration adjusting function

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