CN2543514Y - Chest and stomach press type initiative deep breathing equivalent resuscitator - Google Patents
Chest and stomach press type initiative deep breathing equivalent resuscitator Download PDFInfo
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- CN2543514Y CN2543514Y CN 01229798 CN01229798U CN2543514Y CN 2543514 Y CN2543514 Y CN 2543514Y CN 01229798 CN01229798 CN 01229798 CN 01229798 U CN01229798 U CN 01229798U CN 2543514 Y CN2543514 Y CN 2543514Y
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- chest
- sucker
- abdomen
- lever
- vertical rod
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- 230000029058 respiratory gaseous exchange Effects 0.000 title abstract description 6
- 210000002784 stomach Anatomy 0.000 title 1
- 210000001015 abdomen Anatomy 0.000 claims abstract description 16
- 238000002680 cardiopulmonary resuscitation Methods 0.000 claims abstract description 6
- 210000000481 breast Anatomy 0.000 claims description 22
- 230000003187 abdominal effect Effects 0.000 claims description 16
- 241000252254 Catostomidae Species 0.000 claims description 4
- 210000004072 lung Anatomy 0.000 abstract description 7
- 239000008280 blood Substances 0.000 abstract description 6
- 210000004369 blood Anatomy 0.000 abstract description 6
- 238000009423 ventilation Methods 0.000 abstract description 5
- 210000003205 muscle Anatomy 0.000 abstract description 4
- 230000035790 physiological processes and functions Effects 0.000 abstract description 3
- 230000035488 systolic blood pressure Effects 0.000 abstract description 2
- 210000001367 artery Anatomy 0.000 abstract 1
- 230000017531 blood circulation Effects 0.000 abstract 1
- 210000000038 chest Anatomy 0.000 description 17
- 238000011084 recovery Methods 0.000 description 10
- 230000006835 compression Effects 0.000 description 9
- 238000007906 compression Methods 0.000 description 9
- 230000000694 effects Effects 0.000 description 7
- 210000002216 heart Anatomy 0.000 description 6
- 210000002417 xiphoid bone Anatomy 0.000 description 5
- 230000036541 health Effects 0.000 description 4
- 210000004165 myocardium Anatomy 0.000 description 4
- 230000001105 regulatory effect Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 210000001113 umbilicus Anatomy 0.000 description 3
- 208000026137 Soft tissue injury Diseases 0.000 description 2
- 210000003489 abdominal muscle Anatomy 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000003139 buffering effect Effects 0.000 description 2
- 230000007812 deficiency Effects 0.000 description 2
- 238000007667 floating Methods 0.000 description 2
- 239000010985 leather Substances 0.000 description 2
- 230000010412 perfusion Effects 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 230000004873 systolic arterial blood pressure Effects 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000008081 Intestinal Fistula Diseases 0.000 description 1
- 240000005049 Prunus salicina Species 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 230000001447 compensatory effect Effects 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
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- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 235000009018 li Nutrition 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
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- 230000001360 synchronised effect Effects 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
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Abstract
The utility model provides a chest and abdomen in-phase pressing and pulling type simulated active breathing cardiopulmonary resuscitation device which takes a labor saving lever device consisting of two units of rubber sucker systems which work on the chest and the abdomen synchronously. The utility model is characterized in that achieves the in-phase pressing and pulling on the abdomen and the chest; fully promotes the functions of the diaphragm muscle and abdomen muscle in the physiological process of deep breathing and deep inspiring; overcomes the reversed float limit of the diaphragm muscle with large compliance in single external chest pressing and pulling; obviously increases the artery systolic pressure(more than 105mm Hg), the returned blood volume, the coronary blood flow and the lung ventilation volume, thereby increasing the successful resuscitation rate.
Description
Technical field
This utility model provides a kind of cardio-pulmonary resuscitation apparatus, especially a kind of cardio-pulmonary resuscitation apparatus apparatus that improves the recovery success rate.
Background technology
The intrathoracic pressure that simple external chest compression maneuver produces because the moving down of the great diaphram of compliance, is cushioned significantly and is sewed, and makes heart can't obtain sufficient compression, the systolic pressure deficiency; And external chest compression is when loosing one's grip, former diaphram moves down the abdominal pressure that increases and makes on the diaphram again and move, make the thoracic cavity can not produce sufficiently high negative pressure, cardiac muscle returned blood volume deficiency, hat time tremulous pulse (supply vessels of cardiac muscle) can not get enough perfusion blood volumes, resuscitation drug can not arrive this rake position, the effect of the excited cardiac muscle of performance.Simultaneously, the ventilation of lung is very limited naturally, must rely on mouth-to-mouth artificial respiration." two-way sucked type CCCR device (the former patent No. 93219634.9) " although increased the power and the ventilation of external chest compression effectively, obtains the resuscitation effect that is better than the external chest compression maneuver; But because it still is limited to the limitation of simple external chest compression, in fact, it is to be cost to increase breast outer by putting forward intensity, comes the buffering of compensatory diaphram and sews.And because the compliance of skeletal thorax is limited, the increase of mechanical strength can make the local soft tissue injury tolerance increase, when surpassing physiology and listen moving the spending of thorax when inhaling deeply, not even except the possibility (particularly elderly patient) of thorax fracture.Simultaneously, degree and effect that diaphram buffering breast pressure changes are to increase simultaneously with the outer mechanical strength of breast, that is to say that it is limited increasing the breast pressure varying effect that mechanical strength produces outside the breast merely.To replace standard external chest compression hands be the trend of resuscitology development and the breast abdomen is pushed maneuver synchronously
[1]
The purpose of utility model
The purpose of utility model provides a kind of resuscitator, be used for outside breast, under the diaphragm (being abdominal part) two approach synchronously by carrying, overcome the outer limitation of oppositely floating of simple breast by the very big diaphram of compliance in putting forward, diaphram, the effect of abdominal muscle in dark expiration, dark air-breathing physiological process have been given full play to, increase heart and pulmonary's utilization rate of exterior mechanical energy effectively, improve systolic arterial pressure, returned blood volume, coronary perfusion amount and lung ventilation amount, thereby improve the success rate of the heart, lung, cerebral resuscitation.
Technical scheme
This utility model---acts on chest and abdominal part respectively---by the two cover sucker systems that are provided with parallel connection and realizes that the breast abdomen is synchronously by the requirement of proposing operation.This utility model is formed (as figure one) by fixing head, vertical rod, cross bar, lever, sucker bar, big sucker system, small sucker system, fixing head sucker and syndeton.Sucker is elastomeric material and makes, thereby adapts to by the requirement of carrying the unlikely disengaging body surface of sucker in the process; Wherein big sucker system is made of the big sucker of a circle, is used for the breast external pressure and carries; Small rubber sucker system is used for xiphoid-process and carries down to the abdominal part pressure in all zones of umbilicus, because abdominal part is soft, the small sucker system forms (as Fig. 2) by a plurality of different small suckers, and protruding under its bottom surface (as Fig. 3) center line portion appropriateness (or the sucker middle part is directly bigger up and down), the small sucker systemic effect is in abdominal part, the small sucker system is made of the small sucker of several circles, and the bottom of small sucker system is " bicycle saddle " shape, to adapt to the underbelly shape of arcus costarum under the xiphoid-process.The vertical rod of two cover sucker systems by separately links to each other with separately fixing head; Be installed with sucker on the fixing head, be used to inhale solid health lower back, to guarantee that patient's body does not leave fixing head in the operating process by carrying; Be provided with the plate axle between two fixing heads, can this distance of regulating two suckers to adapt to the patient of different heights.Vertical rod is made up of two parts: fixedly connected with fixing head in the vertical rod bottom; Top is T-shaped and divides upper end, lower end, outer end, and wherein lower end and vertical rod lower set packaged tube structure can be passed through the direction that the vertical rod outer end is regulated in rotation, by the flexible height of adjusting vertical rod, to adapt to the patient of different health anteroposterior diameters.A lever track is established passing longitudinal axis place in the upper end on vertical rod top, and vertical rod is connected with axle with lever with its far-end, so that lever is that fulcrum is up and down in lever track with the vertical rod far-end, moves up and down thereby drive the rubber suction cups system, carries out breast/abdomen by proposing operation.There is staff guage hole the lever track side, can insert pin according to the height of clinical requirement, to limit the amplitude of pressure-raising; The upper end on vertical rod top is connected with cross bar by the rectangular axes joint, thereby increases stability, does not influence the rotation of vertical rod again, and cross bar is a sleeve type structure, and its length can be fixing by revolving nail after regulating.Two levers also are sleeve type structure, and its length (being the arm of force) can be passed through telescopic adjustment; The end of lever is provided with handle, and handle has certain side direction mobility, and the handle vertical section is semicircle, and two handles are through an involutory cylinder (bar) the shape handle that is, and cover upper handle leather sheath can conveniently grip; Sucker bar upper end is installed with the positioning sliding sleeve, and this sliding sleeve can slide along lever, can be wide according to the different body of patient (about footpath) regulate, sliding sleeve is provided with the spiral shell button, fixing positioning sliding sleeve after screwing.Sucker bar lower end is connected (can see 93219634.9 utility models for details) by the groove seat embedding rubber of Movable joint with the sucker system, thereby realizes the requirement that the vertical body surface of rubber suction cups system moves up and down.Lever suitably is shorter than the distance of bar bar to big sucker bottom surface to small sucker system bottom surface distance, to guarantee that abdominal part is subjected to being higher than the suction raising degree of chest, also avoid the big abdominal part of compliance to be subjected to excessively pressing down, this can realize easily by two sucker bar different lengths and relevant adjusting.
Beneficial effect:
Owing to adopt such scheme, the utlity model has following advantage:
(1) limits very big diaphram oppositely the floating in the recovery operation of compliance, increased cardiac muscle, the lung utilization rate of mechanical energy widely, increased breast pump, the power of heart pump, systolic arterial pressure, returned blood volume, coronary flow effectively; The process simulation of implementation and operation exhale initiatively deeply, initiatively dark air-breathing mechanism, meet person's physiological processes, give full play to " initiatively " effect of diaphram (very important in breathing), abdominal muscle, increased lung ventilation amount and blood oxygen saturation greatly, be more conducive to the recovery of the heart, lung, brain.
During we are clinical surplus 400 in the routine institute heart beating stop two groups of samples that the patient selects the strict comparability of 76 routine tools and carry out the research of different recovery maneuvers, its result shows that the recovery success rate of the recovery maneuver that employing breast abdomen is pushed is synchronously pressed the success rate of the recovery maneuver of abdomen much larger than external chest compression, plug-in type (alternately, synchronously anti-)
[2]Barranco etc. have similar report, and by clinical research confirmation, push maneuver synchronously and can produce aortic pressure up to 105mmHg
[1]Be not difficult to infer that the breast abdomen can produce by the mechanical recovery operation of the formula of carrying synchronously and compare to the higher aortic pressure of synchronous maneuver (aortic pressure of 105mmHg).
(2) this utility model compares to the outer recovery apparatus of simple breast, and its mechanical strength that acts on chest obtains appropriateness and reduces, thereby has reduced the soft tissue injury degree, prevents thorax fracture (particularly elderly patient).
(3) lever increases the arm of force by length adjustment, makes the advantage of laborsaving lever more outstanding, makes with the women to be the competent equally muscle power of many nursing stafves.
(4) multiple adjustment structure makes different heights, fat or thin patient all applicable, the suitability wide (except that the heart of the serious internal hemorrhage of abdominal part, intestinal fistula stop the patient all can).
Caption:
Fig. 1, this utility model overall schematic;
Fig. 2, small rubber sucker system bottom surface enlarged drawing.
Fig. 3, small rubber sucker system side view;
Among the figure, 1, fixing head 2, vertical rod 3, cross bar 4, lever 5, sucker bar 6, big sucker system 7, small sucker system 8, fixing head sucker 9, vertical rod sleeve pipe 10, lever track 11, rectangular axes joint 12, cross bar sleeve pipe 13, revolve nail 14, plate axle 15, lever sleeve pipe 16, handle 17, sliding sleeve 18, Movable joint
Implementation:
As figure one, this utility model by fixing head (1), vertical rod (2), cross bar (3), lever (4), sucker bar (5), big sucker system (6), small sucker system (7), fixing head sucker (8) by being formed by connecting.Vertical rod (2) is made up of two parts: top is T-shaped and divides upper end, lower end, outer end, wherein lower end and vertical rod (2) bottom is set as sleeve pipe (9) structure, can regulate the direction of vertical rod outer end by rotation, also by the flexible height of adjusting vertical rod, to adapt to the patient of different health anteroposterior diameters; A lever track (10) is established passing longitudinal axis place in the upper end on vertical rod top, vertical rod (2) is connected with axle with lever (4) with its far-end, so that lever (4) is that fulcrum is up and down in lever track with the vertical rod far-end, move up and down thereby drive the rubber suction cups system, carry out breast/abdomen by proposing operation.There is staff guage hole lever track (10) side, can insert pin according to the height of clinical requirement, to limit the amplitude of pressure-raising; Fixedly connected with fixing head (1) in vertical rod (2) bottom, the upper end on vertical rod (2) top is connected with cross bar (3) by rectangular axes joint (11), thereby increase stability, do not influence the rotation of vertical rod (2) again.Cross bar (3) is provided with sleeve pipe (12) structure, and its length can be fixing by revolving nail (13) after regulating.The master is provided with plate axle (14) between two fixing heads (1), and the angle between the scalable fixing head (1) is to adapt to the patient of different heights; Two levers (4) also are provided with and are sleeve pipe (15) structure, its length (being the arm of force) scalable; The end of lever (4) is provided with handle (16), and handle (16) has certain side direction mobility, and the handle vertical section is semicircle, and two handles are through an involutory cylinder (bar) the shape handle that is, and cover upper handle leather sheath can conveniently grip; Sucker bar (5) upper end is installed with positioning sliding sleeve (17), and this sliding sleeve (17) can slide along lever (4), and sliding sleeve is provided with the spiral shell button, can fix positioning sliding sleeve (17) after screwing, and wide (about footpath) regulates according to the body that the patient is different; Sucker bar (5) lower end is connected (can see 93219634.9 utility models for details) by the groove seat embedding rubber of Movable joint (18) with the sucker system, thereby realizes the requirement of the operation of the vertical body surface of rubber suction cups system.Fixing head sucker (8) is used to inhale solid health lower back, leaves fixing head when inhaling in case lever is carried; Big rubber suction cups system (6) is used for the breast external pressure and carries, small rubber sucker system (7) is used for xiphoid-process and carries down to the abdominal part pressure in all zones of umbilicus, because abdominal part is soft, small sucker system (7) forms (as Fig. 2) by a plurality of different small suckers, and protruding under its bottom surface (as Fig. 3) center line portion appropriateness (or the center line sucker is directly bigger up and down), its peripheral shape is " vehicle seat of bicycle " shape, to adapt to the shape under the arcus costarum under the xiphoid-process; Lever suitably is shorter than the distance of lever to big sucker bottom surface to small sucker system bottom surface distance, to guarantee that abdominal part is subjected to being higher than the suction raising degree of chest, also avoid the big abdominal part of compliance to be subjected to excessively pressing down, this can realize easily by two sucker bar different lengths and relevant adjusting.
When using this utility model, the patient need only be put on the fixing head, after above-mentioned relevant adjustment, place under patient's breastbone 1/3 to be master's chest region big sucker system, with the small sucker system place under the xiphoid-process, arcus costarum is down to the abdomen area in umbilicus week, carry out the abdomen breast then sustainably promptly, regularly and connect pressure synchronously, inhale the recovery operation of proposing.
" description " list of references:
[1]BarrancoF，LesmesA，IrlesJA，etal.Cardiopulmonary?resuscitation?withsinmultaneous?chest?and?abdominal?compression：comparative?study?inhumans.Resuscitation?1990；20：67-77。
[2] Zhang Haipeng, Zhu Jin be as, Japanese plum army, etc. the breast abdomen is pushed the clinical observation of maneuver resuscitation effect synchronously.China's emergency treatment magazine is waited to deliver
Claims (3)
1, a kind of breast abdomen by initiatively the deeply breathe cardio-pulmonary resuscitation apparatus of equivalence of the formula of carrying, is characterized in that: be formed by connecting by fixing head, vertical rod, cross bar, lever, sucker bar, big rubber suction cups system, small rubber sucker system, fixing head sucker synchronously.
2, cardio-pulmonary resuscitation apparatus according to claim 1 is characterized in that: lever has connected the two cover rubber suction cups systems that act on breast, abdominal part respectively.
3, cardio-pulmonary resuscitation apparatus according to claim 1 and 2, the small sucker system that acts on abdominal part is made of a plurality of small rubber suckers, and its periphery is " vehicle seat of bicycle " shape.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 01229798 CN2543514Y (en) | 2001-07-09 | 2001-07-09 | Chest and stomach press type initiative deep breathing equivalent resuscitator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 01229798 CN2543514Y (en) | 2001-07-09 | 2001-07-09 | Chest and stomach press type initiative deep breathing equivalent resuscitator |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN2543514Y true CN2543514Y (en) | 2003-04-09 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 01229798 Expired - Fee Related CN2543514Y (en) | 2001-07-09 | 2001-07-09 | Chest and stomach press type initiative deep breathing equivalent resuscitator |
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| Country | Link |
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| CN (1) | CN2543514Y (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103735402A (en) * | 2014-01-14 | 2014-04-23 | 牟春平 | Thoracoabdominal alternate pressing type cardio-pulmonary resuscitator |
| CN104352345A (en) * | 2014-10-27 | 2015-02-18 | 上海由威通信科技有限公司 | Mobile type cardio-pulmonary resuscitation equipment and control method thereof |
| CN106236546A (en) * | 2016-08-27 | 2016-12-21 | 王同海 | Abdomen formula recovery ventilator |
| CN106491337A (en) * | 2016-12-09 | 2017-03-15 | 中国人民解放军第三军医大学第三附属医院 | A kind of thorax abdomen combines cardiopulmonary resuscitator |
-
2001
- 2001-07-09 CN CN 01229798 patent/CN2543514Y/en not_active Expired - Fee Related
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103735402A (en) * | 2014-01-14 | 2014-04-23 | 牟春平 | Thoracoabdominal alternate pressing type cardio-pulmonary resuscitator |
| CN103735402B (en) * | 2014-01-14 | 2016-03-23 | 牟春平 | A kind of breast abdomen alternately presses device for resuscitating heart and pulmones |
| CN104352345A (en) * | 2014-10-27 | 2015-02-18 | 上海由威通信科技有限公司 | Mobile type cardio-pulmonary resuscitation equipment and control method thereof |
| CN106236546A (en) * | 2016-08-27 | 2016-12-21 | 王同海 | Abdomen formula recovery ventilator |
| CN106491337A (en) * | 2016-12-09 | 2017-03-15 | 中国人民解放军第三军医大学第三附属医院 | A kind of thorax abdomen combines cardiopulmonary resuscitator |
| CN106491337B (en) * | 2016-12-09 | 2019-03-19 | 中国人民解放军第三军医大学第三附属医院 | A kind of thorax abdomen combination cardiopulmonary resuscitator |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| C19 | Lapse of patent right due to non-payment of the annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |