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CN203060516U - Full-automatic heating and humidifying system used for noninvasive ventilator and noninvasive ventilator - Google Patents

Full-automatic heating and humidifying system used for noninvasive ventilator and noninvasive ventilator Download PDF

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Publication number
CN203060516U
CN203060516U CN 201320098623 CN201320098623U CN203060516U CN 203060516 U CN203060516 U CN 203060516U CN 201320098623 CN201320098623 CN 201320098623 CN 201320098623 U CN201320098623 U CN 201320098623U CN 203060516 U CN203060516 U CN 203060516U
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China
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face shield
heater
temperature
noninvasive ventilator
long tube
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Expired - Fee Related
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CN 201320098623
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Chinese (zh)
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肖旭平
黄献
刘辉
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刘辉
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Abstract

The utility model discloses a full-automatic heating and humidifying system used for a noninvasive ventilator. The full-automatic heating and humidifying system is characterized by comprising a face mask, a long pipe and a temperature control device, wherein the long pipe is connected with the face mask, a heating device is arranged on the face mask or the long pipe, and the temperature control device is connected with the heating device and is used for automatically controlling the temperature of gas fed into the face mask through the heating device. According to the full-automatic heating and humidifying system, a user does not need to set the temperature and the humidity, the full-automatic heating and humidifying system achieves an excellent effect after being used by many clinical patients, the function of automatically setting and controlling the temperature and the humidity enables the temperature and the humidity of gas to be controlled in a range that human skin and respiratory tracts feel comfortable, and the wearing comfort and convenience of a patient using the noninvasive ventilator are further improved.

Description

Full-automatic heating and moistening system and noninvasive ventilator for noninvasive ventilator
Technical field
This utility model belongs to breathing apparatus, is specifically related to a kind of full-automatic heating and moistening system and noninvasive ventilator for noninvasive ventilator.
Background technology
Noninvasive ventilator adopts face shield, do not invade human body, the general breathing passage that retains the people, be widely used in sleep apnea syndrome, the treatment of the diseases such as respiratory failure, obtained good effect, yet during many patient's noinvasive ventilation therapies, particularly pars oralis pharyngis is dry bitter for the meeting nose, cause patient not tolerate the noinvasive ventilation therapy, for this reason, numerous companies have designed system to gas-heated/humidification to address the above problem.
The heating extensively adopted at present, humidification system is, between respirator main frame gas outlet and breathing long tube, constant temperature humidifier or heating and moistening device are set, add water in humidifier, humidifier heating water or make water vapor with method for distinguishing, by breathing long tube, the gas of humidifying is sent into to face shield, reach more than 1 meter (for the noise that reduces respirator and facilitate patient to stand up movement) owing to breathing long tube, heat later gas temperature after how long 1 meter managed heat radiation in winter basic identical with room temperature, therefore, the actual function of only having humidification of this type of warming and humidifying system, and without heated air or the function of seldom heating, use in the patient of this type of scheme the phenomenon that still has considerable people to have the dry bitter and face shield long tube dewfall of pars oralis pharyngis, particularly in the room of winter without heat supply.
The warming and humidifying system that has simultaneously solved two requirements of warming and humidifying is also arranged, the water that this type of warming and humidifying system arranges in thermostatic humidifying device heat humidifier between respirator main frame gas outlet and breathing long tube makes water vapor, the respirator long tube is provided with resistive heater, humidifier powers to keep the temperature and humidity of gas to resistance wire, use the patient of this type of scheme to exist the dry bitter phenomenon of pars oralis pharyngis relatively less, but still exist.
Existing heating and moistening system all can not Lookup protocol and is controlled temperature (wetting) degree of breathing gas, or the temperature and humidity of heating and moistening is set by user, we know that people's skin can feel comfortable in uniform temperature and humidity range, simultaneously, when ventilating, noinvasive require the temperature and humidity of respiratory air flow in certain scope, we also control and enter the gas of face shield at suitable temperature humidity range by Lookup protocol, guarantee both to make skin of face to feel comfortable, can meet the requirement of respiratory tract again, not need manual adjustment simultaneously.
We know that human body skin feels that the most comfortable temperature range is 17-23 ℃, relative humidity is 40% to 60%, the gas outlet gas temperature humidity of the warming and humidifying system of existing band heating long tube is all by patient or the manual setting of doctor, for example, take MR850 humidifier noinvasive when ventilation of avenging Parker company can be between 28C °-32C ° manual the setting, the temperature of Rui Simai H5i humidifier warming pipeline is also set in menu, humidity is also by patient selection, this is because generally adopt at present nose cup and oronasal mask, during the noinvasive ventilation, the dry hardship of pars oralis pharyngis does not occur at 20C ° in some patient, some patient during lower than 29C ° pars oralis pharyngis can do hardship, the temperature that some patient requires is higher, the exigent humidity of patient is also arranged, temperature human body skin in the time of 20C ° feels it is comfortable, temperature human body skin when 28 to 32 spend feels it is uncomfortable, very high humidity is also disadvantageous to health, therefore machine can not automatically be set and enter face shield gas for certain temperature and humidity, still allow user select different temperature and humidities to realize the therapeutic scheme of differentiation, thereby can't realize the full-automatic temperature and humidity that enters face shield gas that arranges.
We are improved this, we think in sleep procedure to open one's mouth to leak gas and cause needing to improve temperature, we select the face shield that hides lip or other to prevent the method for opening one's mouth, reduce the requirement of heating and moistening, thereby humiture can be arranged in the scope that human body skin feels comfortably cool, it is dry bitter that pars oralis pharyngis can not occur again, for example, respirator is arranged on 22C ° by temperature automatically, select and prevent that the face shield of opening one's mouth from just can avoid pars oralis pharyngis dry bitter fully, and for example, when treatment pressure is different, breathing flow velocity difference, the temperature of skin feel also changes, the flow through asynchronism(-nization) of nasal cavity of respiratory air flow, therefore, under different pressure, respirator can be according to the different gas flow temperature for the treatment of pressure different application, thereby raising comfortableness.
The respirator Lookup protocol enters the face shield gas temperature and is of great significance for noinvasive ventilation tool, noninvasive ventilator has been widely used in family therapy at present, patient's know-how varies, requiring user that suitable temperature is set is a challenge greatly, the setting of mistake also will cause adverse consequences, set temperature 32C ° humidity 99% can cause patient can't tolerate treatment, does not need set temperature and humidity, wear and comfortable respirator people are needed just.
Do not use the heating and moistening system of humidifier, do not affect under the prerequisite of sleep having solved the pharyngeal dry hardship of muzzle, do not need to add water, reduced labor intensity; In order further to reduce heating power, we only arrange heater at an end of long tube, are not also the whole long tubes of heating.
The respirator Lookup protocol enters the toleration that has greatly improved respirator treatment in face shield gas temperature and the humidity scope comfortable at human body, has facilitated patient's use.
The utility model content
The purpose of this utility model is to provide full-automatic heating and moistening system and the noninvasive ventilator for noninvasive ventilator that a kind of result of use is good.
The technical scheme that realizes the employing of this utility model purpose is as follows:
The full-automatic heating and moistening system for noninvasive ventilator that this utility model provides, the long tube that comprises face shield, connection face shield, be provided with heater on described face shield or on long tube, also comprise the attemperating unit be connected with described heater, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater.
The described full-automatic heating and moistening system for noninvasive ventilator, the described gas temperature of sending in face shield remains in the scope that skin feels comfortably cool.
The another kind that this utility model provides is for the full-automatic heating and moistening system of noninvasive ventilator, the long tube, the water container be connected with long tube or the humidifier that comprise face shield, connection face shield, be provided with heater on described face shield or on long tube, also comprise the attemperating unit be connected with described heater or the warm and humid control device be connected with humidifier with described heater, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater, or warm and humid control device is automatically controlled and sent into gas temperature and the humidity in face shield by heater and humidifier.
The described gas temperature in face shield or gas temperature and humidity sent into remains in the scope that skin feels comfortably cool.
The face shield of the described full-automatic heating and moistening system for noninvasive ventilator adopts and prevents the face shield leaked gas of opening one's mouth.
The noninvasive ventilator that this utility model provides, the long tube that comprises main frame and face shield, connection main frame and face shield, be provided with heater on described face shield or on long tube, also comprise the independent setting be connected with described heater or be located at the attemperating unit in main frame, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater.
The described gas temperature of sending in face shield remains in the scope that skin feels comfortably cool.
The another kind of noninvasive ventilator that this utility model provides, comprise main frame, face shield, the long tube that connects face shield, the water container or the humidifier that connect main frame and long tube, be provided with heater on described face shield or on long tube, also comprise independent setting or be located at the attemperating unit be connected with described heater in main frame or the warm and humid control device be connected with humidifier with described heater, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater, perhaps warm and humid control device is automatically controlled and is sent into gas temperature and the humidity in face shield by heater and humidifier.
The described gas temperature in face shield or gas temperature and humidity sent into remains in the scope that skin feels comfortably cool.
Face shield in described noninvasive ventilator face adopts and prevents the face shield leaked gas of opening one's mouth.
Existing its target of respirator of establishing the heating and moistening system is to guarantee that the gas of sending has higher levels of humidity and temperature to solve the dry hardship of pars oralis pharyngis simultaneously, people make many diligences and fail to deal with problems fully, we think that there are deviation in understanding and solution that people do bitter reason to pars oralis pharyngis, it is conventionally believed that: the dry bitter explanation pars oralis pharyngis hydropenia of pars oralis pharyngis, therefore only have the way of the humidity temperature by improve gas simultaneously to solve problem .
We know has wound respirator air duct directly gas to be sent to pulmonary's (without nose), pulmonary needs gas to reach the temperature of 37 degree and 100% relative humidity, therefore, its heating and moistening system needs simultaneously heating and moistening moisturizing gas (gas after heating and moistening can dehydration at lower temperature, then be warmed to 37 do not reach 100% humidity while spending).
The heating and moistening system of existing noninvasive ventilator is to use for reference wound respirator heating and moistening system is arranged, therefore generally adopt heating and moistening or the heating and moistening moisturizing device the same with the wound respirator is arranged, we think that the noinvasive ventilation is through remarkable nose, people's nose is in the situation that general breathing can be by tens degree under zero temperature, the air heating and moistening of relative humidity 10% is to meet the needs of health, the gas that while carrying out the noinvasive ventilation, respirator is sent is equally through the nose heating and moistening, when the nose heating and moistening can not meet the demands, we should analyze the unappeasable reason of nose heating and moistening function, rather than the simple temperature and humidity that simultaneously improves the gas of sending into nose.
Relative general breathing, while using respirator, the nostril place pressure of the pressure at patient nostril place during higher than general breathing, inspiratory flow rate in the patient respiration road is very fast, air-flow shortened in the elapsed time of nose mucosa, this should be that the heating and moistening function of nose does not reach the reason of requirement, for this reason, we have a lot of solutions, as thereby the pressure decreased flow velocity that reduces the place, nostril is dealt with problems, and for example, when opening one's mouth, patient make inspiratory flow rate accelerate and the expiratory airflow nasal cavity (losing the heating and moistening effect of expiratory airflow to nasal cavity) of not flowing through also can cause the heating and moistening of nose not meet the demands, can hide lip deals with problems rather than only has a kind of way of the temperature humidity that simultaneously improves gas.
Think after deliberation, the low temperature of air-flow is the dry bitter main cause of pars oralis pharyngis, improves temperature and can reduce the required pressure of respirator treatment, strengthens the humidification function of nose .
The research discovery, many patients can open one's mouth in sleep, and the pressure at place, nostril is greater than the pressure at lip place, while opening one's mouth, nasal cavity and oral cavity communicate, thereby form the high velocity air in nasal cavity oral cavity, when air-breathing, one air-flow flows to atmosphere from pars oralis pharyngis, one air-flow flows to people's pulmonary from pars oralis pharyngis, therefore, require the flow velocity from the nostril to the pars oralis pharyngis faster, the time of nose warming and humidifying is shorter, the temperature of nose self descends more, and dehydration is also more, during expiration, the cold air of outside continues to be flowed out by nasal cavity oral cavity passage, nasal cavity temperature during with normal per nasal expiratory phase air-breathing start newer than (expiratory airflow is to the nasal cavity warming and humidifying) is just very low, the warming and humidifying that at this moment will complete cold air is a challenge greatly to nasal cavity, therefore can thinking opens one's mouth to leak gas is more chief reason of the dry hardship of pars oralis pharyngis, open one's mouth to breathe and strengthened the requirement to heating and moistening, employing has the face shield of the function that prevents from opening one's mouth leaking gas, reduced the requirement to heating and moistening, make not humidification or simple humidification can meet the requirement of respiratory tract to the humidity of gas, improving the temperature that enters face shield gas just can avoid pars oralis pharyngis dry bitter to 17C ° to 28C °, adopt in our clinical practice and prevent the face shield leaked gas of opening one's mouth, temperature is arranged on 22C °, do not use humidifier, do not have patient that the pharyngeal dry hardship of muzzle occurs yet, therefore, we have designed a kind of full-automatic heating and moistening system of " fool " formula fully, it does not need user set temperature and humidity that the pharyngeal dry hardship of muzzle can not occur yet.
In the treatment of patients with sleep apnea, people extensively adopt full automatic respirator, and this machine can be adjusted output pressure according to the patient airway resistance.When airway resistance is large, the pressure of output is large, and we know that cryogenic gas can make the nose resistance become large, need improve the pressure of respirator in order to overcome resistance, the heating cryogenic gas can reduce the treatment pressure of automatic respiration, extends gas in the time of nose mucosa, strengthens the effect of humidifying.
During patient's COPD treatment, high airway resistance meeting increases the required pressure for the treatment of, and heated air can reduce the required pressure for the treatment of, strengthens the humidifying effect.
The heating cryogenic gas, can make the temperature of nasal mucosa raise, and high temperature can make the moisture of nasal mucosa more easily evaporate, thus humidified gases.
This utility model just is based on above-mentioned cognition, prior art has been made to new improvement, be provided with heater on face shield or at long tube, select breathing mask or other method that prevents gas leakage that can hide mouth to flow out from oral cavity to prevent respiratory air flow, reduce the requirement of respiratory tract to heating and moistening, tank or humidifier also selectively are set between main frame gas outlet and long tube, utilize the humidity of the water increase long tube internal respiration air-flow in water receiver or humidifier.
This utility model is by the attemperating unit Lookup protocol and control temperature (or arranging and control humiture by warm and humid control device) and combine with the method that prevents per os gas leakage, automatically certain value or scope in 17 to 28 ℃ of scopes that design temperature (or humiture) is comfortable at human body skin, can meet again the requirement of respiratory tract to humiture simultaneously.
This utility model is used and has all obtained good effect through clinical numerous patients, relatively existing respirator, do not need patient to set temperature (wetting) degree, the temperature control heating device that Lookup protocol enters the gas temperature of face shield combines with preventing the face shield (or other prevents that the method for opening one's mouth is as mouthpart) of opening one's mouth to leak gas, avoid well pars oralis pharyngis to do bitter problem, make novel noninvasive ventilator compare and there is better comfort level and ease of use with the prior art respirator.
Further illustrate the technical solution of the utility model below in conjunction with accompanying drawing.
The accompanying drawing explanation
Fig. 1 is the structural representation of this utility model embodiment 1.
Fig. 2 is the structural representation of this utility model embodiment 2.
Fig. 3 is the structural representation of this utility model embodiment 3.
Fig. 4 is the structural representation of this utility model embodiment 4.
Fig. 5 is the structural representation of this utility model embodiment 5.
Fig. 6 is the structural representation of this utility model embodiment 6.
The specific embodiment
Embodiment 1
See Fig. 1, full-automatic heating and moistening system for noninvasive ventilator, the long tube 1 that comprises face shield 3, connection face shield 3, be provided with heater 2 on described face shield 3, also comprise the attemperating unit 6 be connected with heater 2, the temperature sensor 7 be connected with attemperating unit 6, described temperature sensor 7 is located on described heater 2.
Attemperating unit 6 Lookup protocol temperature, it is 23C ° that gas temperature information control heater 2 work that detect according to temperature sensor 7 make the gas temperature at temperature sensor 7 places.
Embodiment 2
See Fig. 2, full-automatic heating and moistening system for noninvasive ventilator, comprise face shield 3, the long tube 1 that connects face shield 3, be provided with heater 2 near on long tube 1 one ends of face shield 3, be connected with humidifier 4 on described long tube 1, also comprise the warm and humid control device 8 be connected with humidifier 4 with heater 2, the Temperature Humidity Sensor 9 be connected with warm and humid control device 8, described Temperature Humidity Sensor 9 is located in described face shield 3, the gas temperature that warm and humid control device 8 detects according to Temperature Humidity Sensor 9 and humidity information are controlled heater 2 and humidifier 4 work and are made to enter gas temperature in face shield and humidity and remain in 17-26 ℃ of scopes of temperature that skin feels comfortably cool, humidity 55%, temperature value increases with pressure, described face shield employing is existing prevents that the face shield 3(that opens one's mouth to leak gas is referring to Chinese patent ZL201010108146.X).
Embodiment 3
See Fig. 3, full-automatic heating and moistening system for noninvasive ventilator, the long tube 1 that comprises face shield 3, connection face shield 3, be connected with water container 10 on described long tube 1, described face shield 3 is provided with heater 2, also comprise the attemperating unit 6 be connected with heater 2, the temperature sensor 7 be connected with attemperating unit 6, described temperature sensor 7 is located on described heater 2.
Attemperating unit 6 Lookup protocol temperature, it is 23C ° of left and right that gas temperature information control heater 2 work that detect according to temperature sensor 7 make the gas temperature at temperature sensor 7 places.In noninvasive ventilator when work,, its air-flow provided will be taken away the steam of part evaporation during by water container 10 through long tube 1, can improve the humidity that enters face shield 3 interior air-flows.
Embodiment 4
See Fig. 4, noninvasive ventilator, comprise main frame 5 and face shield 3, be connected the long tube 1 of main frame 5 and face shield 3, be provided with heater 2 on described face shield 3, also comprise the attemperating unit 6 of the independent setting be connected with heater 2, the temperature sensor 7 be connected with attemperating unit 6, described temperature sensor 7 is located on described heater 2, and attemperating unit 6 is controlled heater 2, makes the gas temperature that enters face shield remain on 20C °.
Embodiment 5
See Fig. 5, noninvasive ventilator, comprise main frame 5 and face shield 3, the long tube 1 that connects main frame 5 and face shield 3, be provided with heater 2 on described long tube 1, be connected with humidifier 4 on described long tube 1, also comprise the warm and humid control device 8 be connected with humidifier 4 with heater 2 be located in main frame 5, the Temperature Humidity Sensor 9 be connected with warm and humid control device 8, described Temperature Humidity Sensor 9 is located in described face shield 3, the gas temperature that warm and humid control device 8 detects according to Temperature Humidity Sensor 9 and humidity information are controlled heater 2 and humidifier 4 work and are made to enter gas temperature in face shield and humidity and remain on 24 ℃ of the temperature that skin feels comfortably cool, in humidity 40-60% scope, described face shield employing is existing prevents that the face shield 3(that opens one's mouth to leak gas is referring to Chinese patent ZL201010108146.X).
During this utility model use, first in humidifier 4, add water, the water vapour mixing humidification produced with humidifier 4 when the air that start aft engine 5 provides is flowed through humidifier 4 by long tube 1, the air after humidification supplies patient respiration again after heater 2 heating.
Embodiment 6
See Fig. 6, noninvasive ventilator, the water container 10 that comprises long tube 1, connection main frame 5 and the long tube 1 of main frame 5, face shield 3, connection face shield 3, be provided with heater 2 on described face shield 3, also comprise the attemperating unit 6 of the independent setting be connected with heater 2, the temperature sensor 7 be connected with attemperating unit 6, described temperature sensor 7 is located on described heater 2, and attemperating unit 6 is controlled heater 2, makes the gas temperature that enters face shield remain on 20C ° of left and right.In noninvasive ventilator when work,, its air-flow provided will be taken away the steam of part evaporation during by water container 10, can improve the humidity that enters face shield 3 interior air-flows.

Claims (10)

1. the full-automatic heating and moistening system for noninvasive ventilator, the long tube that it is characterized in that comprising face shield, connects face shield, be provided with heater on described face shield or on long tube, also comprise the attemperating unit be connected with described heater, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater.
2. the full-automatic heating and moistening system for noninvasive ventilator according to claim 1, is characterized in that the described gas temperature of sending in face shield remains in the scope that skin feels comfortably cool.
3. the full-automatic heating and moistening system for noninvasive ventilator, the long tube, the water container be connected with long tube or the humidifier that it is characterized in that comprising face shield, connect face shield, be provided with heater on described face shield or on long tube, also comprise the attemperating unit be connected with described heater or the warm and humid control device be connected with humidifier with described heater, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater, or warm and humid control device is automatically controlled and sent into gas temperature and the humidity in face shield by heater and humidifier.
4. the full-automatic heating and moistening system for noninvasive ventilator according to claim 3, is characterized in that the described gas temperature in face shield or gas temperature and humidity sent into remains in the scope that skin feels comfortably cool.
5. according to the described arbitrary full-automatic heating and moistening system for noninvasive ventilator of claim 1-4, it is characterized in that described face shield employing prevents the face shield leaked gas of opening one's mouth.
6. a noninvasive ventilator, it is characterized in that comprising the long tube of main frame and face shield, connection main frame and face shield, be provided with heater on described face shield or on long tube, also comprise the independent setting be connected with described heater or be located at the attemperating unit in main frame, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater.
7. noninvasive ventilator according to claim 6, is characterized in that the described gas temperature of sending in face shield remains in the scope that skin feels comfortably cool.
8. a noninvasive ventilator, it is characterized in that comprising water container or the humidifier of long tube, connection main frame and the long tube of main frame, face shield, connection face shield, be provided with heater on described face shield or on long tube, also comprise independent setting or be located at the attemperating unit be connected with described heater in main frame or the warm and humid control device be connected with humidifier with described heater, described attemperating unit is automatically controlled and is sent into the gas temperature in face shield by heater, or warm and humid control device is automatically controlled and sent into gas temperature and the humidity in face shield by heater and humidifier.
9. noninvasive ventilator according to claim 8, is characterized in that the described gas temperature in face shield or gas temperature and humidity sent into remains in the scope that skin feels comfortably cool.
10. according to the described arbitrary noninvasive ventilator of claim 6-9, it is characterized in that described face shield employing prevents the face shield leaked gas of opening one's mouth.
CN 201320098623 2013-03-05 2013-03-05 Full-automatic heating and humidifying system used for noninvasive ventilator and noninvasive ventilator Expired - Fee Related CN203060516U (en)

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CN 201320098623 CN203060516U (en) 2013-03-05 2013-03-05 Full-automatic heating and humidifying system used for noninvasive ventilator and noninvasive ventilator

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Application Number Priority Date Filing Date Title
CN 201320098623 CN203060516U (en) 2013-03-05 2013-03-05 Full-automatic heating and humidifying system used for noninvasive ventilator and noninvasive ventilator

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103100136A (en) * 2013-03-05 2013-05-15 刘辉 Full-automatic heating and humidifying system for non-invasive ventilator and non-invasive ventilator
CN107504626A (en) * 2017-07-28 2017-12-22 惠州市格农科技有限公司 Householder method of sleeping and sleep auxiliary equipment
CN108245759A (en) * 2017-12-16 2018-07-06 湖南明康中锦医疗科技发展有限公司 Breathe humidification instrument humiture output control system and method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103100136A (en) * 2013-03-05 2013-05-15 刘辉 Full-automatic heating and humidifying system for non-invasive ventilator and non-invasive ventilator
CN107504626A (en) * 2017-07-28 2017-12-22 惠州市格农科技有限公司 Householder method of sleeping and sleep auxiliary equipment
CN108245759A (en) * 2017-12-16 2018-07-06 湖南明康中锦医疗科技发展有限公司 Breathe humidification instrument humiture output control system and method

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Granted publication date: 20130717

Termination date: 20160305