CN106668998A - Special breathing machine for accurately controlling pressure of artificial airway airbag based on breathing machine waveform - Google Patents
Special breathing machine for accurately controlling pressure of artificial airway airbag based on breathing machine waveform Download PDFInfo
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- CN106668998A CN106668998A CN201710102501.4A CN201710102501A CN106668998A CN 106668998 A CN106668998 A CN 106668998A CN 201710102501 A CN201710102501 A CN 201710102501A CN 106668998 A CN106668998 A CN 106668998A
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- artificial airway
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- 230000029058 respiratory gaseous exchange Effects 0.000 title 2
- 230000000474 nursing effect Effects 0.000 abstract description 2
- 206010030113 Oedema Diseases 0.000 abstract 1
- 238000009434 installation Methods 0.000 abstract 1
- 210000002345 respiratory system Anatomy 0.000 abstract 1
- 238000009423 ventilation Methods 0.000 description 8
- 238000001514 detection method Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 229940124446 critical care medicine Drugs 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000005399 mechanical ventilation Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 201000004193 respiratory failure Diseases 0.000 description 1
- 208000023504 respiratory system disease Diseases 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
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- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Respiratory Apparatuses And Protective Means (AREA)
Abstract
本发明公开了一种基于呼吸机波形精准发现呼吸系统漏气专用的呼吸机,主体为呼吸机本体,所述呼吸机本体的供气管道的前端设有一人工气道气囊,所述供气管道的人工气道气囊与供气装置固定连接,所述呼吸机本体通过USB导线与供气装置电性连接,所述呼吸机本体上配有控制供气装置的电源按钮。其优点在于:本发明成本较低、安装方便快捷,时时监测人工气道气囊压力,保持气囊压力在最低的条件下,降低气囊压力过高导致气囊水肿;当出现漏气波形时,可通过供气装置及时对人工气道气囊进行控压,提高工作效率和安全性,并且能够及时报警,提醒护理人员进行相关操作。
The invention discloses a ventilator specially used for accurately detecting the air leakage of the respiratory system based on the waveform of the ventilator. The main body is the ventilator body. The artificial airway airbag is fixedly connected with the air supply device, the ventilator body is electrically connected with the air supply device through a USB wire, and the ventilator body is equipped with a power button for controlling the air supply device. Its advantages are: the cost of the present invention is low, the installation is convenient and quick, and the air bag pressure of the artificial airway is constantly monitored to keep the air bag pressure at the lowest condition, so as to reduce the air bag edema caused by excessive air bag pressure; The air device can control the pressure of the artificial airway airbag in time to improve work efficiency and safety, and can alarm in time to remind the nursing staff to perform related operations.
Description
技术领域technical field
本发明涉及呼吸机技术领域,特别是一种基于呼吸机波形精准控制人工气道气囊压力的专用呼吸机。The invention relates to the technical field of ventilators, in particular to a special ventilator for precisely controlling the pressure of an artificial airway airbag based on the waveform of the ventilator.
背景技术Background technique
呼吸机是抢救呼吸衰竭病人、治疗呼吸系统疾病的必要医疗设备,可通过气管插管式的有创通气实现,主要通气模式包括容量控制通气模式与压力控制通气模式。中华医学会重症医学分会“机械通气指南”建议,每天测量气囊压力3次,将人工气道气囊内压力保持在25~30 cmH2O; 但是我们在临床中发现,即使人工气道气囊内压力保持在25~30cmH2O,也有少数患者出现漏气波形,也许气管插管的气囊与患者的气道不匹配;同时患者的体位也会导致人工气道气囊压力过高或者过低;然而漏气是有创通气中不可避免的问题。漏气可能导致患者通气量不足,降低通气耐受性,严重影响通气效果,甚至可能威胁生命。The ventilator is a necessary medical device for rescuing patients with respiratory failure and treating respiratory diseases. It can be achieved through tracheal intubation-style invasive ventilation. The main ventilation modes include volume-controlled ventilation mode and pressure-controlled ventilation mode. The “Guidelines for Mechanical Ventilation” of the Critical Care Medicine Branch of the Chinese Medical Association recommends measuring the pressure of the air bag 3 times a day to keep the pressure in the air bag of the artificial airway at 25-30 cmH 2 O; Keep it at 25-30cmH 2 O, and a small number of patients have air leakage waveforms. Maybe the air bag of the tracheal intubation does not match the airway of the patient; Gas is an unavoidable problem in invasive ventilation. Leakage may lead to insufficient ventilation of the patient, reduce ventilation tolerance, seriously affect the ventilation effect, and even threaten life.
发明内容Contents of the invention
本发明的目的克服现有技术的不足,提供一种高效的基于呼吸机波形精准控制人工气道气囊压力专用的呼吸机。The purpose of the present invention overcomes the deficiencies of the prior art, and provides a highly efficient ventilator dedicated to precisely controlling the artificial airway airbag pressure based on the waveform of the ventilator.
本发明解决其技术问题所采取的技术方案是:The technical scheme that the present invention solves its technical problem to take is:
一种基于呼吸机波形精准控制人工气道气囊压力的专用呼吸机,主体为呼吸机本体,所述呼吸机本体的供气管道的前端设有一人工气道气囊,其创新点在于:所述供气管道的人工气道气囊与供气装置固定连接,所述呼吸机本体通过USB导线与供气装置电性连接,所述呼吸机本体上配有控制供气装置的电源按钮。A special ventilator that accurately controls the pressure of the artificial airway airbag based on the waveform of the ventilator. The main body is the ventilator body. The front end of the air supply pipeline of the ventilator body is provided with an artificial airway airbag. The artificial airway air bag of the air duct is fixedly connected with the air supply device, and the ventilator body is electrically connected with the air supply device through a USB wire, and the ventilator body is equipped with a power button for controlling the air supply device.
进一步的,所述呼吸机本体自带报警装置和自检装置。Further, the ventilator body has its own alarm device and self-test device.
本发明的有益效果如下:The beneficial effects of the present invention are as follows:
本发明成本较低、安装方便快捷,当出现漏气波形时,可通过供气装置及时对人工气道气囊进行控压,提高工作效率和安全性,并且能够及时报警,提醒护理人员进行相关操作。The invention is low in cost and easy to install. When the air leakage waveform occurs, the pressure of the artificial airway airbag can be controlled in time through the air supply device, which improves work efficiency and safety, and can alarm in time to remind the nursing staff to perform related operations. .
附图说明Description of drawings
下面结合附图和具体实施方式对本发明做进一步详细说明。The present invention will be described in further detail below in conjunction with the accompanying drawings and specific embodiments.
图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图2为漏气处理检测流程图;Figure 2 is a flow chart of air leakage treatment and detection;
图3为本发明的实施报警流程图;Fig. 3 is the implementation alarm flowchart of the present invention;
图4为呼吸机正常波形图;Figure 4 is a normal waveform diagram of the ventilator;
图5为呼吸机漏气波形图。Figure 5 is a waveform diagram of air leakage from the ventilator.
具体实施方式detailed description
如图1所示的一种基于呼吸机波形精准控制人工气道气囊压力专用的呼吸机,主体为呼吸机本体1,所述呼吸机本体1的供气管道2的前端设有一人工气道气囊3,所述供气管道2的人工气道气囊3与供气装置4固定连接,所述呼吸机本体1通过USB导线5与供气装置4电性连接,所述呼吸机本体1上配有控制供气装置4的电源按钮。As shown in Figure 1, a ventilator dedicated to precisely controlling the pressure of the artificial airway airbag based on the waveform of the ventilator, the main body is the ventilator body 1, and the front end of the air supply pipeline 2 of the ventilator body 1 is provided with an artificial airway airbag 3. The artificial airway air bag 3 of the air supply pipeline 2 is fixedly connected to the air supply device 4, the ventilator body 1 is electrically connected to the air supply device 4 through a USB wire 5, and the ventilator body 1 is equipped with Control the power button of the air supply unit 4.
其工作原理为:Its working principle is:
当出现漏气波形时(图5),按照漏气检测流程图(图2)进行检测,进行到气囊压力检测时,如图3所示,人工气道气囊自动充气至30cmH2O后,潮气两与时间波形自我检查,如果波形未恢复正常,启动漏气检测流程并报警,如果波形还是未恢复正常,则等待人工处理;如果波形恢复正常,人工气道气囊进行自动放气减压至最低(气囊压力最大不超过30cmH2O),如果气囊压力30cmH2O,波形还是未恢复正常,也会人工报警,等待处理。而呼吸机会30分钟自检一次,保障了呼吸机的使用安全。When there is an air leak waveform (Figure 5), check it according to the air leak detection flow chart (Figure 2 ). Two and time waveform self-inspection, if the waveform does not return to normal, start the leak detection process and alarm, if the waveform still does not return to normal, wait for manual processing; if the waveform returns to normal, the artificial airway airbag will automatically deflate and decompress to the minimum (The airbag pressure does not exceed 30cmH 2 O at most). If the airbag pressure is 30cmH 2 O and the waveform still does not return to normal, a manual alarm will be issued, waiting for processing. The ventilator will self-check once every 30 minutes to ensure the safety of the ventilator.
以上所述是本发明的优选实施方式,不能以此来限定本发明之权利范围。应当指出,对于本技术领域的普通技术人员来说,对本发明的技术方案进行修改或者等同替换,都不脱离本发明的保护范围。The above descriptions are preferred embodiments of the present invention, and should not be used to limit the scope of rights of the present invention. It should be pointed out that for those skilled in the art, modifications or equivalent replacements to the technical solutions of the present invention will not depart from the protection scope of the present invention.
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN108096674A (en) * | 2018-01-27 | 2018-06-01 | 北京中安维华科技有限公司 | Full-automatic artificial airway management instrument |
CN108096676A (en) * | 2018-01-31 | 2018-06-01 | 重庆医科大学 | A kind of air bag management type lung ventilator |
WO2018215978A1 (en) * | 2017-05-26 | 2018-11-29 | Fisher & Paykel Healthcare Limited | Powering breathing apparatus |
CN109125871A (en) * | 2018-07-12 | 2019-01-04 | 重庆医科大学附属第医院 | The tracheal inserting device of automatic sound-control adjusting air bag pressure |
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CN1559628A (en) * | 2004-02-23 | 2005-01-05 | 郑兴国 | Cannula Automatic aeration unit for air bag of intubation |
US8905029B2 (en) * | 2008-09-29 | 2014-12-09 | Covidien Lp | Airway system with carbon dioxide sensor for determining tracheal cuff inflation and technique for using the same |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2018215978A1 (en) * | 2017-05-26 | 2018-11-29 | Fisher & Paykel Healthcare Limited | Powering breathing apparatus |
US11759589B2 (en) | 2017-05-26 | 2023-09-19 | Fisher & Paykel Healthcare Limited | Powering breathing apparatus |
CN108096674A (en) * | 2018-01-27 | 2018-06-01 | 北京中安维华科技有限公司 | Full-automatic artificial airway management instrument |
CN108096676A (en) * | 2018-01-31 | 2018-06-01 | 重庆医科大学 | A kind of air bag management type lung ventilator |
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CN109125871A (en) * | 2018-07-12 | 2019-01-04 | 重庆医科大学附属第医院 | The tracheal inserting device of automatic sound-control adjusting air bag pressure |
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