CN101123935A - Body pulsating method and apparatus - Google Patents
Body pulsating method and apparatus Download PDFInfo
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- CN101123935A CN101123935A CNA2005800191563A CN200580019156A CN101123935A CN 101123935 A CN101123935 A CN 101123935A CN A2005800191563 A CNA2005800191563 A CN A2005800191563A CN 200580019156 A CN200580019156 A CN 200580019156A CN 101123935 A CN101123935 A CN 101123935A
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Abstract
A vest for a human body has an air core coupled to a pulsator operable to subject the vest to pulses of air which applies and releases high frequency pressure forces to the body. The pulsator has two diaphragms connected to a brushless electric dc motor with rotary to reciprocating linear motion transmitting mechanisms comprising scotch yokes having anti-lash assemblies operable to generate air pulses in an air pulsing chamber. The diaphragms also increase the pressure in a manifold chamber. A check valve connects the manifold chamber with a pulsing chamber to allow pressurized air to flow from the manifold chamber into the pulsing chamber. An air flow control valve in communication with the manifold chamber is used to adjust the pressure of the air in the manifold and pulsing chambers. A programmable motor controller adjusts the duration of operation and speed of the motor to vary the operational time and frequency of the air pulses.
Description
Technical field
The present invention relates to health to the people and apply compression stress repeatedly with aid blood circulation, discharge and discharge mucus and alleviate muscle and nervous Medical Equipment and method from people's pulmonary.
Background technology
It mainly is to finish by the normal mucosa ciliary action and the cough of health that healthy individual is removed mucus from respiratory tract.Under normal operation, these mechanism are very effective.Impaired or the respiratory mucus supersecretion of normal mucosa cilium transportation system can cause the accumulation in lung of mucus and chip, and can cause serious medical science complication, as hypoxemia, hypercapnia, chronic bronchitis and pneumonia.These complication can cause diminished quality of life or even become dead reason.Unusual respiratory mucus clearance is the performance of multiple medical condition, as pertussis, cystic fibrosis, pulmonary atelectasis, bronchiectasis, empty lung disease, vitamin A deficiency, chronic obstructive pulmonary disease, asthma and immotile-cilia syndrome.Be exposed under the environment of smoking, air pollution and viral infection and also the mucociliary function had a negative impact.Postoperative patient, paralytic and have the neonate of respiratory distress syndrome also to show the mucociliary transhipment to lower.
Chest physiotherapy has had the long history of clinical efficacy, and typically becomes the part of the standard medical regimens that strengthens respiratory mucus transport.Chest physiotherapy can comprise that the machinery of chest massages, has the postural drainage of vibration, the cough of guided bone, the positive circulation and the abiogenous drain of breathing.Outside chest is massaged and breathing behavior training is the received practice of being determined by U.S. respiratory therapy guide association 1991 (theAmerican Association for Respiratory Care Guidelines, 1991).Usually in order to obtain best efficiency in conjunction with the various chest physiotherapy methods that are used to strengthen mucus clearance, and by the doctor in charge at each patient with various be used to strengthen mucus clearly the chest physiotherapy method carry out individuation.
Cystic fibrosis (CF) is the genopathy of modal genetic danger side of body life among the Caucasian.Genetic flaw is destroyed chloride and is transferred to the cell neutralization and be shifted out from transit cell, causes finally stopping up the glandular tube in pancreas, the lung regulating liver-QI from the eccrine normal mucus very thickness that becomes.The destruction of pancreas stoped the secretion of important digestive enzymes and caused to have caused underfed bowel problems.In addition, stiff mucus is deposited in the respiratory tract of lung, causes that chronic infection, cicatrization and vital capacity lower.These mucus deposits can not be effectively got rid of in normal cough.CF appears at during the first decade of life usually, usually between infancy stage.Up to date, child's expection of suffering from CF can not be lived tens years old.Yet along with digestive enzyme supplementation, anti-inflammatory treatment, chest naturopathy and development of antibiotics, average life rises to 30 years old, some patient even alive to more than 50 years old.CF this means if parents carry this gene by recessive gene heredity, and the offspring has 25% chance to suffer from this disease so, and it is unaffected that 50% chance becomes the chance gene of carrier and 25%.Some from biparental inheritance the individuality of mutant gene do not develop into this disease.The common evolution of CF comprises gastrointestinal problems, growth deficiency of development, repeatedly with multiple pulmonary infection and because respiratory insufficiency causes death.Although some patient experience serious gastrointestinal symptom, yet most of CF patient (90%) finally dies from respiratory tract disease.
Even when the patient does not experience acute problems, also need the daily therapy of high request to keep CF patient's health.The daily treatment of CF patient's CF may comprise:
Respiratory therapy is so that mucus is unobstructed and mobile;
Anti-infectives, bronchodilator and at the antibiotic suction treatment of infecting;
Oral and intravenous applications antibiotic is with control infection;
Take Dornase Alfa with the dilution respiratory mucus;
Every meal is taken 20 to 30 pancreatin tabletss with facilitating digestion;
Low fat, high protein diet;
Supply with vitamin and nutrition; And
Motion
Lung transplantation may be unique hope of cystic fibrosis patient in late period.
Final all CF needs of patients respiratory therapies are as the daily part of their therapeutic scheme.Thick, sticky mucus in the lung is blocked respiratory tract and is gathered antibacterial, becomes the ecotopia of respiratory tract infection and chronic inflammatory disease.The ability that this infection causes the permanent cicatrix of lung tissue, reduces the lung oxygen intake and finally earn a bare living.Even when the patient feels good, also must implement respiratory therapy, to protect from infection and to keep vital capacity.Traditionally, the health care personnel implements one to four chest physiotherapy (CPT) every day.CPT comprises that the patient lies in 12 positions, simultaneously therapist " beating " or knock breast and the back of the body on each leaf of lung.For All Ranges, need knock 15 minutes half an hour to four and use the suction treatment at whole 12 positions treatment lungs.CPT utilizes chest percussion, removes mucus by vibrating unobstructed respiratory secretions, and discharges loose mucus to the oral cavity.Need initiatively cough with the loose mucus of final eliminating.CPT needs the auxiliary of therapist, and therapist is the kinsfolk normally, can be nurse or respiratory therapy personnel during the no member of family.It all is to make the beaten process of health for CF patient and therapist.Patient and therapist can not be well-known problems according to prescribed regimen, and this makes this method invalid.The effect of CPT also is extremely sensitive to skill, and this effect descends when therapist begins fatigue.Need provide second people to implement treatment, this has seriously limited CF patient's independence.
The artificial respiration apparatus who is used to apply and alleviates people's chest pressure has been used to auxiliary pulmonary respiratory function and is unobstructed and get rid of mucus from CF patient pulmonary.Make patient's chest and lung is accepted pressure fluctuation or vibration can reduce lung and the mucous viscosity of air flue, so enhance liquid is mobile and from the removing of lung.These equipment use has the vest that the air that holds patient's chest holds capsule.Prior art has disclosed the mechanical mechanisms such as air cock, bellows and piston of solenoid for example or power operation, is used for the air under barrier film or capsule supply pressure with regular pattern or pulse.Use manually-operated control to adjust the pulse frequency of the pressure and the air of air for each patient's treatment with in therapeutic process.Being worn over CF patient's thorax capsule on every side oppresses and thorax repeatedly with height to 25 circulation frequencies of per second.Each compressing produces the air torrent by the lobe of the lung, and this air torrent advances to the oral cavity from the lateral shear secretions of air flue and with it, can be removed by normal cough at them.Reported in 1966 and use the outside chest of high frequency chest wall oscillations to massage.Beck?GJ.Chronic?Bronchial?Asthma?andEmphysema.Rehabilitation?and?Use?of?Thoracic?Vibrocompression，Geriatrics(1966)；21：139-158.
GA.Williams is at United States Patent (USP) the 1st, 898, disclosed the air pulsator that is used to stimulate blood circulation and treatment subcutaneous tissue and muscle in No. 652.Use reciprocating piston to produce air pressure pulses, this air pressure pulses is delivered to the applicator with flexible diaphragm through flexible pipe.The pulse of air that is produced by active piston applies activity relatively rapidly to diaphragm, and this diaphragm makes patient's body accept impulsive force.
People such as J.D.Ackerman are at United States Patent (USP) the 2nd, 588, have disclosed the respirator with chest vest in No. 192, and this chest vest provides air under the pressure by air pump.Solenoid operated valve is controlled air-flow turnover vest in a controlled manner with the pulsation vest, thereby makes patient's chest accept pressure pulse repeatedly.
J.H.Emerson is at United States Patent (USP) the 2nd, 918, disclosed in No. 917 to be used for taking exercise and massage air flue and relevant organ and unobstructed therefrom and remove mucous device.Engine-driven pressure fan produces air pressure to the equipment that is enclosed within on patient's nose and the oral cavity.The diaphragm that is back and forth driven by genemotor is with the air flue of gas to equipment and patient.The speed of electromotor is controlled, to regulate the vibration number of per minute.
R.F.Gray is at United States Patent (USP) the 3rd, 078, disclosed the capsule that is used for applying to people's chest circularly external pressure in No. 842.Pressure alternator applies air pressure to this capsule.Pulse generator applies air pressure to this capsule, with the pulse of exerting pressure to people's chest.
R.S.Dillion is at United States Patent (USP) the 4th, 590, uses inflatable sleeves in No. 925, is used to cover the part of people's extremity (for example arm or lower limb).This cover is connected to exercisable liquid controller and pulse monitor, optionally to apply and to remove the pressure that is added on people's extremity.
WJ.Warwick and LG.Hansen be at United States Patent (USP) the 4th, 838, and No. 263 and the 5th, 056, disclosed breast compressions device in No. 505 with chest vest, this vest is around people's chest.Engine-driven revolving valve makes air can flow into vest, and ventilating air and apply the pulse of pressurization to people's chest therefrom.Displaced pulse pump desorption system has a pair of bellows, and this is connected to the bent axle of being operated by rotary transformer with connecting rod to bellows.The speed of electromotor is regulated, is applied to control the frequency of the pressure pulse of vest by controller.The patient controls the pressure of air in the vest by the end that opens and closes air vent duct.
CN.Hansen is at United States Patent (USP) the 5th, 453, No. 081 and the 5th, 569, disclosed the air impulsive motion device that is used for to closed container (for example vest of placing around people's chest) supply air pulse in No. 170.This device has the overcoat that has inner chamber, and this inner chamber comprises diaphragm.The electric operating equipment that is connected to this diaphragm is operated with the vibration diaphragm by pulse generator, makes the intracavity air produce pulse.Flexible pipe is connected the chamber with vest, so that air and air pulse are driven to vest, wherein said vest is to the pulse of exerting pressure of people's chest.
N.P.Van Brunt and DJ.Gagne be at United States Patent (USP) the 5th, 769, and No. 797 and the 6th, 036, disclosed vibration breast compressions equipment in No. 662, this equipment has the wall that has air chamber and is installed on the wall and is exposed to the diaphragm of air chamber.Pivotally connectedly in the bent axle rotation process, power is sent to diaphragm to diaphragm and the connecting rod that is rotationally attached to bent axle.Genemotor drives this bent axle with the control rate of selecting, to regulate the frequency of the air pulse that movable diaphragm produces.As the flow generator shown in the aerator with air be delivered to air chamber, with the pressure of air in the holding chamber.Make the pressure of the interior air of the controller response air pressure pulses of electromotor of the movable and barrel tumbler blower fan of diaphragm and air chamber.These controling appliances have air pulse and air pressure Response Feedback System, and this feedback system regulates the speed of service of electromotor, with pulse frequency and air pressure in the control vest.
CN.Hansen is at United States Patent (USP) the 6th, 488, disclosed pulsator in No. 641, and this pulsator is exercisable producing multiple air pressure pulses, and this air pressure pulses is used for to the pulse of exerting pressure of people's health.Pulsator has and is used to make the reciprocating dog link motion work of diaphragm, to produce air pressure pulses repeatedly.Use is connected to the speed and the reciprocal frequency of diaphragm of analog controller control electromotor of the manual adjustment of brush electric engine.Each use for pulsator must be according to prescription or ideal treatment manual adjustment controller with different user.In using the process of pulsator, can carry out the manual adjustment of engine speed, to change the frequency of pressure pulse.
CN.Hansen is at United States Patent (USP) the 6th, 547, disclosed the pulsator with two diaphragms in No. 749, these two diaphragms are connected to dog link, dog link with the rotational motion of brush DC motor change the reciprocating motion of diaphragm into, to produce air pressure and air pulse.Dog link is easy to produce surface abrasion because of secular tension force and friction, causes vibration and noise.Use the first manually-operated controller, to select the frequency of air pulse by the speed of control electromotor.Use the second manually-operated controller to adjust the air pressure that pulsator produces.For each use and in the pulsator use, must manually adjust these controllers according to treatment prescription or that record and narrate.Controller has the handle of artificial rotation, to adjust ripple frequency and the air pressure that produces by pulsator.User must be remembered frequency and air pressure before, or has the written suggestion that is used for the consistent Therapeutic Method under these backgrounds.
Summary of the invention
The present invention be used for transmitting high-frequency chest wall oscillations, to promote air flue to remove the mankind and to improve the armarium that bronchus is discharged.The main composition of this equipment comprises air pulse generator, can be connected to vest by the vest of air expansion with generator and is used to transmit air pressure and the flexible hose of the pressure pulse from the generator to the vest.Vest comprises by hose connection air-core or capsule to generator.Impose on the air pressure pulses generation high-frequency pressure pulse repeatedly of air-core, this high-frequency pressure pulse sends the people's who is wearing this vest thorax to, and high-frequency chest wall oscillations improves the mucus clearance in people's respiratory system thus.Air pressure pulses is produced by the movable diaphragm of inhaling between chamber and the air impulsive motion chamber at air pump.The dog link motion work will become the reciprocating motion of diaphragm from the rotational motion of brushless direct current motor.Reciprocating diaphragm pumped air is to increase air pressure and to produce air pulse by increase and minimizing with air pressure in the chamber that flexible pipe communicates.Each dog link motion work comprises the yoke that directly is fixed to diaphragm, is slidably mounted in shuttle and eccentric on the yoke, and this eccentric is positioned on the axle that is installed in rotation on shuttle.Anti-lash assemblies has the shock plate that abuts against the shuttle biasing, with the wearing and tearing of compensation manufacturing tolerance, heat growth and shuttle and yoke, thereby reduces stress and impulsive force and prevents vibration and noise.Anti-lash assemblies has by spring and is biased to the shock plate that continues to engage with shuttle.The pilot pin that is installed on the yoke keeps shock plate to align with shuttle.The power supply of brushless dc motor comprises the numerical frequency control member, and this member is the time or the persistent period of control appliance operation also.Control member has the memory microchip of storage time and frequency data, is used for easy and reliable use.Control panel has screen, and this screen has the artificial demonstration that links to each other with frequency key with the time, and time and frequency key are by artificial time and the frequencies operations of manually-operated with change time and frequency programs or change equipment.Air pressure in the vest is regulated by the scalable air flow restrictors, and this flow restrictors limit air-flow enters air pump and inhales chamber, thus the air pressure in the capsule of the suction of control air pump chamber, air impulsive motion chamber and vest.
The preferred embodiment of body pulsating device has the case that has wall that surrounds the air impulsive motion chamber.The flexible pipe that prolongs is transported to air-core in the vest with air and air pulse, and wherein said vest is positioned at around people's the upper body.This case has the inwall of separate air pulse chamber and air manifold chamber.The one or more check valves that are installed on the inwall allow air to flow into the air impulsive motion chamber from the air manifold chamber, and prevent that air is from the air impulsive motion chamber adverse current gas air pressure in manifold chamber of making the return trip empty.This case has the top that covered by diaphragm and bottom opening with the occluded air pulsation chamber, and diaphragm is connected to case by flexible peripheral members.What be positioned at the air impulsive motion chamber is a pair of being used for to make the diaphragm motion linearly so that the air of air impulsive motion chamber produces the linear reciprocal movement drive mechanism of pulse in straight line upper edge relative direction.Motion work is the dog link that the straight line harmonic motion is provided for diaphragm.Electric brushless DC motor is rotated has a pair of eccentric common axis, and eccentric is about yoke shifted laterally shuttle, and about the yoke guide rail yoke is moved back and forth.Yoke directly is fixed on the diaphragm.Each dog link comprise anti-lash assemblies with the wearing and tearing of compensation shuttle and yoke, allow the heat growth and relax foozle and prevent shuttle perpendicular to its motion with respect to the lateral movement of yoke, act on stress and the impulsive force on the shuttle and suppress vibration and noise with minimizing.Anti-lash assemblies has the flat lash plate that is positioned at the top surface surface engagement of shuttle.The a pair of coil compression springs that is installed on the yoke makes shock plate setover against shuttle.The cylindrical guide pin that is fixed to yoke extends into the interior hole of shock plate, to keep shock plate to align with shuttle and to allow shock plate to compensate the wearing and tearing of shuttle, yoke and shock plate.The speed of service of electromotor is by engine controller controls, and this controller is wired to screen and time and frequency adjustment key.Controller be program-controlled, with change with the air impulsive motion chamber in the proportional engine speed of air pulse frequency.The lid that is positioned at the diaphragm top that is attached to case has the air pump that is communicated with air pressure in manifold chamber and inhales chamber.The inside reciprocating motion of diaphragm through air-flow control air is aspirated into air manifold chamber and pumping chamber chamber, and outside reciprocating motion compressed air air pressure in manifold chamber and the indoor air of pumping chamber of diaphragm then.Air pressure in the air manifold chamber is regulated by artificial adjustable air flow control valve.The air pressure in manifold chamber that enters the restriction air-flow can reduce the air pressure in the air manifold chamber.During air pressure in the air pressure in the air manifold chamber surpasses the air impulsive motion chamber, one-way valve opens is to allow air to flow into the air impulsive motion chamber.The reciprocating motion of diaphragm is to make the pressurized air pulsation by the frequency of the speed decision of the electric brushless DC motor that drives dog link.
Description of drawings
Fig. 1 is the skeleton diagram of air pressure of the present invention and pulse generator, and this generator is connected to the air-core in the vest of placing around people's thorax;
Fig. 2 is the skeleton diagram of air-core, vest and people's shown in Figure 1 part sections;
Fig. 3 is air pressure and the time of pulse generator and the vertical view of FREQUENCY CONTROL panel among Fig. 1;
Fig. 4 is the vertical view of the air pressure manual controller of air pressure and pulse generator among Fig. 1;
Fig. 5 is the diagrammatic sketch of air pressure and palsating equipment among Fig. 1;
Fig. 6 is the cross sectional view of air pressure and pulse generator among Fig. 1;
Fig. 7 is the pressure time chart of air pressure and pulse generator among Fig. 1;
Fig. 8 is the sectional view of getting along Fig. 5 center line 8-8 that amplifies.
Fig. 9 is the sectional view that the line 9-9 along Fig. 8 gets;
Figure 10 is the sectional view of getting along the line 10-10 among Fig. 9;
Figure 11 is the sectional view of getting along the line 11-11 among Fig. 8;
Figure 12 is the sectional view of getting along the line 12-12 among Figure 11;
Figure 13 is the sectional view of getting along the line 13-13 among Figure 11;
Figure 14 is the sectional view that is similar to Fig. 8, and the diaphragm assemblies in the air pump suction mode is shown;
Figure 15 is the sectional view that is similar to Fig. 8, and the diaphragm assemblies in the air impulsive motion pattern is shown;
Figure 16 is the sectional view of the line 16-16 along among Figure 15 that the amplifies scotch yoke mechanism of getting.
Figure 17 is the sectional view of getting along the line 17-17 among Figure 16;
Figure 18 is the sectional view of getting along the line 18-18 among Figure 16;
Figure 19 is the time of generator and the manual sequence of frequency controller;
Figure 20 is the sketch map of the time countdown screen in the manually-operated process of generator.
Figure 21 is the sketch map of the screen in the manually-operated time-out process of generator; And
Figure 22 is the sketch map of the program sequence of time of generator and frequency controller.
The specific embodiment
The body pulsating device, in Fig. 1, refer generally to be shown 10, have vest 11 and air pressure and pulse generator 12, described air pressure and pulse generator operationally apply the repetitive pressure pulse to vest, wherein said vest is placed around people's health, so that secretions and mucus clearance therapy to be provided.Respiratory mucus clearance can be used for many medical conditions, for example pertussis, cystic fibrosis, pulmonary atelectasis, bronchiectasis,, empty lung disease, vitamin A deficiency, chronic obstructive pulmonary disease, asthma and immotile-cilia syndrome.The people of operation back patient, paralysis and the neonate mucociliary transport of suffering from respiratory distress syndrome reduce.Device 10 provides high frequency chest wall oscillations or pulsation, removes with mucus and the air flue of strengthening the people 13 that mucociliary transport reduces.
The vest of placing around people's upper body or thorax 14 11 is supported on people's the shoulder 16 and 17.As shown in Figure 2, be expanded to the vest 11 that contacts with the outer surface of upper body 14 in fact and play the effect that applies repeated compression or pressure pulse to health 14, as shown in arrow 18.The low-pressure that is in pressures cycle when pressure pulse is during the stage, and the reaction of 14 pairs of pressure pulses of health causes the reexpansion of health.Lung 19 and 21 and the pressure pulse of trachea 22 experience secretions and mucus clearance therapy are provided.The thoracic cavity only occupies the top of thorax and comprises right and left lung 19 and 21, heart 23, tremulous pulse 24 and 26 and rib cage 27.Be applied to the repeated pressure pulses cardiac stimulus 23 of thorax 14 and the blood flow in tremulous pulse 24,26 and the thoracic cavity angular vein.The repeated pressure pulses that muscle and neural anxiety also are added on front, side and the aft section of thorax 14 is slowed down.The bottom of thorax comprises abdominal cavity 29, and it is the same high with the lower tip of breastbone that abdominal cavity 29 upwards reaches, so that be big and easily vulnerable abdominal organs, for example liver, spleen, harmonization of the stomach kidney etc. provide sizable protection.Two chambeies are separated by dome-shaped diaphragm 28.Rib cage 27 has 12 root bones in each side of trunk.Rib comprises series of thin, bending, quite resilient bone, and it links to each other with the joint with thoracic vertebra in the wings.Consecutive intercostal space is connected by Intercostal muscle.Rib cage 29 help to disperse to be added to lung 19 and 21 and trachea 22 on pressure.
Vest 11 has outer cover 31, and outer cover 31 comprises non-elastic material, for example nylon fabrics.Other types of material also can be used for overlapping 31.Cover 31 is fixed to the flexible lining 32 that adjoins and center on health 14 placements.Liner 32 is a flexible fabric, for example porous bafta, and it allows air to pass fabric and blows to health 14.As the locking device shown in the slide fastener 33, the bottom of liner 32 is fixed to the end portion 34 that the direction of cover 31 makes progress.Have the air-core of internal chamber 37 and manifold passage 38 or capsule 36 between cover 31 and liner 32.A plurality of air ducts between passage 38 and the chamber 37 allow air upwards to flow into chamber 37.The wind spring 41 of the prolongation in manifold passage 38 in the bottom of air-core 36 keeps the open-minded of manifold passage 38.The maintenance manifold passage 38 of other type opens and allows air to can be used in the bottom of air-core 36 through passage 38 mobile structures.The end portion 33 of non-elastic cover 31 and wind spring 41 reduced quite a lot ofly vest on abdominal cavity 29 and Qi Nei organ to internal pressure, and reduced the pressure on the digestive system.Air-core 36 has the air-flow control hole 42 of a plurality of vertical alignments, its restriction from air-core chamber 37 enter the cover 31 and liner 32 between spatial air-flow.Passing porous liner 32 flow air ventilates and cooling the health 14 that is surrounded by vest 11.
Return Fig. 1, vest 11 has a pair of vertical shoulder belt 43 and 44, this to shoulder belt by recessed upper back edge side to separation.Vertical the place ahead chest part 46 and 47 is by recessed bent upper end edges and be with 43 and 44 to separate, and wherein said recessed bent upper end edges allows vest 11 to adapt to the below of people's arm.Be fixed to the releasable securing member of chest part 46 and 47 outer surfaces, for example loop pads 48 and 49 matches with the hook pads (not shown) that is fixed on shoulder belt 43 and 44 inside, releasedly shoulder belt 43 and 44 is connected to chest part 46 and 47. Shoulder belt 43 and 44 is extending forward on shoulder 16 and 17 and is extending on chest part 46 and 47 downwards.Hook-type and loop pads 43 and 44 are releasable VELCRO securing members, and it is connected to chest part 46 and 47 and keep chest part 46 and 47 front portions in abutting connection with health 14 with shoulder belt 43 and 44.
Vest 11 has at the outward extending first lateral end front part of a Chinese robe or jacket 51 in vest left side.The rectangular ring pad 52 that is fixed to end flap 51 outsides matches with configuration pad on the second lateral end front part of a Chinese robe or jacket 53 on vest 11 right sides, to keep vest 11 around health 14.Hook-type and loop pads are the VELCRO securing members, and it allows vest 11 tightly to hold health 14.
As shown in Figure 1, the discharged keeper 54 that is connected to the vest end flap makes the front part of a Chinese robe or jacket 51 and 53 keep the position of crossovers, and prevents to discharge in hook-type and fasteners 52 apply repetition pulse at the health 14 to people 13 the process and throw off.Keeper 54 is included in the prolongation that an one end is fixed to chest part 53 and is with 56.But the end relatively with 56 has hook-type and ring-type release fasteners 57, and it allows to be with 56 to be secured in the D-ring.The a pair of D-ring 58 that is connected to chest part 46 and 59 and be with 56 to be in line.Be with 56 to form circle and is connected, with the end flap 51 that keeps vest and 53 and make vest 11 center on people's health 14 with securing member 57 by D-ring 58.Free terminal with 56 can be spurred rapidly, with release fasteners 57 and keeper 54 is thrown off.CN.Hansen and LJ, Helgeson be at United States Patent (USP) the 6th, 676, disclosed the vest of the thorax withstanding pressure pulse that operationally makes the people in No. 614.
In the use, vest 11 is provided with around the person 14, as shown in Figure 1, and remains on the appropriate location by shoulder belt 43 and 44.But release fasteners 48 and 49 is fixed to chest part 46 and 47 with shoulder belt 43 and 44.But vest 11 is conditioned by changing the annexation of shoulder belt 43 and 44 on release fasteners 48 and 49 in the upright position on the health 14.But the loose fit that the circumferential location of vest 11 is kept around the person 13 by release fasteners 52.Keeper 54 keeps securing members 52 to be engaged with each other and prevent that them from throwing off in vest 11 pulsation process.Keeper 54 be with 56 by forming circle one of in the D ring 58,59 and linking together with hook-type and fasteners 57.Then, the flexible pipe 61 that makes an air pulsator 12 and an end pass to pipe 62 is connected, and applies multiple pressure pulse with the health 14 to people 13.
Air pressure and pulse generator 12 are installed in the case 62 with open top and lid 63, cover 63 hinges and are connected to case 62, can be operated to close case 62.The handle 64 that is pivotally mounted on the case 62 is used as handle, to make things convenient for transporting of generator 12.Case 62 and lid 63 have the overall dimension that this case can be become can board article.
Air pressure and pulse generator 12 have the overhead 66 that is installed on the case 62, seals the control member of generator.Overhead 66 is difficult for removing from case 62, to forbid the unwarranted adjustment and the repairing of air pressure and pulse generator 12.Overhead 66 is supporting main power switch 67 and is having the front panel 68 of time control key 69, information display screen 70, FREQUENCY CONTROL key 71 and air pressure Artificial Control knob 72.Time control key 69 be comprise rising+key and decline-key, with the optionally increase of program control treatment cycle or the electrical switch of minimizing between 0 to 30 minute.The time cycle of selecting is recorded on the screen 70.Screen 70 is observation display devices of electronics, for example liquid crystal display or luminous organic material display.FREQUENCY CONTROL key 71 be comprise rising+key and decline-key, with optionally per second 5 and 25 cycles or hertz between the increase of program control pulse frequency or the electrical switch of minimizing.As shown in Figure 1, use for the ease of the user, time control key 69, information display screen 70, FREQUENCY CONTROL key 71 and air-pressure controlling knob 72 are positioned on the front panel 68.The adjusting of the air pressure in the air-core 36 is by artificial rotary knob 72 and controlled.Average air pressure in the air-core 36 are controlled between atmospheric pressure and the 1psi (pound/square inch), as among Fig. 4 by shown in the pressure scale 73 with 10 to 100 numerals.The pressure pulse of vibration circulates up and down at the average pressure of selecting.
Shown in Fig. 5,6,7 and 11, air pressure and air pulse generator 12 have the air pulsator and the pump unit 78 of associating, and it is the exercisable air pressure pulses that is illustrated, is sent to by flexible pipe 61 air-core 36 with generation by arrow 79.Unit 78 has rectangular box 81, and this case has the upright side walls 82 and 83 of end wall of being connected to 84 and 85.The inwall 86 that extends between sidewall 82 and 83 and be connected to sidewall 82 and 83 is separated manifold or channel chamber 88 with air impulsive motion chamber 87.Air pressure in manifold chamber 88 is endways between wall 85 and the inwall 86.The top of case 81 and bottom are open.A pair of diaphragm 89 and the 91 closed case openings that are installed on the case 81 are with the air impulsive motion chamber 87 of sealing between diaphragm 89 and 91.First pan-shaped cover 92 that is fixed on case 81 tops by securing member 93 is positioned at the outside of diaphragm 89.Space between lid 92 and the diaphragm 89 is the first pumping chamber chamber 94, and it is communicated with so that air can flow into and flow out chamber 94 with air pressure in manifold chamber 88 fluids.Second pan-shaped cover 96 that is fixed on case 81 bottoms by securing member 97 is positioned at the outside of diaphragm 91.Space between lid 96 and the diaphragm 91 is that second air pump is inhaled chamber 98, and it is communicated with air pressure in manifold chamber 88 fluids so that air can flow between chamber 88 and 98.Air from pump is inhaled chamber 94 and 98 and is flowed into air pressure in manifold chamber 88 and flow into pulsation chamber 87 from air pressure in manifold chamber 88 by check valve or check-valves 99, is illustrated by the arrow among Figure 14 100.When valve 99 cut out, as shown in Figure 8, valve 99 stoped air to flow back to air pressure in manifold chamber 88 from pulsation chamber 87.Valve 99 shown in Fig. 8 has the cylindrical shell 101 that is installed on the wall 86.Shell 101 has the path 10 of opening to chamber 87 and 88 2, and path 10 2 holds the valve member or the disk 103 that can move between open and closed position.The transverse bolt 104 that is installed on the shell 101 remains on disk 103 in the path 10 2, and provides fulcrum so that disk 103 can be switched to its open position for disk 103.The one or more check valves that are installed on the wall 86 can be used to allow air to flow into pulsation chamber 87 and prevent that air from returning air pressure in manifold chamber 88 from pulsation chamber 87 adverse currents from air pressure in manifold chamber.
Diaphragm 89 has the rectangular rigid metal plate 106 of the periphery flexible flange 107 that is connected to rubber or plastics.The interior section of flange 107 is divided into two parts and is bonded to the opposite side of plate 106.The exterior section of flange 107 by securing member 93 be clipped in cover 92 and case 81 between.As shown in Fig. 8,9,14 and 15, flange 107 has opening 108, and it allows air to flow between the first pumping chamber chamber 94 and manifold cavity 88.Flexible flange 107 has flexible spiral folded part 109, and it comprises direction upwards and the rib that is directed downwards, and described rib makes the plate 106 can linear shifted laterally and do not stretch or stress on the flexible material of flange 107.Diaphragm 91 has the rigid metal plate 11 that is positioned on chamber 87 bottom sides and is parallel to plate 106.The flexible flange 112 that is connected to plate 106 is clipped in case 81 by securing member 97 and covers between 96.Flange 112 has opening 113, and it allows air to flow between the air pressure in manifold chamber 88 and the second pumping chamber chamber 98.Mid portion around the flange 112 of plate 111 has flexible spiral folded part, and it makes the plate 111 can linear shifted laterally and do not stretch or stress on the flexible material of flange 112.
Diaphragm 89 and 91 is motion point-blank on relative lateral, is driven by speed change brushless direct current motor 118 and be designated as 116 and 117 linear movement transmission component generally.Band and pulley power transmission 119 can be connected to motion transmission assemblies 116 and 117 with electromotor 118 drivingly.As shown in Figure 11 and 13, motion transmission assemblies 116 has by securing member 122 and 123 and is fixed to the sidewall 82 of case and 83 cross member 121.Cross member 121 has the upright guide surfaces 124 and 126 of pair of parallel.Yoke 127 is fixed to plate 106 by pair of bolts 128 and 129, and this yoke 127 has the opposite side that is slidably engaged with guiding surface 124 and 126.By the hole 131 in the plate 107 and 132 bolts 128 that extend and 129 relative motioies that comprise pivoting action that stop between yoke 127 and the plate 106.Yoke 127 has only linear reciprocal movement, and it prevents diaphragm 89 shaking and become angular movement in its reciprocating motion process.As shown in Figure 13, yoke 127 has lateral openings or the window 133 that holds slide block or shuttle 134.Shuttle 134 has and holds the hole that is installed in the eccentric 136 of axle on 137.Eccentric 136 by the roller bearing 138 in the hole that is positioned at shuttle 134 around.Yoke 127, shuttle 134, eccentric 136 and axle 137 are known as the dog link power driving module.
Shown in Figure 16 to 18, bolt 128 and 129 tops with yoke 127 are fixed to diaphragm plate 106.Anti-lash assemblies 200 is pressing the flat top surface 209 of shuttle 134, contacts with the slidingsurface between the flat surfaces 210 of the lower surface 205 that keeps shuttle 134 and yoke 127.Anti-lash assemblies 200 compensates the wearing and tearing of foozles, heat growth and shuttle surface 205,209 and adjacent yoke surfaces, and keeps the sliding-contact on surface 205,210 and 208,209, with minimizing stress and impulsive force, and suppresses vibration and noise.Shock plate 201 has the flat surfaces 208 with flat surfaces 209 sliding-contacts of shuttle.Dish 201 is the steel members with central cylindrical hole 202, and this hole 202 holds cylindrical guide pin 203.Hole 202 can be extended by plate 201.Pin 203 is pressed and assembles or fixedly enter in the cylindrical bore 204 at yoke 127 tops.Pin 203 lower end is slidedly assemblied in the hole 202, so that shock plate 201 can move down, to keep the surface engagement with the top surface 209 of shuttle 134.The end 206 and 207 relatively of shock plate 201 is kept separating with adjacent yoke 127 inwalls by pin 203.A pair of coil compression springs 211 makes it contact with surface 209 continuous surfaces of shuttle 134 with 212 biasing shock plates 201.Be positioned at the cylindrical bore 213 at yoke 127 tops and the cylindrical recess 216 and 217 that 214 spring 211 and 212 extends down into shock plate 201.The biasing member of other type, for example gum elastic or plastic core etc. also can be used to against shuttle 134 continuous biased downward shock plates 201.
The second dog link power driving module that may be operably coupled to the plate 111 of diaphragm 91 comprises yoke 139, and yoke 139 is fixed to plate 111 by pair of bolts 140 and 141.Bolt 140 and 141 prevents the relative motion (comprise pivoting action) of yoke 139 with respect to plate 111, and diaphragm 91 only has straight reciprocating motion thus.Yoke 139 has the vertical side, the outside that the vertical guiding surface 142 and 143 with second cross member 144 is slidably engaged, the linear reciprocating motion of its restriction yoke 139.Return Figure 11, securing member 146 and 147 is fixed to case sidewall 82 and 83 with cross member 144.Second cross member 144 and holds axle 137 outer end rotationally near first cross member 121, shown in Fig. 8,14 and 15.Yoke 139 has opening or the window 148 that holds slide block or shuttle 149 slidably, and described slide block or shuttle 149 have the cylindrical bore that is used for fixing to the roller bearing 152 and the eccentric 151 of axle 137.It is fully relative with eccentric 136 that eccentric 151 is placed as, as shown in Figure 14, and to provide rotary balance to the dog link power driving module.
In the anti-lash assemblies 218 shown in Fig. 8,12,14 and 15, shock plate is biased to shuttle 149 continuous surfaces of the dog link that is fixed to diaphragm plate 111 by bolt 140 and 141 engages.Anti-lash assemblies 218 has the 26S Proteasome Structure and Function identical with the anti-lash assemblies shown in Figure 16 to 18.
Return Figure 11, band and pulley power transmission 119 have the little driving pulley 153 of the driving shaft 154 that is connected to electromotor 118.First endless belt 156 that is provided with around belt wheel 153 and the big belt wheel 157 that is fixed to transmission jackshaft (jack shaft) 158 is connected to the endless belt 163 of the big belt wheel 164 that is fixed to axle 137 to axle 137 transfer motion powers by the small pulley on the transmission jackshaft 158 162 with belt wheel 162.Small pulley 153,157 and big belt wheel 162,164 provide the speed reduction operation of axle 137 for actuating unit 119.As shown in Fig. 6,8 and 11, motion transmission assemblies 116 and 117, and band and pulley power transmission 119 are positioned at pulsation chamber 87 and are surrounded by case 81 and diaphragm 89 and 91. Motion transmission assemblies 116 and 117 is isolated in the chamber 87 can reduce noise, and prevents that these assemblies and band and pulley power transmission 119 are by external environmental.
As shown in Figure 5, the brushless direct current motor 118 that is installed on air pulsator and pump unit 78 1 sides is wired to program-controlled power supply 165, and it is used to control the frequency of the air pulse of this unitary running time and generation.Power supply 166 is suitable for being connected to 110 volt of 60 cycle or 220 volt of 50 cycle power supply.Manually-operated switch 67 connects power supply and circuit boards 166, and circuit board 166 is in order to providing unidirectional current to digitial controller 170, and digitial controller 170 quilts are linked to electromotor 118 and control panel key 69,71,74,75 and 76 and screen 70.Controller 170 has program-controlled electronic equipment, comprises the dynamic random access memory microchip that is used to control running time and electromotor 118 speed.Increase and decrease time key 69 is used to be provided with 30 seconds interval the running time of pulsator 12 between 0 to 30 minute.By the speed of service of adjustment electromotor 118, with regulating impulse frequency between 5 and 25 pulse per seconds or hertz interval, thus, increase and decrease frequency key 71 is used to be provided with the frequency of air pulse.On the artificial and program-controlled data display screen 70, the same as described later.
Air pressures in the air pressure in manifold chamber 88 are by proportional free flow valve 167 controls of variable orifice, go into and flow out air pressure in manifold chamber 88 with restriction or obstruct airflow.Valve 167 has the main body 168 that has passage 169.And have shown in the screw member, be installed on the main body 168 and the air flow restrictors 171 that extends into passage 169 is regulated air flows and entered pipe 172 through passages 169.The air flow restrictors of other type, for example rotating grooved ball or removable disk can be used to regulate the air-flow by valve 167.The far-end of pipe 172 is connected to the bend pipe 173 that is installed on the tank wall 85.Bend pipe 173 has the passage of opening to air pressure in manifold chamber 88 174, so that air can flow into air pressure in manifold chamber 88.Passage 175 in the main body 168 makes limited amount air flow channel 174 enter air pressure in manifold chamber 88.Passage 175 is the fixed air circulation roads in the main body 168, this passage make air can be in the variable gas channel 169 of user's control bypassed air flow current limiter 171, minimum like this treat can not be reduced to zero.Be installed in column porous member 176 filtrations on the main body 168 and air can be flowed into and flow pass 169, and the noise of air of passage 169 is flow through in decay.Handle 72 is mechanically attached to current limiter 171, thereby the rotation of handle 72 changes the arrowhead of gas channel 169 and the airflow rate by passage 169.The rate controlled of the air-flow by passage 169 flows into and flows out the volume of the air of air pressure in manifold chamber 88.Proportional in volume of air and the air pressure in manifold chamber 88 in air pressure in manifold chamber 88 and the pumping chamber chamber 94 and 98 by the air pressure of the linear lateral movement generation of diaphragm 89 and 91, illustrate by the arrow among Fig. 6 177 and 178.The pressure of air in the air pressure in manifold chamber 88 is adjusted in the adjusting of valve 167, and 183 places illustrate in Fig. 7.It is sinusoidal wave consistent that air pressure in the air pressure in manifold chamber 88 and harmonic linear reciprocating motion owing to diaphragm 89 and 91 produce.The pressure of air illustrates at 184 places in the pulsation chamber 87, has the sinusoidal wave opposite sine wave with air pressure 183.During air pressure in the air pressure in the air pressure in manifold chamber 88 surpasses pulsation chamber 87, air is from air pressure in manifold chamber 88, flow into pulse chambers 87 and from the air chamber 37 of pulsation chamber inflow air-core 36 by check valve 99.
As shown in Fig. 5 and 6, the air flow control member 181 with vertical passage 182 is installed in the air intake side of bend pipe 173.Member 181 is regulated the air that flows into and flow out air pressure in manifold chamber 88, with the variation of the air-flow in compensating pipe 172, valve 167 and the porous member 176.
During use, vest 11 is provided with around people's upper body or chest 14, as shown in figs. 1 and 2.Be connected to shoulder belt 43 and 44 vertical support vest 11 on people 13 of loop pads 48 and 49.Remain by releasable connector element 52 and 54 around the circumferential section of the vest 11 of health 14 that comfortable subsides are adaptive closes.Air pressure and pulse generator 12 are connected to air-core in the vest 11 by flexible pipe 61.The far-end of pipe 61 is connected to the air intake end 60 of the air manifold passage 38 of air-core 36.People 13 or nursing staff are provided with handle 72, to select the air pressure in the air-core 36.The manually-operated of air pressure and pulse generator 12 is by user or other people's Selective Control.Power switch 67 is switched on, to power to generator.As shown in Figure 19, WELCOME screen 70 will show 5 seconds of WELCOME, proceed to the HOME screen 70 of the MANUAL pattern that shows PROGRAMS 1-3 and operation then automatically.If do not receive input, screen becomes the MANUAL screen that shows 10 minutes with 10 hertz.User can be pushed on the display and the relevant switch of word " MANUAL ", does not wait for to proceed to the MANUAL screen.By using increasing-and-decreasing key 69 to turn round in the increment replacement time in 30 seconds to 30 minutes scope with 30 seconds.By using increasing-and-decreasing key 71 in from 5 to 20 hertz scope, frequency to be set the increment with 1 hertz.The incremental rate of time and frequency change begins for the slow rolling rate of initial 5 increments with 0.5 second every increment, is the quick rolling rate of 0.25 second every increment then.The actuating of START key 74 makes the generator entry into service, and memory time and frequency configuration are in order to follow-up replacement operation.Start HOME key 76 and return the HOME screen.
In the running of generator 12, the MANUAL screen shows the countdown time with one second increment, as shown in Figure 20.When generator 12 operations, can not reset the time.No matter move or stop, can be in from 5 to 20 hertz scope with 1 hertz increment reset frequency.When generator moved, MANUAL screen 70 also showed information TO STOP PRESS PAUSE.Push PAUSE key generator 12 out of service and freeze-off time and show that the time keeps being shown simultaneously.The MANUAL screen shows the hertz of PAUSED and remaining time and setting as shown in Figure 21.Start START key 74 and rerun generator 12 with time and the frequency configuration that shows.After the dwell time of 00:00, generator 12 cuts out, and sends bleep two, and is showing again as showing 5 seconds of 00:00 before being provided with at last of being used and storing described herein.
The program schema of air pressure and pulse generator 12 makes user or implements therapist and can be provided with three and can be used to each isolating scheme when implementing treatment, PROGRAM 1,2 or 3.This makes a plurality of user can preserve individual's prescription or makes a user that three kinds of different therapeutic schemes can be set.Specify the default therapeutic scheme permanent storage treatment that enters generator 12 to be provided with by the doctor, this treatment is provided with the touch user's control of simple list that allows to implement treatment.Young children can not skip the part of treatment.Old people will not need the concern scheme, thereby allow to carry out other work, for example read or computer operation.With reference to Figure 22, the order that PROGRAMS 1 is set is shown.When switch 67 is opened, screen 70 will show 5 seconds of WELCOME, become 10 seconds of HOME screen then.Do not show below right button 71 if receive input or touch MANUAL, screen 70 becomes the MANUAL screen.During input period of 10 seconds, push time or the frequency key adjacent and make control enter INITIAL PROGRAM screen with PROGRAM 1, PROGRAM 2 or PROGRAM 3.In case arrive this screen, top line will show selected program number, be shown as being PROGRAM 1.This program number, for example PROGRAM1 will keep having selected to carry out or replacement process up to the user.Push SET key 75 then, to begin default specified scheme.Push the program of START key 74 to exist before carrying out.Start HOME key 76 to return the HOME screen.
When SET key 75 was activated, time and frequency data can be changed.The program of treatment sequence is capable from A, and whole A is capable of the anti-phase demonstration of highlight.Time key 69 is used for resetting with 30 seconds increment in the scope from 00:00 to 30:00 minute.Frequency key 76 is used for that the increment with 1 hertz is provided with frequency in from 5 to 25 hertz scope.Push the shown time and the frequency values of SET key 69 storage corresponding A row, and it is capable to be rolled to B.If user does not want to change capable time of B or frequency, pushing the SET key, will to be rolled to C capable.By service time key 69 and frequency key 71 can change time and the frequency values that B is capable, C is capable, D is capable, E is capable or F is capable.Push SET key 75 and return back to capable and all row of circulation process of A, up to pushing START key 74 or HOME key 76 from footline.Push START key 74 generator 12 that brings into operation at any time.According to changing PROGRAM 2 and PROGRAM 3 about the described method of PROGRAM1.
Figure 23 to 26 illustrates the user interface that is used for distinct program, is defined as PROGRAM 3.The HOME screen is used to start PROGRAM 3.SET control key 75 is used for program control treatment sequence, begins so that A is capable.As shown in Figure 23, be activated for the capable full line of change value by the anti-phase demonstration of highlight.Can service time control key 69 in the scope from 00:00 to 30:00 minute, reset the time with 30 seconds increment.Frequency of utilization control key 71 is used for that the increment with 1 hertz is provided with frequency in from 5 to 20 hertz scope.The incremental rate of time and frequency change begins for the slow rolling rate of initial 5 increments with 0.5 second every increment, is the quick rolling rate of 0.25 second every increment then.Push the START generator 12 that brings into operation at any time.Pushing SET stores the shown time value and the frequency values of corresponding shown row and is rolled to next line.If the user does not think change time or frequency, push SET and will be rolled to next line.Pushing SET, to be returned to A from footline capable, and from A capable to the capable circulation of F up to pushing START or HOME.Push HOME at any time and turn back to the HOME screen shown in Figure 19.Push START and begin to carry out shown program.Program is carried out and will be rolled across the row that is input as 00:00 any time rapidly.Time and frequency values can not be changed in any time of moving or stop in the execution pattern.Show the also countdown continuously of value remaining time during operation.User can be pushed PAUSE in the 12 operating any times of generator, generator 12 is stopped and showing word PAUSE, replaces the letter of row, as shown in Figure 26.Show remaining time when stopping.When generator 12 operations, HOME is non-reactive bond.When timer turned round to 00:00 downwards, generator 12 stopped and the serge serge is rung twice.When generator 12 stops, showing information TREATMENT COMPLETE on the screen 70.Display scrolls up to the WELCOME screen shown in Figure 22 then.Generator 12 prepares to carry out new START, SET or HOME instruction.
User or enforcement therapist can detect under the situation of band vest, no vest and engine temperature restriction according to the operation that detects generator 12 running time of accumulation.By during any demonstration of HOME screen, pushing and pin SET key 75, Cumulative Elapsed Time can be shown on screen 70.As long as push SET key 75, Cumulative Elapsed Time is with a few hours demonstration of 4-position.Pushing and pin HOME key 76 before power supply or during the power supply system is activated in detecting operational mode, is at first in band vest screen detects.Pushing START key 74 begins to detect.Air pressure knob 72 is arranged on 50.If reach specific air pressure, system is by detecting.When not reaching specific air pressure, carry out not second detection with vest.The vest end of flexible pipe 61 is adjusted to 10 by jam-pack and pressure.Begin to detect by pressing START key 75.If reach specific pressure, vest needs repairing.In not reaching the situation of specified pressure, system needs repairing.Push HOME key 76 with skip detection.When the restriction of any electromotor running temperature exceeds engine overheat or supercooled when allowing limit, electromotor 118 starts and is prevented from.The restriction of electromotor running temperature is set to lowest temperature 50 degrees Fahrenheits and temperature upper limit 200 degrees Fahrenheits by maker.The restriction of electromotor running temperature can manufactured factory be adjusted to other lower limit and ceiling temperature.
Shown in Fig. 6,8,11,14 and 15, electromotor 118 also rotates eccentric 136 and 151 around the axis of axle 137 by actuating unit 119 turning cylinders 137.Eccentric 136 and 151 is with respect to yoke 127 and 139 shifted laterally slide blocks 134 or shuttle 149, and makes yoke 127 and 139 straight reciprocating motions.The diaphragm 89 and 91 that directly is fixed to yoke 127 and 139 by bolt 128,129,140 and 141 is outwards moved along straight line, is illustrated by the arrow among Figure 12,13 and 15 186 and 187, and is moved inward, and is illustrated by the arrow in Fig. 6 and 15 117 and 178.Anti-lash assemblies 200 relevant with the dog link motion work and 218 elimination shuttles 134,149 move both vertically with respect to yoke 127,139, to prevent vibration and noise.As shown in Figure 15, when diaphragm 89 and 91 inwardly toward each other during rectilinear motion, air is inhaled chamber 94 and 98 from air pressure in manifold chamber 88 inflow pumps.Limited amount air flows through valve 167 and air flow control member 181 and enters air pressure in manifold chamber 88.Adjust handle 72 and cross valve 167 with the control air communication, thus the amount and the pressure of control air pressure in manifold chamber 88 interior air.Diaphragm 89 and 91 inside motions increase the pressure of air in the pulsation chamber 87, close check valve 99 and by flexible pipe 61 air under the pressure are reached air-core 36.Air-core 36 inwardly expands with the flexible liner 32 firm engagement people's 13 that keep vest 11 chest and back.Diaphragm 89 and 91 straight line be motion generation air pressure pulses chamber 87 and air-core 36 in inwardly and outwards, this pressure pulse applies repeatedly power to people 13 chest and back, illustrate by arrow 18, to apply the dither treatment to all lobes of the lung and airway passage simultaneously, to strengthen mucus, secretions and similar substance removing therefrom.
As shown in Figure 12 to 14, diaphragm 89 and 91 outside rectilinear motions force air to flow out the pumping chamber chamber and enter air pressure in manifold chamber 88, thereby increase the pressure of air in the air pressure in manifold chamber 88.When the pressure of air in the air pressure in manifold chamber 88 exceeds the pressure of air in the pumping chamber chamber 87, check valve 99 is opened to allow air to flow into pulsation chamber 87 from air pressure in manifold chamber 88, illustrate by the arrow among Figure 14 100, thus the pressure of air in increase pulsation chamber 87 and the air-core 36.Check valve 99 responds the decline of air pressure in manifold chamber 88 inner air pressures and closes, and prevents that air from passing back in the air pressure in manifold chamber 88 from pulsation chamber 87.The size restrictions of passage 182 can flow into the amount of the air in the air pressure in manifold chamber 88, thereby prevents that air pressure in manifold chamber 88 inner air pressures are excessive when valve 167 becomes inoperative.Holes 175 in the valve body 168 allow limited amount air to flow into and flow out air pressure in manifold chamber 88, to remain under the situation that valve 167 cuts out in the pulsation chamber 87 and the minimum air pressure in the air-core 36.
When linear in the opposite direction when mobile by linear movement transmission component 116 and 117, diaphragm 89 and 91 implement to produce air pressure repeatedly and make pulsation chamber 87 and air-core 36 in air produce the dual-use function of pulsation.By changing the speed of brushless dc motor 118, the frequency of air pulse is controlled between per second 5 and 25 circulations.The speed of the control panel key 71 program control electromotors 118 that people 13 or enforcement therapist are used is to change the frequency of air pulses in pulsation chamber 87 and the air-core 36.Pulsator 12 run time program control by time key 69.The air-flow of valve 167 restriction turnover air pressure in manifold chamber 88, to adjust the pressure of air in the air pressure in manifold chamber 88, its rectilinear motion that responds diaphragm 89 and 91 is sent to pulsation chamber 87 through check-valves 99.
Air under the flexible pipe 61 guide pressure effects and the air pulse air manifold passage 38 to air-core 36 bottoms.Prolongation wind spring 41 in the air-core 36 keeps passage 38 open, upwards flows into air chamber 37 to allow air through opening 39.Air pulse in the chamber 37 applies the pulse strength that direction is inside and make progress to people's rib cage 27, and rib cage 27 sends this pulse strength to lung and airway passage.Vest 11 outer cover 31 limit air cores 36 as non-elastic material outwards expand.Outer cover 31 is extended around the bottom of air-core 36, and the bottom of air-core 36 comprises the wind spring 36 of the inward pressure of 36 pairs of people's abdominal paries of limit air core.Pulse frequency is in per second 5 to 25 circulation scopes.Pulse strength is discharged into the oral cavity from lung and airway passage with mucus and secretions, and they can be eliminated by normal cough in the oral cavity.Air-core 36 has a plurality of little openings or hole 42, and it allows limited amount air to flow out chamber 37 and enters vest 11.This air ventilates and nice and cool the upper body of being surrounded by vest 11 14, and exits for air-core 36 when air pressure and pulse generator 12 are closed.
Narrated the people that the body pulsating apparatus and method can be used for suffering from cystic fibrosis.The body pulsating apparatus and method can be used for pulmonary atelectasis behind bronchiectasic people, the surgical operation and stage neuromuscular disease, frequently the ventilator dependent patient of pneumonia and the mobility reduces or to the people of Trend toleration difference take place.Because of causing the people of secretion clearing problem, broad range of diseases and situation can select to use body pulsating apparatus and method treatment of the present invention.
This description is the preferred embodiment of body pulsating apparatus and method.Should be understood that this body pulsating device is not limited to special material, structure, arrangement and operation method shown and that describe.Be interpreted as, in the case of without departing from the present invention, can carry out the change of each several part, material, arrangement and locations of structures.
Claims (35)
1. device that is used for producing air pressure and air pressure pulses at cover, comprise: case with air impulsive motion chamber and opening, be installed on the case and the diaphragm of sealing opening, have passage and be suitable for connecting box and cover and be used for device to cover delivery air and air pressure pulses, be positioned at the lid that diaphragm top and diaphragm separate and have the pumping chamber chamber, lid and diaphragm are fixed to the device of case, described case has the inwall of separating pulsation chamber and air pressure in manifold chamber, described air pressure in manifold chamber and described pumping chamber chamber air communication, be installed on the inwall, can operate to allow air to flow into pulsation chamber and prevent air at least one valve from pulsation chamber flow back into air pressure in manifold chamber from air pressure in manifold chamber, be used to limit the air-flow inflow and flow out air pressure in manifold chamber, air flow regulator with control air pressure in manifold chamber inner air pressure, be connected to diaphragm, can operate to move back and forth the driving device of diaphragm with respect to the pumping chamber chamber, described driving device comprises the dog link motion work, this motion work comprises yoke, be installed in the shuttle on the yoke movably, can operate anti-lash assemblies to keep shuttle and yoke to engage continuously, and be installed in rotation on eccentric on the shuttle, be connected to eccentric speed change brushless dc motor, thereby this driving device moves back and forth barrier film when electromotor moves, so that the air impulsive motion in the pulsation chamber and air is flowed into and efflux pump suction chamber and increase the pressure of manifold cavity room air from air pressure in manifold chamber, when the pressure of manifold cavity room air greater than pulsation chamber in during the pressure of air, described valve allows air to flow into pulsation chamber from air pressure in manifold chamber, and is connected to electromotor, can operate to change engine speed to regulate the reciprocating motion of diaphragm, thereby regulate the program-controlled controller of the air impulsive motion frequency in pulsation chamber and the cover.
2. device as claimed in claim 1, wherein: air flow regulator comprises channelled valve, this passage allows air through valve flow, be positioned at passage to regulate air flow restrictors by the air-flow of described passage, and controller, thereby being connected to current limiter, described controller regulates the air-flow that passes through described passage with respect to the position of passage to adjust current limiter.
3. device as claimed in claim 2, wherein: controller comprises the manually-operated member that can be used by the people, regulating the position of current limiter with respect to passage, thereby regulates the pressure of manifold cavity room air.
4. device as claimed in claim 1 comprises: be connected to the porous member of valve, flow into the passage of valve through porous member to allow air.
5. device as claimed in claim 1, wherein: driving device has the cross member that is positioned at the pulsation chamber that is fixed to case, described cross member has the directed parallel surface perpendicular to the barrier film extension that separates, be positioned at and be slidably engaged with described guiding surface and can be perpendicular to described diaphragm active yoke on relative direction, directly yoke is fixed to the attachment means of diaphragm, described yoke has opening, be positioned at the slide block that described opening moves perpendicular to the motion of yoke, described slide block has cylindrical hole, be positioned at the eccentric in described hole, be fixed on the eccentric and can be connected to the axle of actuating unit drivingly, thereby when electromotor moves, this axle is rotated to rotate eccentric, and on relative linear direction linear mobile yoke, and barrier film is moved back and forth along relative linear direction.
6. device as claimed in claim 1, wherein: the dog link motion work comprises the member with laterally spaced directed parallel first surface, the yoke that is slidably mounted in described guiding first surface and is used for moving along described guiding first surface, described yoke has opening, second surface and the 3rd surface that is parallel to second surface perpendicular to described guiding first surface, be positioned at the shuttle that described opening and described second surface are slidably engaged, be installed on the yoke can with the 3rd surface engagement of shuttle to keep shuttle and the continuous anti-lash assemblies that engages of the second surface of yoke, be installed in rotation on the eccentric that also can be connected to electromotor on the shuttle drivingly, thereby the operation of electromotor is rotated eccentric with cyclic path, to move shuttle with respect to yoke and to move yoke along the guiding first surface.
7. device as claimed in claim 6, wherein: described anti-lash assemblies comprises the shock plate with the 3rd surface engagement of shuttle, be installed in can with yoke that shock plate engages on, keeping shock plate and the 3rd surface engagement of shuttle and the second surface and the continuous bias unit that engages of the second surface of yoke that comprises shuttle, and be installed in can with yoke that shock plate engages on, be in the guiding device of assembled relation with maintenance shock plate and yoke and shuttle.
8. device as claimed in claim 7, wherein: bias unit comprises a pair of wind spring.
9. device as claimed in claim 8, wherein: yoke has the hole of first end portion of holding wind spring, and shock plate has the depression of second end portion of holding wind spring.
10. device as claimed in claim 7, wherein: shock plate has the relative end that separates with yoke.
11. device as claimed in claim 7, wherein: guiding device comprises cylindric pin, and it is fixed to the yoke in the hole that extends in the shock plate.
12. dog link motion work, comprise: member with laterally spaced directed parallel first surface, the yoke that is slidably mounted on the described guiding first surface and is used for moving along described guiding first surface, described yoke has opening, second surface perpendicular to described guiding first surface, and the 3rd surface of parallel second surface, be positioned at the shuttle that described opening and described second surface are slidably engaged, be installed on the yoke and can with the 3rd surface engagement of shuttle, with resisting-the impact assembly that the second surface that keeps shuttle and yoke engages continuously, be installed in rotation on the eccentric on the shuttle, and rotate eccentric with cyclic path, to move shuttle with respect to yoke and to move the device of yoke along the guiding first surface.
13. dog link as claim 12, wherein: described anti-lash assemblies comprises the shock plate with the 3rd surface engagement of shuttle, be installed in can with yoke that shock plate engages on, keeping shock plate and the 3rd surface engagement of shuttle and the second surface and the continuous bias unit that engages of the second surface of yoke that keeps shuttle, and be installed in can with yoke that shock plate engages on, be in the guiding device of assembled relation with maintenance shock plate and yoke and shuttle.
14. as the dog link of claim 13, wherein, bias unit comprises a pair of wind spring.
15. as the dog link of claim 14, wherein, yoke has the hole of first end portion of holding wind spring, and shock plate has the depression of second end portion of holding wind spring.
16. as the device of claim 12, wherein, shock plate has the relative end that separates with yoke.
17. as the device of claim 12, wherein, guiding device comprises cylindric pin, it is fixed to the yoke in the hole that extends in the shock plate.
18. device that is used in air-core, producing air pressure and air pressure pulses, this air-core rubber-like wall and the upper body of surrounding the people, apply the inner air chamber of repeated pressure pulses with upper body to the people, comprise: the case that surrounds the air impulsive motion chamber, be connected to the air impulsive motion chamber and be used for device from air impulsive motion chamber delivery air and air pressure pulses to the internal chamber of air-core, thereby air pressure pulses applies the upper body of pressure pulse power the pure man repeatedly, described case has first opening and second opening relative with first opening, cross over first diaphragm of first opening extension of case, be positioned at first diaphragm top separates and have the first pumping chamber chamber that is communicated with first diaphragm with first diaphragm first lid, first lid and first diaphragm are fixed to first of case to be installed, cross over second diaphragm of second opening extension of case, be positioned at second diaphragm top separates and have the second pumping chamber chamber that is communicated with second diaphragm with second diaphragm second lid, second lid and second diaphragm are fixed to second of case to be installed, described case has the inwall of separating pulsation chamber and air pressure in manifold chamber, described air pressure in manifold chamber and the described first and second pumping chamber chamber air communication, be installed on the inwall, can operate to allow air to flow into pulsation chamber and prevent the check valve of air from pulsation chamber flow back into air pressure in manifold chamber from air pressure in manifold chamber, be used to limit the air-flow inflow and flow out air pressure in manifold chamber, air flow regulator with control air pressure in manifold chamber inner air pressure, described air flow regulator comprises can be operated to regulate the speed of air-flow inflow and outflow air pressure in manifold chamber, thereby regulate the adjustment means of air pressure in manifold chamber inner air pressure, be connected to first diaphragm, can operate to make first motion transmission assemblies of the first diaphragm linear movement with respect to the pulsation and the first pumping chamber chamber, be connected to second diaphragm, can operate to make second motion transmission assemblies of the second diaphragm linear movement with respect to the pulsation and the second pumping chamber chamber, each described motion transmission assemblies comprises the dog link motion transmission assemblies, this motion transmission assemblies comprises yoke, be installed in the shuttle on the yoke movably, be installed on the yoke and can engage and also can operate the anti-lash assemblies that engages continuously with maintenance shuttle and yoke with shuttle, be installed in rotation on the eccentric on the shuttle, adjustable engine, actuating unit is connected to electromotor the eccentric of each dog link motion transmission assemblies, thereby first and second motion transmission assemblies make the first and second diaphragm linear reciprocal movements when electromotor moves, so that the air impulsive motion in the pulsation chamber and make air flow into and flow out the first and second pumping chamber chambers and increase the pressure of manifold cavity room air from air pressure in manifold chamber, when the pressure of manifold cavity room air greater than pulsation chamber in during the pressure of air, the air chamber that described check valve allows air to flow into pulsation chamber and flow into air-core from pulsation chamber from air pressure in manifold chamber, and controller, described controller is connected to electromotor, can operate to change engine speed to regulate the reciprocating motion of diaphragm, thereby regulate the interior air impulsive motion frequency of air chamber of pulsation chamber and air-core, thereby regulate the frequency of the power of pressure pulse repeatedly of the upper body that applies the pure man.
19. as the device of claim 18, wherein, controller comprises program-controlled time set, is used to regulate electromotor duration of operation, and program-controlled device, thereby the speed of service that is used to change electromotor changes the frequency of air pulse.
20. device as claim 18, wherein, the adjustable members of air flow regulator comprises channelled valve, this passage allows air through valve flow, be positioned at passage with the air flow restrictors of adjusting by the air-flow of described passage, and controller, described controller is connected to current limiter, with the position of adjustment current limiter, thereby regulate the air-flow that passes through described passage with respect to passage.
21. as the device of claim 20, wherein: controller comprises the manually-operated member that can be used by the people, regulating the position of current limiter with respect to passage, thereby regulates the pressure of manifold cavity room air.
22. as the device of claim 20, wherein: described valve has the second channel of permission air by valve continuous-flow.
23. device as claim 18, wherein: each dog link motion work comprises the member with laterally spaced directed parallel first surface, the yoke that is slidably mounted in described guiding first surface and is used for moving along described guiding first surface, described yoke has opening, second surface and the 3rd surface that is parallel to second surface perpendicular to described guiding first surface, be positioned at the shuttle that described opening and described second surface are slidably engaged, be installed on the yoke and can with the 3rd surface engagement of shuttle, with resisting-the impact assembly that the second surface that keeps shuttle and yoke engages continuously, be installed in rotation on the shuttle and can be connected to the eccentric of electromotor drivingly, thereby the operation of electromotor is rotated eccentric with cyclic path by actuating unit, to move shuttle with respect to yoke and to move yoke along the guiding first surface.
24. device as claim 23, wherein: described anti-lash assemblies comprises the shock plate with the 3rd surface engagement of shuttle, be installed in can with yoke that shock plate engages on, keeping shock plate and the 3rd surface engagement of shuttle and the second surface and the continuous bias unit that engages of the second surface of yoke that keeps shuttle, and be installed in can with yoke that shock plate engages on, be in the guiding device of assembled relation with maintenance shock plate and yoke and shuttle.
25. as the device of claim 24, wherein: bias unit comprises a pair of wind spring.
26. as the device of claim 25, wherein: yoke has the hole of first end portion of holding wind spring, and shock plate has the depression of second end portion of holding wind spring.
27. as the device of claim 24, wherein: shock plate has the relative end that separates with yoke.
28. as the device of claim 24, wherein: guiding device comprises cylindric pin, and it is fixed to the yoke in the hole that extends in the shock plate.
29. device that is used for applying the high-frequency pressure pulse to people's upper body, comprise: vest with capsule of the upper body placement that is used to hold air and is suitable for centering on the people, air pressure and high frequency air pressure pulses generator, can be connected to generator drivingly and be used to move generator, to produce the electric engine of air pressure and high frequency air pressure pulses, electromotor is connected to capsule and is used for transmitting air pressure and high frequency air pressure pulses to capsule, thereby apply the device of high frequency air pressure pulses to people's upper body, and have the first program-controlled device that is used to control electromotor running time and be used to control engine operational speed, thereby change the engine controller of the second program-controlled device of pressure pulse frequency.
30. as the device of claim 29, wherein: the first program-controlled device is exercisable with the interval change persistent period with 30 seconds to 30 minutes.
31. as the device of claim 29, wherein: the second program-controlled device is exercisable to change the speed of electromotor, changes the pressure pulse frequency thereby arrive 25 pulses of per second with 1 pulse of per second.
32. the device as claim 29 comprises: be used for the 3rd program-controlled device of STOCHASTIC CONTROL engine speed, thus the frequency of randomly changing pressure pulse.
33. the device as claim 29 comprises: be used to limit the air-flow that enters generator, be discharged into the air flow regulator of the air pressure of capsule with control generator.
34. device as claim 33, wherein: air flow regulator comprises channelled valve, this passage allows air through valve flow, be positioned at passage with the air flow restrictors of adjusting, thereby and be connected to current limiter to adjust current limiter passes through the air-flow of described passage with respect to the position adjusting of passage controller by the air-flow of described passage.
35. as the device of claim 34, wherein: controller comprises the manually-operated member that can be used by the people, regulating the position of current limiter with respect to passage, thereby regulates the pressure of air in the generator.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US56443104P | 2004-04-22 | 2004-04-22 | |
| US60/564,431 | 2004-04-22 | ||
| US11/089,862 | 2005-03-25 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101123935A true CN101123935A (en) | 2008-02-13 |
Family
ID=39085977
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNA2005800191563A Pending CN101123935A (en) | 2004-04-22 | 2005-04-20 | Body pulsating method and apparatus |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN101123935A (en) |
| ZA (1) | ZA200609351B (en) |
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| CN103989575A (en) * | 2014-06-09 | 2014-08-20 | 河北爱西欧医疗设备科技有限公司 | Multi-cavity cam sputum excretion system |
| CN104837520A (en) * | 2012-10-04 | 2015-08-12 | 凡塔里克斯公司 | Methods and apparatuses for increasing mucociliary clearance |
| CN107468501A (en) * | 2017-09-11 | 2017-12-15 | 山东海康数据科技有限公司 | One kind is wearable to kowtow back of the body phlegm expelling instrument automatically |
| CN107635615A (en) * | 2015-05-19 | 2018-01-26 | 弗雷斯卡医疗公司 | For treating the equipment, system and method for obstructive sleep apnea |
| CN108343595A (en) * | 2018-03-25 | 2018-07-31 | 厦门坤锦电子科技有限公司 | A kind of low cost eccentric rotation diaphragm air pump |
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| CN110215382A (en) * | 2019-07-12 | 2019-09-10 | 四川大学华西医院 | For treat flesh lack disease mechanical stimulus external member and adaptive cuff device |
-
2005
- 2005-04-20 CN CNA2005800191563A patent/CN101123935A/en active Pending
-
2006
- 2006-11-10 ZA ZA200609351A patent/ZA200609351B/en unknown
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109646773A (en) * | 2009-08-11 | 2019-04-19 | 瑞思迈发动机及马达技术股份有限公司 | Single-stage axial symmetry air blower and Portable Fan |
| CN109646773B (en) * | 2009-08-11 | 2021-10-29 | 瑞思迈发动机及马达技术股份有限公司 | Single-stage axisymmetric blower and portable ventilator |
| US11998690B2 (en) | 2009-08-11 | 2024-06-04 | Resmed Motor Technologies Inc. | Single stage, axial symmetric blower and portable ventilator |
| CN104837520A (en) * | 2012-10-04 | 2015-08-12 | 凡塔里克斯公司 | Methods and apparatuses for increasing mucociliary clearance |
| CN103989575A (en) * | 2014-06-09 | 2014-08-20 | 河北爱西欧医疗设备科技有限公司 | Multi-cavity cam sputum excretion system |
| CN107635615A (en) * | 2015-05-19 | 2018-01-26 | 弗雷斯卡医疗公司 | For treating the equipment, system and method for obstructive sleep apnea |
| CN107635615B (en) * | 2015-05-19 | 2021-04-16 | 弗雷斯卡医疗公司 | Devices, systems, and methods for treating obstructive sleep apnea |
| CN107468501A (en) * | 2017-09-11 | 2017-12-15 | 山东海康数据科技有限公司 | One kind is wearable to kowtow back of the body phlegm expelling instrument automatically |
| CN108343595A (en) * | 2018-03-25 | 2018-07-31 | 厦门坤锦电子科技有限公司 | A kind of low cost eccentric rotation diaphragm air pump |
| CN108343595B (en) * | 2018-03-25 | 2023-12-05 | 厦门坤锦电子科技有限公司 | Low-cost eccentric rotary diaphragm air pump |
| CN110215382A (en) * | 2019-07-12 | 2019-09-10 | 四川大学华西医院 | For treat flesh lack disease mechanical stimulus external member and adaptive cuff device |
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|---|---|
| ZA200609351B (en) | 2008-04-30 |
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