CN104066469B - Integrated, extendable anesthesia system - Google Patents
Integrated, extendable anesthesia system Download PDFInfo
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- CN104066469B CN104066469B CN201280061261.3A CN201280061261A CN104066469B CN 104066469 B CN104066469 B CN 104066469B CN 201280061261 A CN201280061261 A CN 201280061261A CN 104066469 B CN104066469 B CN 104066469B
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Abstract
The specification describes anesthesia systems with an integrated, extendable clinical center and clinician/anesthesia office that accommodates for physical separation of clinical and clerical functions. The disclosed anesthesia systems allow for a portion of the system to be brought closer to the patient such that clinical controls can be accessed while tending to the patient airway, without compromising office space available to the clinician or crowding the patient area.
Description
Technical field
The present invention relates to medical system.More particularly it relates to anesthesiaing system, which has integrated, deployable clinic
Center and clinician/anesthetist office.
Background technology
Anesthetist takes a lot of time and is requiring which is vigilant, and these are in relatively straightforward case, but are seldom direct clinics
Process.They be usually required to carry out kinds of words work and paper work and only one anesthesiaing system desktop as worksheet
Face.Additionally, being usually not used for their file, document and personal belongings, such as mobile phone, key, computer, glasses, leather wallet, wallet
Deng storage region.In addition, the Clinical practice region of general anaesthesia system is not provided for syringe, laryngoscope and other clinics
The convenient location of equipment.The conventional design of anesthesiaing system does not have detached clinical and office's function.Most systems are only
Anesthetist's body carries out its work for little space, and the space need to be shared with the clinical space for preparing of medicine and utensil.
Additionally, most of current anesthesiaing systems are designed without providing articulated section for breathing circuit connection
(articulation), its be used for for patient provide closer to breathing and sensor connection.Due to most of current breathing systems
System design is fully integrated in anesthesiaing system, it is therefore necessary to by whole system band to closely patient facing into necessary
Bed control and while looking after patient and their air flue.Physical limit in operating room (OR) be due to but be not limited to perform the operation class
Type, OR layouts, the equipment in use, the personnel amount needed in room, personnel positions, and other reasons, which increase to fiber crops
The needs of the positioning and structure of liquor-saturated system, more particularly to breathe mouth of pipe connection.The connection of the breathing mouth of pipe generally limits the shifting of system
It is dynamic, and if distorting in the wrong direction or rotating, then there is the risk of disconnection.The physical arrangement has been driven to very little
The needs of sound zone system are covered, the available space of anesthetist's work is it also limits.
Although some conventional prior art anesthesiaing systems allow breathing circuit to be articulated away from from system, and are arranged on non-
At patient, but most of clinic controls of these systems are located in the main body of system, hence in so that using
It is very heavy.
For example, using in double breathing circuits being hinged on tubular arm, this pair is hinged tubular arm to common general anaesthesia system
Can remove from anesthesiaing system chassis.Flexible pipe is hung down to chassis by this requirement from respiratory system, the flexible pipe include live gas flexible pipe,
Lung ventilator drive gas and remove gas-all have reveal and disconnection possibility.Additionally, the ventilation, virgin gas in the system
Body stream (FGF) and evaporimeter control are all disposed within the behind of chassis, and interact with the direct clinic of patient away from user.Its shortcoming
It is to need user usually to turn on from patient, to observe monitoring or be adjusted.Additionally, in extended position, tubular arm
Easily damaged by the excessive power from applyings such as bed, personnel.
Some new general anaesthesia systems are fixed on breathing circuit and control device on chassis framework, it is desirable to which user will be whole
Individual system band is to being close to patient.This forces reduction system dimension, so as to reduce anesthetist's available " working space ".Additionally,
The working region for file and storage of anesthetist is also taken to and is close to patient and clinical region, and this is in clinical and space management
Angle is undesirable.In optional mode, user can set the system into it is farther from patient, but then must Jing often from trouble
Person is monitored and is configured change to observe back and forth.
Therefore, currently available anesthesiaing system do not provide modern times anesthetist required by necessary storage region, type
Or it is connective.This includes power supply connection and the storage of personal electric product, such as computer, personal digital assistant (PDAs), number
According to/portable telephone device, personal music device, wireless headset etc..In view of the hospital worked at them by many anesthetists
In there is no office, so the user for needing to meet anesthesiaing system is used to carrying out including that case file such as to arrange at the daily routines
Improved device.Some require the feature of adhesive tape dispenser, lining dustbin and file storage area etc. generally in office
Exist in room environmental, but be not still integrated in current anesthesiaing system.
Accordingly, it would be desirable to a kind of anesthesiaing system, which has detached clinical and office's function.Anesthesiaing system is also needed to, its
A part for permission system is moved into and is close to patient so that can not carry out clinic control and while look after the air flue of patient, and not
Sacrifice the available working space of clinician or tie up the region of patient.Additionally, anesthesiaing system is needed in the junction of respiratory siphon
Improved flexibility is wanted to increase regioselective.
In addition, the anesthesiaing system of routine is equipped with warning, it is latent which occurs in being designed to remind custom system work
In technical problem.These typically short text strings of reporting to the police, which takes having for the display of the display screen arranged on anesthesiaing system
Limit space, and therefore the details that explanation causes the technical problem of warning can not be provided.Additionally, these warning word strings may quilt
Requirement is translated as different native languages, and the native language is cheer and bright as may envisioning in English without image of Buddha designer
Ground reflection mistake.The product design of some prior arts includes including extra comment or graphical representation in display screen
On, illustrate the potential problem for being reflected of reporting to the police.However, this requires that clinical user is more focused on reading or tried
Image is connected by figure with the real system used by they.Generally, the anesthesia system for occurring during condition
The warning of system causes to obscure and stressful situation to user.Additionally, many users are unfamiliar with to the ins and outs of systemic-function, and not
Warning message can be easily connected with necessary corrective action.In addition, many users using multiple manufacturers are
System, which may determine different equipment faults, problem or behavior using identical or similar warning message.Additionally, using
In the shortening of warning message text strings and/or translation do not represent sufficient information with allow enough user diagnosis problem.Therefore,
Require improved attention display system.
Some conventional anaesthesia apparatuses are currently equipped with " alarm quiet " button, can be pressed with by system alarm function
Quiet most two minutes a period of time of voice parts.The function guarantees that warning is concrete known and directly quiet by user
Sound.It is, however, required that, the user physically pressed alarm silence button for hand is taken by care of patients (for example sucks, inserts again
Pipe, give medicine) for defeat.Accordingly, it would be desirable to noncontact, but still reliable way is by the method for alarm quiet.
When user is disturbed with regard to a series of warnings of same situation or clinical condition, this makes special needs.For example, in patient
Suction process in send the warning of sound, can different time start all of low pressure alarming, reveal report to the police, low minute volume
Report to the police and low respiratory capacity is reported to the police.
In addition, the anesthesiaing system of most conventional has is referred to as " O2Shove (flush) " function.The stream is mainly used in
Occurring or finishing is revealed and irrigated again bellows during for preparation for callouse being gone out the circulatory system.Once in order to irrigate bellows
Purpose start O2Shove, then bellows are poured the gas for completely not containing preparation for callouse.It is therefore desirable to anesthetist's rebalance loop
The amount of the preparation for callouse of middle appearance, to guarantee the correct process to patient.Therefore, it is desirable to there is single action function with provide with
O2The level of the similar high fluidity, mixed gas used at the same time and preparation for callouse of shoving is made a reservation for by user, to allow wind
Case is remained the gas mixing and preparation for callouse level for setting before simultaneously by pre-filled.
As known in the art, the anesthesiaing system for mixing control with electronics generally also includes urgent bypass valve system, its
Enable a user to arrange oxygen stream in the case where blender fails.The anesthesiaing system of some prior arts uses special needle-valve
To provide bypass functionality, and other bypass valve opened using special machinery-jettron or be restored to electronics blender
Control.
The amount and pressure that accurate monitoring is delivered to oxygen supply patient is very important, particularly when with pulmonary lesions.
Flowing and pressure are measured compared with these parameters are measured in anaesthesia apparatus there is provided substantial advantage in the air flue of patient.Currently
Proximity sensor using pneumatically or electrically connection be back to anesthesiaing system.This be connected at the air flue of patient formed significant volume and
Weight, which can cause the disconnection of the endotracheal tube of patient and physics to tense.Therefore, many users regard this as proximity sensor
Significant drawback, and select the less desirable position for being close to anesthesiaing system carry out patient-monitoring and conveying control.Additionally, making
With differential pressure type flow-sensint unit and short range airway pressure sensor requirements using the tracheae for being connected to anesthesiaing system.These pipes can be with
The wheel kink of the device moved in OR is closed so that the loss of data in sensor passage.Pneumatic tube can also be
The gas leakage source of breathing circuit, and its length can cause due to pneumatic signal transmission, general mode error cause flow measurement
Mistake.Accordingly, it would be desirable to do not manage or connect be back to anesthesiaing system for short range arrange single, little sensor plan.
Current anesthesia vaporizer system includes valve and/or core system, for liquid preparation for callouse is converted to gas shape
Formula.Normally, the formulation concentrations level of the gas that these systems are provided is 0-10% (for Suprane is despite Shi Genggao),
The gas is used as " live gas " or " compensation " gas in circulorespiratory system.Current device be it is extremely complex, and will
Ask accurate mechanical part or flow system to be operated, cause installation cost higher.Here is incorporated by reference assigns
To the entire contents of US patents of the Patent No. 6,155,255 of Louis Gibeck AB, wherein propose " evaporimeter, including
Evaporation chamber with gas access and gas vent, and its receiving be configured to by liquid expose to evaporation chamber to evaporate this
The porous liquid conveying device of liquid, wherein the porous liquid conveying device is connected to the liquid connected with outside liquid source supplying
Answer device, wherein the porous liquid conveying device be configured to it is only sudden and violent by the aperture in the porous liquid conveying device
Reveal the liquid；And wherein described liquid supplying apparatus include amount of liquid adjuster " and " evaporation liquid method, including with
Lower step：Liquid is delivered to into liquid transporting apparatus from outside liquid source；With by the liquid transporting apparatus liquid expose
To liquid evaporation of the flowing gas will contact with gas, including the liquid is guided into the liquid transporting apparatus
Aperture, is only exposed liquid to gas by the aperture in the liquid transporting apparatus, and adjusts that to be delivered to the liquid defeated
Send the supply of the liquid of device ".
The amount of the gas stream for being moved through evaporimeter is wished to learn about, and with the fiber crops in the breathable gas produced by measurement
The on-line equipment of liquor-saturated agent concentration.It is also expected to accurately measurement enters the amount of the liquid flow of evaporimeter, for calculating formulation concentrations
Purpose.Accordingly, it would be desirable to known evaporator system is bound to anesthesiaing system.
The content of the invention
In one embodiment, the present invention relates to including the integrated of the clinic with physical separation and office's function
Extensible clinical center (clinical center) and the anesthesiaing system of clinician/anesthetist office.In another enforcement
In mode, the present invention relates to anesthesiaing system, a part for system is moved adjacent to patient by its permission so that can carry out clinical control
System and while look after the air flue of patient, without sacrificing the available working space of clinician or tying up patient area.
In one embodiment, the present invention relates to anesthesia delivery system, including Part I and Part II, this first
Partly include for the supporting part of at least one clinic control and at least one patient's connector for treatment is provided to patient,
Wherein described at least one patient connector includes breathing circuit connector, and which includes at least one branch, wherein this at least one
Individual branch can be sucked, breathe out or its combination, and Part II is included for supporting and accommodating the base of Part I, and also wraps
Include for pneumatic and electrical connection supporting part, and wherein Part I can be stretched relative to Part II, exposed when stretching
At least one working space, and wherein Part II is pneumatically coupled to via suction supply and the supply of at least one anesthetic gases
Part I.
In one embodiment, Part I of the invention also includes clinical center part, and which includes following at least one
It is individual：Lung ventilator display；Physiological monitor；Physiology monitoring display；Exhaled gas are analyzed and are connected；Patient's suction control；It is auxiliary
Help Oxygen control and connection；Live gas stream mixes and controls；Evaporimeter and connection return bar (attachment back-
bar)；Syringe pump support；Expansible clinical position space；With wireless senser docking facilities (docking).
In one embodiment, Part II of the invention also includes anesthesia home office portion, it include it is following at least
One：For the space of the document of anesthetist, storage and personal belongings；Support the worksheet of the standing and the behavior that is seated of anesthetist
Face；Accommodate the pull-out pallet of computer keyboard；Personal electronic equipments connector on the front of anesthesia home office portion；Have
Slanted front end accommodates the foot-operated of knee space to provide；With the illumination of the working region run under low lighting condition.
In an embodiment of the invention, Part II also includes base portion, and which has a sliding rail, first
Divide and be rotatably stretched to first extended position from fully-integrated position relative to Part II thereon.
In one embodiment, Part I is rotatably stretched from Part II with 0 degree to 45 degree angular range, and excellent
Selection of land is with angle step mode rotation expansion.
In another embodiment of the anesthesia delivery system of the present invention, Part I is from Part II with 0 to 14.5
The scope of inch linearly stretches, to the second extended position relative to Part II.
In another embodiment of the anesthesia delivery system of the present invention, fully-integrated position Part I from the
Two parts rotate and linearly extend away from so which is located at the 3rd and full extended position.In one embodiment, this
Bright anesthesia delivery system also includes at least one floor contact point, and which provides load support.In one embodiment, this is extremely
A few floor contact point is rotational trajectory ball (trackball).In another embodiment, at least one floor contact
Point is rotary caster, and which has multiple rollers to carry out in line or lateral movement.In another embodiment, this at least one
Floor contact point is configured with suitable geometry, to be extended from Part II and by floor with Part I
Barrier is moved.In the embodiment of the anesthesia delivery system of the present invention, the actuating that user starts causes Part I relative
In the electronic movement of Part II.In another embodiment, the electronic movement of Part I is when moving disorder is detected
Automatically stop.In one embodiment, detected by the change that detects in the electric current of the mobile motor in system
Barrier.In another embodiment, provide audio frequency, video or audio-video if barrier being detected in movement
Report to the police.
In one embodiment, the present invention relates to anesthesia delivery system, which has Part I, the Part I includes
Housing, housing with the flat surfaces above the ground level, wherein the flat surfaces are arranged on the bottom of the Part I
On part；Part II, including empty to provide work for the base portion of the flat surfaces of two to five feets with height
Between surface, at least one pneumatic connection, and at least one electrical connection, wherein the Part II is by sucking supply pipe and at least
One anesthetic gases supply pipe and be pneumatically coupled to the Part I, and wherein described Part I is relative to described second
Part is moveable；With at least one breathing circuit connectivity port, wherein the breathing circuit connectivity port is rotating body,
Which includes the swivelling cover in the flat surfaces of the housing for being embedded in the Part I, from the swivelling cover to downward
The port housing in the housing of the Part I, and at least one branch are stretched and are embedded in, wherein described at least one
Branch can be sucked, breathe out or its combination.
In one embodiment, the port housing is cylinder and limits for receiving the space of gas.One
In individual embodiment, the overall diameter of the cylinder port is in the range of 17mm to 27mm, and cylinder port housing is interior
Diameter is in the range of 10mm to 20mm.In one embodiment, cylinder port housing uses at least one o-ring footpath
To sealing.
In one embodiment, at least one branch on the breathing circuit connectivity port is to be connected to fiber crops
To receive the entrance of gas, and the outlet of the near-end of connection respiratory siphon, the distal end of wherein respiratory siphon is connected to liquor-saturated feed tube
Patient.
In one embodiment, at least one breathing circuit connectivity port is spent to+15 degree models -15 with regard to axis
Enclose interior rotation, the axis perpendicular to the bottom of the Part I point flat surfaces and extend through the breathing circuit
The intermediate point of connectivity port.
In one embodiment, at least one breathing circuit connectivity port can be removed and be cleaned.
In one embodiment, it is described in the flat surfaces of the housing for being embedded in the Part I
The swivelling cover of breathing circuit connectivity port is translucent, so as to user can monitor the dynamic of the breathing circuit check-valves
Make.In another embodiment, exhale described in the flat surfaces of the housing for being embedded in the Part I
The swivelling cover for sucking back road connectivity port be it is translucent, and be further provided with information projection lamp with indicate when stream
It is dynamic to move through the port.
In the optional embodiment of the anesthesia delivery system of the present invention, patient is connected to via acyclic breathing circuit
System, the acyclic breathing circuit include suction and exhalation valve, and wherein live gas is injected via inlet valve, the preparation with injection
Mixing, is delivered to patient, and then derives via exhalation valve, and wherein inlet valve also includes multiple control valves with by oxygen, air
Breathing circuit is directly entered with least two mixing in nitrous oxide.
In one embodiment, anesthesiaing system of the invention also includes information projector lamp system, with by directly illuminating
Control function and indicate the state of the control of system.
In one embodiment, the present invention is anesthesia delivery system, including：Part I, the Part I include using
In at least one clinic control support and for patient provide treatment at least one patient's connector, wherein it is described at least
One patient's connector includes breathing circuit connector, and which includes at least one branch, and wherein at least one branch can be
Suction, exhalation or its combination；Part II, the Part II are included for supporting and accommodating the base of Part I, and also wrap
Include for pneumatic and electrical connection support, and wherein Part I can linearly and be rotatably stretched relative to Part II, and
Wherein Part II is supplied via suction supply and at least one anesthetic gases and is pneumatically coupled to Part I；Throw with information
Shadow lamp system, for the state of at least one function of system is indicated by directly illuminating.
In one embodiment, information projector lamp system also includes adjusting lamp, wherein lamp adjustable color, intensity and sudden strain of a muscle
Bright frequency.
In another embodiment, information projector lamp system of the invention causes abnormal operation by directly illuminating suspection
Situation anesthesia conveying equipment part and indicate the abnormal operating condition of anesthesiaing system.
In another embodiment, information projector lamp system indicates anesthesiaing system by illuminating the bellows of lung ventilator
Lung ventilator is in starting state.
In another embodiment, information projector lamp system by illuminating adjustable pressure limiting (APL) valve of lung ventilator and
Indicate that the lung ventilator in anesthesiaing system is in dead status.
In another embodiment, information projector lamp system indicates anesthesiaing system by illuminating the pressure gauge of lung ventilator
Lung ventilator be in dead status.
In another embodiment, information projector lamp system is indicated by illuminating the bag arm (bag arm) of lung ventilator
The lung ventilator of anesthesiaing system is in dead status.
In another embodiment, when control is configured to allow gas to discharge from common gas outlet port, then believe
Breath projector lamp system illuminates the common gas outlet of anesthesiaing system.
In another embodiment, if auxiliary flow is opened, information projector lamp system illuminates auxiliary flow pipe.
In another embodiment, if filter tank departs from from breathing circuit and/or if to the height in breathing gas
CO2Warning, then information projector lamp system illuminate CO2Absorb filter tank.
In another embodiment, if breathing gas monitor reports to the police to indicate barrier, information projection lamp system
System illuminates flow measurement breathing gas monitor dehydrator.
In another embodiment, the present invention relates to anesthesia delivery system, which includes：Part I, the Part I
At least one patient's connector including the housing at least one clinic control and for treatment is provided to patient, wherein institute
Stating at least one patient's connector includes breathing circuit connector, and which includes at least one branch, wherein at least one branch
Can suck, breathe out or its combination；Part II, the Part II are included for supporting the base of Part I, flat work
Make spatial surface, at least one pneumatic connection and at least one electrical connection, wherein Part II are via suction supply pipe and at least
One anesthetic gases supply pipe is pneumatically coupled to Part I, and wherein Part I can be moved relative to Part II.Should
Flat working space surface has enough length and widths so that anesthetist cosily can be recorded.In numerous embodiments
In, flat working space surface measurement is wide 3 inches × long 3 inches, wide 8.5 inches × long 11 inches, wide 11 inches × length 14
Inch, or any size increment (3 to 11 inches wide × 3 inches to 14 inches long).
Alternatively, in one embodiment, Part II includes following at least one region：Memory space,
First working surface of one height, in the second working surface of the second height, wherein the first height is higher than the second height；At least
One pull-out pallet；At least one electric equipment connector, wherein the AUI just stretches out towards Part II
Face；In the angled flat surface of the base of Part II, which is configured to be used as to ride；And lamp.In the first work of the first height
Make the flat working space surface that surface is preferably sufficient length and width, anesthetist cosily can be recorded.Many
Plant in embodiment, flat working space surface measurement is wide 3 inches × long 3 inches, wide 8.5 inches × 11 inches of length, wide by 11
Inch × long 14 inches, or any size increment (3 to 11 inches wide × 3 inches to 14 inches long).In an embodiment
In, the first working surface of the first height be can allow average height personnel stand and write on a surface it is sufficiently high
Degree.In numerous embodiments, the first height is three feet of liftoff plane or higher.In the second working surface of the second height
The preferably flat working space surface of sufficient length and width, so that anesthetist cosily can be recorded.In various realities
Apply in mode, flat working space surface measurement is 3 inches × long 3 inches, wide 8.5 inches × 11 inches of length, wide 11 inches ×
It is long 14 inches, or any size increment (3 to 11 inches wide × 3 inches to 14 inches long).In one embodiment,
Second working surface of two height is enough height that the personnel of average height can be allowed to be seated and write on the surface.
In numerous embodiments, the second height is, away from three feet or lower of ground level, and to be preferably away from least two feet of ground level.
Alternatively, in one embodiment, the base portion of Part II includes sliding rail, on that track first
Part rotatably extends to the second place from first position.In first position, Part I and Part II are bonded to each other
(integrate into each other).In numerous embodiments, by Part II to be embedded in Part I in itself
In or combine Part I itself embedded or be pulled to one another in the second portion and by second and Part I, wherein the
One and the shell body of Part II contact to prevent any use in the internal working volume region to Part II.Second
Position, Part I are extended from Part II and use there is provided the physics to flat working space.
Alternatively, in one embodiment, Part I can be rotated from Part II with 0 degree of angle to 45 degree of scopes
Stretch.Part I rotation expansion with angle step.Part I is configured to from Part II linear stretch with from first
Position is moved to the second place, as mentioned above.Part I can be linearly stretched from Part II with the distance of 0 to 14.5 inch range
Exhibition.
Alternatively, in one embodiment, Part I is from fully-integrated position, from Part II rotation and linearly
Extend away from so which is located at extended position.Alternatively, in one embodiment, induction system includes at least one floor
Contact point is providing load support.In one embodiment, at least one floor strong point is rotational trajectory ball.Another
In individual embodiment, at least one floor contact point is rotary caster, and which has multiple rollers, is moved with carrying out in line and direction finding
It is dynamic.Alternatively, in one embodiment, the actuating that user starts causes Part I relative to the electric moving of Part II
It is dynamic.In one embodiment, the electronic movement of Part I automatically stops when controller detects mobile obstacle, its
In, the controller is configured to detect the change in the electric current for causing the mobile motor of electronic movement to be flowed.In a reality
Apply in mode, video, audio or video-audio alarm are provided if barrier being detected in movement.
Alternatively, in one embodiment, patient is via the acyclic breathing circuit connection including suction and exhalation valve
To system, wherein live gas is injected into via inlet valve, is mixed with injection preparation, is delivered to patient, and then via exhalation
Valve is discharged, and wherein inlet valve is also straight with least two mixing that will be in oxygen, air and nitrous oxide including multiple control valves
Tap into into breathing circuit.
Alternatively, in one embodiment, system also include lamp system, indicated by directly illuminating control function be
The state of the control of system.In one embodiment, lamp system only illuminates state change, in alarm condition, or additionally
The control that doctor notes is required, and does not illuminate other controls.
Alternatively, in one embodiment, Part I and Part II are only rotated or are linearly moved being used for
Structure position at physically engage each other.In another embodiment, Part I and Part II are in Part II
Part I is supported for no physical connection outside the position of rotation or linear mobile purpose.
In another embodiment, anesthesia delivery system includes：Part I, the Part I are included at least one
The support of individual clinic control and at least one patient's connector for treatment is provided to patient, wherein at least one patient
Connector includes breathing circuit connector, and which includes at least one branch, and wherein at least one branch can be sucked, breathe out
Or its combination；Part II, the Part II include for supporting and accommodating the base of Part I, and at least one it is pneumatic or
Electrical connection, wherein Part I can relative to Part II linearly, rotatably, or linearly and rotatably stretch, and wherein
Part II is pneumatically coupled to Part I via suction supply pipe or anesthetic gases supply pipe；And lamp system, for leading to
Cross the state for directly illuminating and indicating at least one function of system.
In another embodiment, the present invention relates to be used for the user interface alarm lamp feature of anesthesia delivery system, bag
The light belt being arranged on the graphic user interface (GUI) of the anesthesiaing system is included, allows a user to whether quick determination warning opens
The dynamic and described priority for starting warning, the position of wherein described light belt and color determine the priority of the warning in addition.
In another embodiment, the present invention relates to the user interface warning limits for being used for anesthesia delivery system recover special
Levy, the anesthesia delivery system includes " automatic limit " function on, and which automatically regulates the system according to pre-defined algorithm
With regard to the limit of the currently monitored value, wherein the recovery feature by the warning and therefore warning limits recover to automatic limit to start
State before.
In another embodiment, the present invention relates to be used for the urgent bypass valve system of anesthesia delivery system, which includes
Two-position button, which is corresponding with electronics mixing control is started in first position, and in the second place and the urgent bypass valve pair of startup
Should, the oxygen stream of scheduled volume is provided wherein when the two-position button is moved into the second place in addition.
In another embodiment, the present invention relates to be used for the self-starting auxiliary common gas outlet of anesthesia delivery system
(ACGO) port, wherein when the ACGO ports positioned at first vertically, towards down position when the ACGO ports in disabling shape
State, and start the ACGO ports to the second level, towards front position by the ACGO ports are rotated.Implement at one
In mode, auxiliary common gas outlet (ACGO) port is illuminated when in the second place.
The invention further relates to a kind of anesthesia delivery system, including：Part I, which is included at least one clinic control
Housing and for patient provide treatment at least one patient's connector, wherein at least one patient connector includes
Breathing circuit connector, which includes at least one branch, and wherein at least one branch can be sucked or breathe out or its group
Close；Part II, which is included for supporting the base portion of the Part I, flat working space surface, at least one gas
Dynamic connector and at least one is electrically connected interface, wherein the Part II is by sucking supply line and at least one anesthetic gases
Supply line and be pneumatically coupled to the Part I, and wherein described Part I can be moved relative to the Part II
It is dynamic；And wherein described Part I, the Part II, or the Part I and the Part II are included for guaranteeing
At least one flat working space surface keeps not contaminated device.
In one embodiment, for guaranteeing the not contaminated described device bag at least one flat working space surface
Include in the Part I relative to the close tolerance or flexible seals at the moveable position of the Part II.In a reality
Apply in mode, during the close tolerance or flexible seals include ball edge sealing strip, brush-type seal or flexible block foam seal
One.
In one embodiment, the not contaminated dress is kept for guaranteeing at least one flat working space surface
Put including antimicrobial treatment, wherein described antimicrobial treatment is provided at least one flat surfaces in addition.In another enforcement
It is in mode, described for guaranteeing that the not contaminated device at least one flat working space surface includes being fixed to described at least one
The removable veneer of individual flat surfaces, wherein described veneer is by antimicrobial treatment in addition.In one embodiment, at the antibacterial
Reason includes silver ion.
In another embodiment, include for guaranteeing the not contaminated device at least one flat working space surface
Film based sols, which has intrinsic micro- geometry, causes the surface opposing growth of microorganism, separately when which is in application on surface
Outer wherein described solution is applied to described at least one flat working space.
In another embodiment, include for guaranteeing the not contaminated device at least one flat working space surface
At least one ultraviolet (UV) light source.In one embodiment, at least one ultraviolet (UV) light source is connected to described
In anesthesia delivery system or in the anesthesia delivery system.In one embodiment, when the Part I is relative to described
When moving partly and/or at a predetermined interval, at least one ultraviolet (UV) light source is activated.In another embodiment
In, at least one ultraviolet (UV) light source includes bar type device, and wherein described anesthesiaing system also include access aperture and/or
Removable cap, wherein the bar type device can be inserted into the access aperture and/or by by it is described remove lid and remove exposed
Part Back stroke.
In another embodiment, include for guaranteeing the not contaminated device at least one flat working space surface
The flexible antibacterial pad of the bottom of the Part I is connected to, wherein the pad is by antibacterial cleanser process, and wherein described
When Part I is moved relative to the Part II, the pad is wiped and so as to clean at least one flat surfaces.
In one embodiment, the antibacterial cleanser includes isopropanol.In one embodiment, the antibacterial pad by provisionally and
Periodically change.In another embodiment, the antibacterial pad is for good and all and by periodically by the antibiotic cleaning
Agent is processed.
The invention further relates to anesthesia delivery system, which includes：Part I, which is included at least one clinic control
Housing and at least one patient's connector for treatment is provided to patient, wherein at least one patient connector includes exhaling
Road connector is sucked back, which includes at least one branch, wherein at least one branch can be sucked or breathe out or its combination；
Part II, which is included for supporting the base portion of the Part I, flat working space surface, at least one pneumatic company
Interface and at least one is electrically connected interface, wherein the Part II is by sucking supply line and the supply of at least one anesthetic gases
Pipeline and be pneumatically coupled to the Part I, and wherein described Part I can be moved relative to the Part II；With
User interface alarm lamp feature, wherein light belt are arranged on the graphic user interface (GUI) of the anesthesiaing system, so that user
Can quickly determine to report to the police and whether start and start the priority reported to the police, the position of wherein described light belt and color determine in addition
The priority of the warning.
In one embodiment, the anesthesia delivery system also includes that user interface warning limits recover feature, wherein
The anesthesia delivery system includes " automatic limit " function on, its according to predetermined algorithm automatically regulate the system with regard to
The warning limits of the currently monitored value, wherein the recovery feature will be reported to the police before reverting to automatic limit startup with warning limits
State.
In one embodiment, the anesthesia delivery system also includes urgent bypass valve system, and which fails in blender
In the case of enable users to arrange oxygen stream, wherein it is described it is urgent bypass valve system include two-position button, which is in first position
It is corresponding and corresponding with urgent bypass valve is started in the second place with electronics mixing control is started, in addition wherein when the two-position
Button provides the oxygen stream of scheduled volume when being moved into the second place.
In one embodiment, the anesthesia delivery system also includes self-starting auxiliary common gas outlet (ACGO) end
Mouthful.In one embodiment, described auxiliary common gas outlet (ACGO) port is measured as model of the overall diameter in 17 to 27mm
Enclose.In one embodiment, described auxiliary common gas outlet (ACGO) port is measured as model of the interior diameter in 10 to 20mm
Enclose.In one embodiment, when the ACGO ports are vertically oriented to lower position in first, the auxiliary common gas go out
Mouth (ACGO) port is in dead status, and is started to the second level, towards front position by the ACGO ports are rotated
The ACGO ports.In one embodiment, the auxiliary common gas when the ACGO ports are in the second place
Outlet (ACGO) port is illuminated.
The invention further relates to be used for the user interface alarm lamp feature of anesthesia delivery system, light belt therein is arranged on institute
State on the graphic user interface (GUI) of anesthesiaing system, allow a user to the quick report for determining whether warning starts and started
Alert priority, the position of wherein described light belt and color determine the priority of the warning in addition.
There is provided in the accompanying drawings and the following illustrate in aforementioned and other embodiment party of the present invention will be clarified in more detail
Formula.
Description of the drawings
It is considered in conjunction with the accompanying and refers to illustrating, is better understood with other features and advantages of the present invention, wherein：
Figure 1A is the overall diagram of the anesthesiaing system for illustrating the present invention, wherein with clinical center (CC) and anesthesia office
(AO) cut away view of part；
Figure 1B is the system flow chart of the anesthesiaing system of the present invention；
Fig. 1 C are the rearviews of the anesthesiaing system of the present invention；
Fig. 1 D are the cutaway portions of the anesthesiaing system of the present invention, show that respiration monitoring control connects, breathing gas monitor
Exemplary interfaces, and anesthesia gas scavenging system；
Fig. 2A is view of the anesthesiaing system of the present invention in the first configuration, and which is fully rotating and retracts；
Fig. 2 B show the ball edge sealing strip for being applied to anesthesiaing system according to the embodiment of the present invention；
Fig. 2 C show ultraviolet (UV) light source for being applied to anesthesiaing system according to the embodiment of the present invention；
Fig. 2 D show the antibacterial pad for being permanently attached to anesthesiaing system according to the embodiment of the present invention；
Fig. 2 E show view of the anesthesiaing system of the present invention in the second configuration, and which is fully deployed but without rotation；
Fig. 2 F show view of the anesthesiaing system movement of the present invention in the 3rd configuration, and wherein clinical center (CC) is pressed
Folding of contracing is back to anesthesia office (AO) and therefore in partially deployed position；
Fig. 2 G show view of the anesthesiaing system movement of the present invention in the 4th configuration, and wherein clinical center (CC) is pressed
Folding of contracing is back to anesthesia office (AO) and therefore in completely collapsed position；
Fig. 2 H show the 5th of the incremental angular rotation that clinical center (CC) is swung partly away from from anesthesia office (AO)
Configuration；
Fig. 2 I show the 6th that clinical center (CC) is rotated from the fully rotating increase angle left of anesthesia office (AO)
Configuration；
Fig. 2 J are embodiment of at least one rotation breathing circuit connectivity port in the first default configuration, wherein breathing
Pipe connection outlet is configured to the front vertical with clinical center (CC)；
Fig. 2 K are the amplification front elevations of the rotation breathing circuit connectivity port of the present invention shown in Fig. 2 J；
Fig. 2 L are the amplification rearviews of the rotation breathing circuit connectivity port of the present invention shown in Fig. 2 J and 2K；
Fig. 2 M show signal of the embodiment of at least one rotation breathing circuit connectivity port in the second configuration
Figure, wherein respiratory siphon connection outlet are entirely facing the right side rotation of clinical center (CC)；
Fig. 2 N show embodiment the showing in the 3rd configuration of at least one rotation breathing circuit connectivity port
It is intended to, wherein respiratory siphon connection outlet is entirely facing the left side rotation of clinical center (CC)；
Fig. 3 A are the schematic diagrames that clinician stands at the anesthesiaing system of the present invention；
Fig. 3 B are that clinician's standing uses the schematic diagram for pulling out frame as desk at the anesthesiaing system of the present invention；
Fig. 3 C are the schematic diagrames that clinician is sitting at the anesthesiaing system of the present invention；
Fig. 4 A are integrated in the schematic diagram of the storage of the side door in the anesthesiaing system of the present invention；
Fig. 4 B are the schematic diagrames of the opening side door storage region of the anesthesiaing system of the present invention；
Fig. 4 C are the schematic diagrames of the closing side door storage region of the anesthesiaing system of the present invention；
Fig. 5 A are integrated in the schematic diagram of the upper and lower pull-out frame in the anesthesia home office portion of the anesthesiaing system of the present invention；
The lower pull-out frame that Fig. 5 B are integrated in the anesthesia home office portion of the anesthesiaing system of the present invention is in an open position
Schematic diagram；
The lower pull-out frame that Fig. 5 C are integrated in the anesthesia home office portion of the anesthesiaing system of the present invention is in stowed position
Schematic diagram；
The upper pull-out frame that Fig. 5 D are integrated in the anesthesia home office portion of the anesthesiaing system of the present invention is in an open position
Schematic diagram；
The upper pull-out frame that Fig. 5 E are integrated in the anesthesia home office portion of the anesthesiaing system of the present invention is in stowed position
Schematic diagram；
Fig. 6 A are integrated in the storage anaesthetized in home office portion of the anesthesiaing system of the present invention and showing for electric coupling area
It is intended to；
Fig. 6 B are integrated in the diagram of the storage region in the anesthesia home office portion of the anesthesiaing system of the present invention；
Fig. 6 C are integrated in the diagram of the electric coupling area in the anesthesia home office portion of the anesthesiaing system of the present invention；
Fig. 7 A are to be arranged on showing for the handle activation castor lock anaesthetized in office (AO) according to the embodiment of the present invention
It is intended to；
Fig. 7 B are to be arranged on showing for the handle activation castor lock anaesthetized in office (AO) according to the embodiment of the present invention
Figure；
Fig. 8 is provided in the adhesive tape distribution region in the clinical center of the anesthesiaing system of the present invention and physiological monitor connection
Zoomed-in view；
Fig. 9 A are provided in the schematic diagram of the system mode computer in the anesthesiaing system of the present invention；
Fig. 9 B are the diagrams of the information projection lamp device of the anesthesiaing system of the present invention；
Fig. 9 C are the wireless sensers and the diagram of sensor docking facilities of the anesthesiaing system of the present invention；
Figure 10 A be the present invention anesthesiaing system in common gas outlet (CGO) port for arranging in level and start bit
The diagram put；
Figure 10 B be the present invention anesthesiaing system in the CGO ports that arrange in vertically and rest position diagram；
Figure 11 A show the exemplary graphic user interface (GUI) of anesthesiaing system according to the embodiment of the present invention
Screen；
Figure 11 B show another exemplary GUI screen of anesthesiaing system according to the embodiment of the present invention；
Figure 11 C show another example GUI screens of anesthesiaing system according to the embodiment of the present invention；
Figure 12 A show the monitor screen for showing the multiple icons reported to the police for setting according to the embodiment of the present invention
Curtain；
Figure 12 B show another example for showing the multiple icons reported to the police for setting according to the embodiment of the present invention
Property monitor screen；
Figure 12 C show and are shown for arranging the another of the multiple icons reported to the police according to another implementation of the invention
Individual exemplary monitor screen；
Figure 13 A are the diagrams of some primary elements for illustrating regular circulation breathing circuit, wherein in the anesthesia of the present invention
In the acyclic breathing circuit of system, most of element is omitted or does not need；
Figure 13 B show the acyclic breathing circuit of the embodiment of anesthesiaing system of the invention；
Figure 13 C show optimum shape anesthetic gases pulse, so as to the pulse train of anesthetic gases can be injected in real time
The inhalation flow stream of patient；
Figure 14 A show the first position of the bypass start-up button of anesthesiaing system according to the embodiment of the present invention；
Figure 14 B show the second place of the bypass start-up button of anesthesiaing system according to the embodiment of the present invention；
Figure 14 C show that user according to the embodiment of the present invention adjusts the bypass start-up button of anesthesiaing system；
Figure 14 D show that anesthesiaing system is opened when anesthesiaing system is in "Off" state according to the embodiment of the present invention
Dynamic bypass start-up button；
Figure 15 A show auxiliary common gas outlet (ACGO) end of anesthesiaing system according to the embodiment of the present invention
Mouthful；
Figure 15 B show stopping for auxiliary common gas outlet (ACGO) of anesthesiaing system according to the embodiment of the present invention
Use position；
Figure 15 C show auxiliary common gas outlet (ACGO) port of anesthesiaing system according to the embodiment of the present invention
Startup position；
Figure 15 D show auxiliary common gas outlet (ACGO) for being connected with breathing circuit according to the embodiment of the present invention
Startup position.
Specific embodiment
The present invention relates to have the anesthesiaing system of integrated, expansible clinical center and clinic/anesthesia office.The present invention
It is related to anesthesiaing system, which accommodates the detached clinical and office's function of physics.The invention further relates to anesthesiaing system, which allows system
A part be taken to closer to patient so that carry out clinic control while air flue (airway) of patient is looked after, and not
The free space of loss clinician ties up patient area.
The present invention relates to multiple embodiments.There is provided following disclosure enables those of ordinary skill in the art to realize this
Invention.Language used in the present invention should not be construed as substantially denying to any one specific embodiment, or for exceeding
The meaning of term used herein and limit claim.Here the overall principle for limiting can be applicable to other embodiment and answer
With without departing from the spirit and scope of the invention.Additionally, the term for being used and language are for illustrating illustrative embodiments
Purpose and be not considered restricted.Therefore, the present invention is consistent with widest range, and which includes and disclosed theme and spy
Levy consistent various alternate embodiments, deformation and equivalent.For purposes of clarity, the details for being related to mechanical material be with this
Known to bright related technical field, it is not specifically explained, therefore will not unnecessarily obscures the present invention.
Figure 1A and Figure 1B show an embodiment of the anesthesiaing system 100 of the present invention, its work of permission to anesthetist
Suitable Work Process Management is carried out as region.The anesthesiaing system 100 is little, compact system configuration, and easily can be moved
Move to the bed side for being close to patient.In one embodiment, the invention provides a kind of anesthesiaing system, which includes Part I
102 and Part II 104, wherein Part I 102 includes the support member (support) at least one clinic control device
And at least one patient's connector (patient connection) for the treatment of is provided to patient.In an embodiment
In, patient's connector includes breathing circuit.In one embodiment, Part II 104 is included for supporting and receiving first
The base portion of part 102.Additionally, Part II 104 includes gas and interface (the pneumatic and electrical that are electrically connected
connection).In one embodiment, Part II 104 is via suction source of supply (suction supply) and extremely
Lack an anesthetic gases source of supply and be pneumatically coupled to Part I 102.In one embodiment, Part I 102
It is extensible relative to Part II 104, and can remove from the base being arranged on Part II 104 along sliding rail.
In one embodiment, the track is configured to the front relative to Part II and base into inclined angle, it is allowed to first
Part forward and is moved to the left from Part II.
In one embodiment, Part I 102 includes clinical center (CC) part, and Part II 104 includes fiber crops
Liquor-saturated office (AO) part.
Clinical center (CC) and clinician/anesthesia office (AO)
In one embodiment, " clinical center " of the anesthesiaing system 100 shown in Figure 1A (CC) part 102 include to
A few clinic control device and at least one patient's connector for treatment is provided to patient.
As shown in the upper system structure in Figure 1B, anesthesiaing system (100) includes gas and the interface that is electrically connected.In operation,
Clinical center (CC) 102 is pneumatically coupled to patient via at least one breathing circuit interface.In one embodiment, exhale
Suck back road include sucking branch (inspiratory limb) and breathe out branch at least one of (expiratory limb) or
Both persons." suction branch " and " exhalation branch " is most of oxygen supplys and the standarized component in anesthesiaing system, and therefore in ability
Domain is known and will not be described again here.In one embodiment, the suction in loop and exhalation part be it is coaxial and
It is contained in a branch.
Additionally, the function system structure of CC102 uses various connections, such as, for O2, nitrous oxide (N2) and air O
Regulation supply pressure (e.g., 30PSI), wall absorption (wall suction), D/C power, and the data communication from AO104 is (e.g.,
Built-in system or hospital network).CC102 provides patient-monitoring and oxygen supply data to AO104.
In one embodiment, CC102 includes the pneumatic connection for breathing gas, and the gas is via sampling pipe
The system that (sample line) is fed to the present invention.CC102 also includes from CC102 the Aeroassisted oxygen connection drawn.This
Outward, CC102 includes the pneumatic suction connector of the anesthesia office 104 to the present invention.In one embodiment, CC102 is electric
It is connected to physiological monitoring equipment.
With reference to Figure 1A, 1B, 1C and 1D, CC102 features and part include that the lung ventilator being contained in rack 118 (does not show
Go out)；Ventilator parameter connector 119；Lung ventilator display 109；Physiological monitor 132 (illustrating in fig. 1 c)；At least
One physiological monitor display 111；The breast rail and connector 163 of Fig. 1 D；Breathing circuit (circulation is acyclic) and control
Device processed 150；Common gas vent (being also called auxiliary common gas outlet) 151；APL valves 152, bag 153, and pressure gauge
154；Bag switchs (Bag to Vent Switch) 106 to air-vent；Bellows (Bellows) 107；CO2Absorber 155；Anesthesia
Gas clean-up 156；Patient breaths' control device 157 and conduit storage part 158；Auxiliary oxygen control device (is also called auxiliary
Flow tube) 112 and connector 113；Live gas flowing mixing arrangement 160 and control device 161；Evaporimeter and annex back bar
108；Syringe pump support 116；Expansible clinical position area 115；With wireless senser docking section 117.
Referring again to Figure 1A and Figure 1B, anesthesia office (AO) 104 is via suction supply (suction supply) and anesthesia
Gas is supplied (being integrated to system architecture) and is pneumatically coupled to CC102, and which includes the O for adjusting2, N2O, and air.AO104 is also
It is pneumatically coupled to wall suction unit, air duct, O2Pipeline, and N2O pipelines.AO104 is electrically connected to accessory power, AC power supplies
And external communication device.
The function and part of anesthesia office 104 includes user memory area 120；Computer connects and network connection region
125；For O2Bottle, N2O bottles, and air bottle, check-valves (not shown, to be integrated to system) and adjusting bracket (it is not shown, it is integrated to
System) cylinder accessories；Conduit fittings (not shown, to be arranged on behind system), check-valves (not shown, to be integrated to system), and
Adjusting means (not shown, to be integrated to system)；Suction annex (not shown, after being arranged on system)；Automatic N2O cuts off, no O2
(not shown, to be integrated to system)；AC to DC power adjustings (not shown, integrated)；AC power supplies be partitioned to annex connection (it is not shown,
It is integrated)；Standby power system (not shown, integrated)；With for third party's monitor (3rdParty monitoring) installation
Region 170.
In one embodiment, AO104 includes the support base of the anesthesiaing system 100 for the present invention, there is provided use
Shi Yong the space 171 of document, storage 172 and personal belongings 173 in anesthetist.The AO104 is provided with feature, for example：Work
Make surface 174,175 to support the standing and standing behavior (as shown in Fig. 3 A, 3B and 3C) of anesthetist；Accommodate computer keyboard
Pull out pallet 176；Personal electronic equipments connector 178 on the front of AO；Side door storage part 177, wherein, hold when open
Receive pocket easy to clean and Classing filing appliance, for storing the office appliance of such as pen, notebook, clipboard, document etc.；Have
Slanted front end accommodates foot-operated the 179 of knee space to provide；Castor tripper 180 based on handle；With for poorly lit bar
The working region lighting device 181 run under part.
In one embodiment, the AO104 accommodates all of pneumatic supply for anesthesiaing system, AC electricity and supports sum
According to communication connection, and the necessary input for its function is provided to CC102.In one embodiment, AO104 can be seen
Make " center (hub) " of anesthesiaing system 100, and following functions are provided：AC to DC for anesthesiaing system part (including CC) is electric
Change in source；For the AC power supplies isolation of annex outlet；Stand-by power supply (that is, battery, UPS)；Pneumatic protection (that is, the mistake in pipeline source
Filter, check-valves)；Gas cylinder connects and installation site；The gas cylinder that bridging (loss cross-over) is lost with automatic pipeline is supplied
The main regulation answered；System mode screen；With hospital network data cube computation.
Fig. 1 C show the rear side of an embodiment of the anesthesiaing system of the present invention, show join domain 130, wherein
It is electrically connected to monitoring device.Additionally, as described above, Fig. 1 C also show physiological monitor 132.
Fig. 1 D illustrate in greater detail breathing (ventilation) monitoring parameter join domain 119.Additionally, Fig. 1 D also with
Amplification illustrates anesthesia gas scavenging system 156.And finally, accompanying drawing also illustrates that the example for breathing gas monitor connects
Border face 163.
Referring again to Figure 1A, the AO104 positioning of the movement with the anesthesiaing system relative to the present invention of several types can be carried out
CC102.First, it is in rotary moving to can be used to breathing circuit 150 (or CC102) is being engaged at 197 with maximum 45 degree increment
Formula angle is rotated away from or towards AO104 so that CC102 is in the first extended position relative to AO104.
In one embodiment, on sliding rail (not shown) of the CC102 on the base support being arranged on AO104
Mobile, the latched position (that is, fully-integrated position) from which on AO104 is moved to full extended position.In an embodiment party
In formula, a part for track is preferably provided to the front of AO104 and wheel base into inclined angle, and which is implemented at one
It is 24 degree in mode, so as to allow CC102 movements and its connector forward and to be moved to the left from its fully-integrated position.
Second, the translational motion at 196 is being engaged with 0 to 14.5 inch of scope, CC102 is compressed and is folded back into
In AO104, or CC102 is extended from AO104.Additionally, the translational motion in joint 196 is also resulted in joint 197
Translational motion.Therefore, once being translated away from from AO104, CC102 is in the second extended position relative to AO104.
Additionally, above-mentioned rotation and translational motion can be combined so that CC102 is located relative to the 3rd extended position of AO104.
Though it is 10 apparent to those who skilled in the art that illustrate only the position of minority, CC102 relative to
AO104 has multiple positions.In one embodiment, can be by peaceful from AO104 rotations, translation, or rotation by CC102
It is moved away from and enters working space point (illustrate with 297 in fig. 2, and illustrate more fully below).
Fig. 2A shows CC202 to external extension and from away from AO204, forms the clinical position sky used for clinician
Between region.By comparing, and referring again to Figure 1A, the anesthesiaing system 100 of the present invention for illustrating in figure ia is completely collapsed position.
Flexible system 200 in referring again to Fig. 2A, the gap formed when CC202 is moved away from from AO204 are expanded and expose work
Make surface 210 so that its region from below main AO working surfaces 207 extends out.These surfaces 210 are on its composition surface 211
With close tolerance or flexible seal, to avoid the material on surface from being blocked into the gap between surface.In a reality
Apply in mode, the movement of CC202 is by stepping (indexed) forming rigid positioning devices of the CC202 relative to AO204.At which
In its embodiment, multiple other locking devices not including stepping are it is also possible to use, to obtain with sufficiently rigid locking machine
Structure, with prevent CC202 relative to AO204 unintentionally move and working surface 210 by extension on article remove.
In multiple embodiments, it is desirable to prevent the debris of obsolete material, pen, pin, syringe etc. to be drawn into anesthesia
The inside of system, non-user contact portion.If allowing the debris to slide into the work of main AO204 working surfaces 207 or CC202
Make below surface 210, then can cause contraction or stretch blocking, or additionally disturb and hinder the interior part of anesthesiaing system.
Additionally, it is important that ensure that system moves partially into inside in contraction/folding process, such as when deflated in main AO204 works
Make the working surface 210 moved below surface 207, the microorganism pollution of inside will not be caused, which can be extensible worksheet
The recontamination source in face 210, even if cleaned before cross surface.
As described above, anesthesiaing system moves through mutual surface from above or below, such as surface 210 and 207, at which
Composition surface 211 has close tolerance or flexible seal, to avoid the material on surface from being trapped in gap or be stuck in surface
Between.In one embodiment, the flexible seals for being used are " ball edge sealing strip (bulb seals) ", such as this area skill
Known to art personnel.After application, when surface 210 is withdrawn or is folded into system, the ball edge type sealing strip is bent with complete
Gap between the bottom at the top and surface 207 on full packing surface 210.
Fig. 2 B show the ball edge sealing strip 225 using the anesthesiaing system to the present invention.As shown in Figure 2 B, at least one
Ball edge type sealing strip 225 and preferably multiple ball edge type sealing strips 225 are arranged at the composition surface 211 on surface 207 and 210.
In multiple embodiments, other seals known in the art, such as brush-type seal (wiper type seal) or flexible
Foam, can be used for the anesthesiaing system of the present invention.
In one embodiment, the seal of employing includes antimicrobial treatment, to ensure the quilt at the interface 211 of surface 210
Not microbial contamination when flexible seals are slipped over.The antimicrobial treatment is known in the art.For example, antibacterial known in the art
Silver-ion topical process can be applicable to the present invention.In another embodiment, the seal applied can be foam-type,
Which is dipped in antiseptic solution before application.Various other antimicrobial sealing parts known in the art can be applicable to the anesthesiaing system
In.
In order to further reduce the chance of cross pollution, in one embodiment, the top surface and AO of working surface 210
The top and bottom surface of working surface 207 is coated with antimicrobial treatment, such as silver ion.In still another embodiment, antimicrobial treatment
To process the form of surface veneer (decal), which is applied in the top of the top surface of working surface 210 and AO working surfaces 207
On basal surface.Veneer (or transfer) is plastics, cloth, paper or ceramic bases, and which can be by contact, generally by heat or the side of water
Help, and be moved on another surface.In one embodiment, by veneer application to anesthesiaing system one or more
Before on surface, surface veneer is coated with antibacterial by using any suitable surface coating process known in the art
Reason.The antimicrobial treatment coating surface veneer can be regularly replaced by the user of anesthesiaing system.Additionally, to those of ordinary skill in the art
It is obvious that various other commercially available antimicrobial treatments of business and coating can be used for above-mentioned purpose.
In alternative embodiments, the top of working surface 210 is caused by using commercially available antimicrobial treatment
For good and all sterilize on the top and bottom surface of surface and AO working surfaces 207.For example, film based sols (film-based can be applied
Solution), which has intrinsic micro- geometry, and opposing growth of microorganism in surface is caused when being applied on surface.
In alternative embodiments, in order to prevent from polluting, anesthesiaing system is also configured with least one ultraviolet (UV)
Light source, which is known in the art with antibacterial effect.For example, the UV light sources for being designed to disinfecting surface, the surface can be used to wrap
Include the surface used in medical industries.Such as to those skilled in the art or those of ordinary skill it is obvious that appointing suitable for the application
The UV light sources of what its routine can be used for the anesthesiaing system of sterilizing.In one embodiment, UV light sources are arranged on anesthesia system
The one or more positions of the inside of system, and the working surface 210 in anesthesiaing system stretches or is activated when withdrawing.Another
In individual embodiment, constantly or periodically start used UV light source predetermined amount of time.Embodiment party of the invention
Formula, Fig. 2 C show the UV light sources 235 for anesthesiaing system.As illustrated, UV light sources 235 are arranged on main AO working surfaces
Below 207, for being illuminated to the inner surface of anesthesiaing system when CC is extended and working surface 210 exposes.When surface 210
When extending, the UV light sources 235 illuminate and sterilize in the gap formed below of working surface 207, and other parts.
In another embodiment, there is provided for the low-cost system of anesthesiaing system of sterilizing, which can be used for hospital's ring
Multiple systems in border.Replacement is built into the UV light sources in anesthesiaing system, and UV light " rod (wand) " is provided with the embodiment, its
The inside of anesthesia (and other) system is introduced periodically for by Systems Sterilizer.In one embodiment, it is thin to be somebody's turn to do " rod "
, UV light source components, which is arranged for the special service instrument of anesthesiaing system.The rod can be by user in routine basis
The inside of anesthesiaing system is introduced, for the purpose carried out disinfection to the inside of system.In one embodiment, anesthesiaing system quilt
It is provided with for inserting the access aperture of UV optical wands.In another embodiment, one or more of anesthesiaing system can be made a reservation for
Lid is removed, by UV optical wand introducing systems.
In another embodiment, the inside of anesthesiaing system passes through antibacterial pad, or is soaked with the general of antibacterial cleanser
Pad and cleaned periodically, for sterilization.In this embodiment, antibacterial pad is temporarily attached to working surface 210, and with
System to retract and be introduced in anesthesiaing system below main AO working surfaces 207.The antibacterial pad is flexible, and with work
210 indentation of surface and the basal surface of the AO working surfaces 207 that rub.In one embodiment, the antibacterial pad is by flexible cotton material
Material is made, and which is pressed down on when moving in anesthesiaing system, and provides in inner surface of its transverse shifting through system
" wiping " action.In one embodiment, the antibacterial pad is soaked with isopropanol or any other existing disinfectant.The antibacterial
Pad can provide multiple wiping actions by the successive stretching, extension of anesthesiaing system and retraction, to ensure antimicrobial treatment.
In alternate embodiments, the pad is either permanently mounted the edge of working surface 210, and is maintained at AO worksheets
The lower section in face 207, and it is molten to maintain the commercially available antibacterial of business via the capillarity at the composition surface 211 periodically
Liquid.Fig. 2 D show the antibacterial pad for being permanently attached to anesthesiaing system according to the embodiment of the present invention.As illustrated, anti-
Bacterium pad 245 is connected to surface 210 so that when CC stretches, pad 245 wipes the inner surface of AO first type surfaces 207.In an embodiment party
In formula, isopropanol or any other suitable antiseptic solution periodically can be poured on by user or biomedical attendant
On pad 245, pad 245 is refilled, and the inner surface to anesthesiaing system is sterilized.
Additionally, to those of ordinary skill in the art it is obvious that using the optional of the commercially available surface of business and material process
Embodiment, as the mode of the growth of microorganism in the exposure and inner surface that limit anesthesiaing system, also in the essence of the present invention
In the range of.
In another embodiment, motorized motions and electrically activated by the user control of anesthesiaing system 200
Movements of the CC202 relative to AO204.In one embodiment, unique user starts causes CC202 relative to the pre- of AO204
Program electronic movement.In one embodiment, if the electronic movements of CC202 that user activates run into obstacle, the shifting of CC202
It is dynamic to be automatically stopped.In one embodiment, the change of the electric current of mobile motor is used for detecting obstacles.Meanwhile, other or
In optional embodiment, the obstacle signal of the form of audible alarm and/or visual alarm, such as flashing light, for indicating obstacle
And make the mobile stopping of CC202.In one embodiment, the existing lamp for illuminating multiple components of anesthesiaing system is used
Make warning flashing light.In one embodiment, existing lamp is included in and is close to being used in the top area of the point 196 in Figure 1A
Focus on the lamp on the vaporizer and/or working surface being close near the point 197 of Figure 1A.
Additionally, Fig. 2A shows at least one floor contact point 225 in the bottom of CC202.As CC202 is from AO204
Sizable distance is moved away with main Four-wheel trolley base 214, is considered with intensity due to toppling, by the CC202 parts of system
It is unpractiaca from AO204 cantilever supports.Therefore, CC202 allows load support using the ground contact points 225 of itself,
It is shown delivered directly to floor rather than via AO204 stroller frames, load support may include that one or more users rest on this
On CC202.
In one embodiment, at least one contact point 225 can provide equal level in complete 360 degree of modes
Friction, and the rotational trajectory ball type or castor type (there are multiple wheels) of removable dynamic load transfer device are but not limited to,
Its in line movement of permission and lateral movement.Ensure that CC202 and anesthesiaing system 200 can be by integrally and soon using removable contact
Fastly mobile or reorientation, or even configure in " opening " or full extension.In one embodiment, by locking under AO204
Side two or four wheel middle brakes and lock anesthesiaing system 200.In one embodiment, the middle braking system
System is controlled via pedal well known by persons skilled in the art 215, or via on the moving handle of anesthesiaing system
Hand lever at individual or multiple positions and control, will be described in greater detail subsequently.The hand lever provide more directly locking/
Unlocking configuration.
In one embodiment, when CC202 is moved into its base, the latched position leaned against on AO204, this is at least
One contact point 225 departs from from floor, only leaves four castors of initial standard and floor contact.Alternatively, even if in locking
Position, can also keep the contact between CC202 and floor.In one embodiment, contact point 225 is configured with suitable several
What structure, with the barrier on the movement floor when contact point 225 stretches, which including but not limited to covers or flexible spring etc.
Element, which is with floor closely and so as to promoting before the contact point 225 that barrier is close on floor or rising high obstacle
Thing.
Therefore, in multiple embodiments, the floor contact point and travel mechanism's allowable load of CC carry to by which from AO
The workspace areas to be formed are moved away, without the risk toppled or damage.As explained below, CC is separated from AO
Exposed other Shi Yong space can solve on compared with small machine by clinician for its supply and instrument
The problem in " limited operation space ".In addition, this also allows anesthetist in environment that is very crowded or having many people and various equipment
Middle formation " space of their own ".The space allows which to divide clinical task and workflow related to more add file and office
Leave.
Fig. 2A shows the angle articulation of the breathing circuit join domain 206 away from AO204.The breathing circuit join domain
206 is scalable and outside rotation, and by AO204 is positioned at right-hand side and CC202 moves on to left side and produces for clinician
" seat cabin " region.In the configuration, the AO204 can be advantageously arranged to away from patient and outside clinical region, but CC202
With all of clinical tool can be configured to patient close to.It has been observed that the extra angle rotation in breathing circuit region 206
Turn also to expose extra work space 212 for clinician.
In multiple embodiments of the present invention, the stretching motion and angle of anesthesiaing system and its part is in rotary moving deployable
For various configurations, so as to allow CC202 to be arranged at the multiple positions relative to AO204.As above relative to shown in Figure 1A, three kinds
The movement of type can be used to CC202 is arranged relative to AO204 in the anesthesiaing system of the present invention.
In one embodiment, it is in rotary moving to can be used for CC202 in joint 295 with increment type
(incremental) angle is rotated away or towards AO204.Fig. 2A and 2E show that the various of anesthesiaing system of the present invention match somebody with somebody
Put.Fig. 2A is in full extension with the anesthesiaing system 200 of the present invention and rotatably opened position starts, and wherein the anglec of rotation 275 is
45 degree of fully open position.Angle 275 is incrementally rotated to minimum zero degree from maximum 45 degree, until anesthesiaing system 200
CC parts 202 be in rotating closed or folding position, and therefore rotatably flush with system, wherein angle 275 be located at zero degree,
As shown in fig. 2e.In one embodiment, increment of rotation is stepping at a predetermined angle, for example, often walk 5 degree, or is used
Friction bearing is continuously controlled to the angle of any selection.In a preferred embodiment, there is ratchet (i.e., in zero degree angle
The closure of system 200 or folding position), so as to when system 200 rotates and closes completely, its in a defined manner " clicker " close
Close.
In another embodiment, CC202 telescopically or linearly can be pressed by the translational movement at the junction surface 296
Contracting and folding are back to AO204 or CC202 are extended away from from AO204.Fig. 2 F and 2G are shown as CC202 is compressed and is rolled over
It is folded to be back to AO204, by the scope of 200 translational movement of system at the junction surface 296.In one embodiment, can be used for by
It is 14.5 inches that CC202 compressions and folding are back to the translational movement scope of AO204.Here, it should be noted that at point 296
Translational movement also results in the translational movement 298 at engagement 297.
It will be understood by those skilled in the art that rotation and translational movement can be combined with CC202 relative to the multiple of AO204
Position.Therefore, in one embodiment, by CC202 is rotated from AO204 at engagement 297 or can translate away from and make
With working space 299, as shown in Fig. 2 H and 2I.Fig. 2 H are shown
From the angular displacement that AO204 leaves.Fig. 2 I are shown according to an embodiment, are revolved from AO204 completely with 45 degree of angles in CC202
Angular displacement when leaving out, but anesthesiaing system 200 is not extra work space development or flexible.Additionally, CC can be from AO
(translational movement) is stretched out, extra work space is formed or expose, as mentioned above.
Therefore, in multiple embodiments, the CC of the anesthesiaing system of the present invention can unilaterally be moved towards patient and from master
Chassis equipment leaves, and the main chassis equipment includes the connection of AO, gas cylinder and pipeline gas.As CC is loaded with for clinician to suffering from
All of clinic control device and visual displays necessary to the direct process of person, these regions are maintained at clinician's process
It is easy to contact and see place during patient.The resulting system architecture is eliminated to the needs with the external connection of CC, and only will
Offer " cleaning " feed channel and power supply are provided.In one embodiment, CC can be used as little anesthesiaing system in itself, using longer
Connect band be connected to electricity and source of the gas.
In one embodiment, anesthesiaing system includes breathing circuit connectivity port, and which is rotatable and flatly turns round, with
The flexibility of respiration loop pipe is improved, for connecting up in the limited medical environment of mixed and disorderly and physics.As described above, in operating room
(OR) physics in is limited be due to but be not limited to type of surgery, OR layouts, the equipment in use, the personnel's number needed in room
Amount, personnel positions, and other reasons, which increase the needs of the setting to anesthesiaing system and structure, more particularly to breathe
The mouth of pipe connects.The connection of the breathing mouth of pipe generally limits the movement of system, and if with the direction distortion of mistake or reversed, then existing will
The risk that respiratory siphon disconnects and twists together or distort.
Fig. 2 J are the embodiments of at least one rotation breathing circuit connectivity port 232, and which is in the first default configuration, tool
Have and be configured to the respiratory siphon connection outlet perpendicular with the front surface 240 of clinical center (CC).
Fig. 2 K are the amplification front elevations of the rotation breathing circuit connectivity port of the present invention shown in Fig. 2 J.
Fig. 2 L are the amplification rearviews of the rotation breathing circuit connectivity port of the present invention shown in Fig. 2 J and 2K.
With reference to Fig. 2 J, 2K and 2L, breathing circuit connectivity port 232 includes rotating body, and rotating body has rotation
Lid 234 and port housing 236, the swivelling cover 234 are embedded in the flat surfaces on the base section 202b of clinical center (CC) 202
In 233, and port housing 236 is extended downwardly from swivelling cover 234, wherein in one embodiment, port housing is cylinder
Shape and limit for receiving the space of gas.The rotating body is inserted in CC102, so as to swivelling cover 234 and top flat surfaces
233 is concordant, and therefore, in the 233 identical plane of top flat surfaces with CC202, while the remainder quilt of rotating body
It is arranged on below the top flat surfaces 233 of CC202.Appoint with port 232 whole rotating body breathing circuit connectivity port 232
The movement of what part and move.
Additionally, breathing circuit connectivity port 232 includes at least one branch, which is to suck, breathe out, or its combination.One
In individual embodiment, at least one branch on breathing circuit connectivity port 232 is to be connected to anesthetic gases supply pipe to be used for
The entrance of gas is received, and for connecting the outlet of the near-end of respiratory siphon, the distal end of wherein respiratory siphon is connected to patient.At one
In embodiment, entrance 239 (shown in Fig. 2 L) and 238 (shown in Fig. 2 K) of outlet are configured to outer with port housing 236
Part is vertical so that its (being arranged to 180 degree each other) directly opposite each other, and outlet 238 is configured to and port housing
236 outer, vertical portion are vertical, so as to which is stretched out from the front surface 240 of system, while entrance 239 is maintained at the inside of system
In point.
In another optional embodiment, entrance and exit is arranged on port housing 236 so that entrance is direct
Divide 237 lower section positioned at the outer of port housing 236, bottom and be connected to thereon, and outlet is configured to and port housing 236
Outward, vertical portion is vertical so which is stretched out from the front surface 240 of system.
It should be noted here that entrance and exit is may be disposed on any position of port housing 236 so which does not disturb
Pipe connect or breathing circuit connectivity port 232 it is in rotary moving.
In one embodiment, using rotating mechanism rotating breathing circuit connectivity port 232.In an embodiment
In, port manually rotates and frictional fit.In one embodiment, port is spring controlled, and if not with angle
Degree increment rotation then springs back to default location.In one embodiment, cylinder port housing is radial seal.In a reality
Apply in mode, conventional o-ring is used for radial seal cylinder port housing.In one embodiment, radial seal makes
Obtain breathing circuit connectivity port to be rotated with cylindrical shell jointly.
In one embodiment, rotate breathing circuit connectivity port 232 to spend to+15 degree scopes -15 with regard to axis 243
Interior rotation, the axis 243 (or vertical) orthogonal with the flat surfaces 233 of base section 202b and extends through in port 232
Between point, it is allowed to for be generally used for anaesthetize application in breathing circuit filter reserve complete space.In one embodiment, mistake
Filter is optionally for suction and breathes out both ports.In some cases, compared with actual port size, available filter
Can be big.Port is moved on two contrary angle directions, so as to the twocouese moving range for producing can be allowed using big
Filter.
It should be noted here that it is contemplated that arbitrarily angled scope can be used for the rotation breathing circuit port of the present invention.Select -15
Spend to+15 scopes spent to allow patient circuit pipeline to discharge from breathing circuit, while avoiding interruption (trapment) or folder
Tight situation.In some cases, depending on filter size, filter can be caused with the rotation of port using larger angle
It is urged against the front of breathing circuit.Referring again to Fig. 2 G, in default configuration, rotation breathing circuit connectivity port 232 is set
Into causing, corrugated hose connection outlet 238 is vertical with the front 204 of CC202.
Fig. 2 M show embodiment of the rotation breathing circuit connectivity port 232 in the second configuration, and wherein respiratory siphon connects
Exit 238 is rotated towards the right side of clinical center (CC) 202.Therefore, in one embodiment, breathing circuit connectivity port
15 degree are rotated towards the right side of CC202 with regard to the vertical axis at the center through breathing circuit port 232.
Fig. 2 N are the schematic diagrames of an embodiment in the rotation breathing circuit connectivity port 232 of the 3rd configuration, its
It is middle that respiratory siphon connection outlet 238 is rotated towards the left side of clinical center (CC) 202.Therefore, in one embodiment, breathe
Loop connectivity port rotates 15 degree towards the left side of CC202 with regard to the vertical axis through breathing circuit port 232.
In numerous embodiments, rotation breathing circuit connectivity port 232 can be revolved in its moving range independently of one another
Turn.In one embodiment, rotate breathing circuit connectivity port 232 to be configured to be spaced minimum range to avoid in rotation
Interference in turning.In one embodiment, the minimum range is about 120mm.
In one embodiment, port is rotated with angle step.In one embodiment, port is revolved with 1 degree of increment
Turn.In one embodiment, the overall diameter scope of port housing 36 is from 17-27mm.In one embodiment, port housing
Overall diameter with 22mm.In one embodiment, scope of the interior diameter of port housing 236 for 10-20mm.In a reality
Apply in mode, interior diameter of the port housing 236 with 15mm.
In one embodiment, breathing circuit connectivity port 232 can be removed to be cleaned.In an embodiment
In, the top surface or swivelling cover 234 of each breathing circuit connectivity port are translucent.In one embodiment, breathing circuit
Connectivity port includes breathing circuit check-valves, and which can pass through the translucent housing observation of breathing circuit connectivity port.At another
In embodiment, the top surface or swivelling cover 234 of breathing circuit connectivity port be translucent and also include information projection lamp with
Indicated when fluid is by port, so as to the action of user's observable breathing circuit check-valves, following article will be detailed
Ground explanation.
Fig. 3 A are diagram of 310 station of clinician near the anesthesiaing system 300 of the present invention.Therefore, in the diagram, can
It was observed that relative size of the system 300 relative to clinician 310.Fig. 3 B show that clinician 310 uses and are arranged on system
Expansible pull-out frame 305 on 300.Fig. 3 C show that in complete folded configuration doctor 310 is sitting in the anesthesia of system 300 and does
At public room (AO) part 304.
Fig. 4 A show the side storage 402 being arranged in AO404 according to the embodiment of the present invention.The side storage 402 can
The irregularly shaped and longer article that be placed on storage drawer in is often unsuitable for for storing by clinician.Fig. 4 B are
The side storage door 403 of AO404 is in the schematic diagram for opening configuration.Fig. 4 C are the signal of the side storage door 403 in closed position of AO404
Figure.
Fig. 5 A show the pull-out frame in AO according to the embodiment of the present invention.Draw/skid off frame/pallet 504 and 506 quilts
It is arranged to different height and can be used for various purposes, for example, places computer keyboard.Additionally, also show in fig. 5 at least
One removable monitor screen or display 507.
Fig. 5 B show lower pull-out frame 506, when which is pulled out from the AO of system, further it is shown that the keyboard on frame is pulled out.
Fig. 5 C show the lower lower pull-out frame 506 pulled out when frame 506 is loaded in the AO of system in hiding configuration.
Fig. 5 D show from the AO of system be drawn out when upper pull-out frame 504.In one embodiment, upper pull-out frame can
As the writing desk that clinician takes notes when standing.Fig. 5 E show pull-out frame 504 in loading or hide configuration.
Fig. 6 A show the memory space of the electrical connection being used in AO according to the embodiment of the present invention.In an embodiment party
In formula, storage box 608 and 610 can be used to store such as pen, notebook, clipboard, document etc..612 He of electrical connection
614 can allow clinician for connecting its personal electronic equipments.Fig. 6 B are another schematic diagrames of storage file frame 608.Fig. 6 C
It is the schematic diagram of an embodiment of electric coupling area 615, which may include three pin receptacles 616, ethernet port 617, and
At least one USB port 618.
Fig. 7 A show the handle activation castor lock for arranging in AO according to the embodiment of the present invention.Should be based on handle
Lock 702 allows position that is quick and adjusting anesthesiaing system smaller.Fig. 7 B are another schematic diagrames of the lock 702 based on handle.
Fig. 8 shows the medical adhesive tape distributor 805 being arranged on CC802 according to the embodiment of the present invention.Fig. 8 also shows
Physiological monitor (being shown as 132 in fig. 1 c) parameter connection 832 is gone out.
As illustrated in figure 9 a, in one embodiment, AO904 includes system mode computer (SSC) 905, and which is used for
User is transferred information to, state of the information with regard to the gas of anesthesiaing system, electricity, software (SW) and communication function.The SSC905
By in all informations related to the state of the art of anesthesiaing system to a little display unit.
This provides the user the clinical information of the therapy-related provided from system by the operation of anesthesiaing system and function information
Separation directly perceived (intuitive separation).The SSC905 from main clinical display unit (not shown) separation function,
And the separation directly perceived that commercial measurement is directly used from clinical care is provided.
In numerous embodiments, the information that SSC905 is provided is for example：Pipeline air pressure, gas cylinder air pressure, AC power supplies state, DC
Power supply status, stand-by power supply (for example, battery) state, software version, innernal CPU sequence number and revision, system time and
Date, timer and alarm condition, unit operating time, terminal check and state etc..The information can be exchanged into digital form
Or figure is illustrated via packing (fillbar) or manometric emulation.
In one embodiment, even if in anesthesiaing system power-off or when disconnecting from power supply, SSC905 is also remained powered on, with
Show its information.So, SSC905 keeps persistently preparing to provide all data, but particularly storage pressure and pipeline pressure to user
Major part of the power without startup anesthesiaing system.When the power supply of anesthesiaing system is disconnected to save electric energy, SSC905 can
Run with sleep/park mode, and its display is touched and opened by unique user.SSC905 can with battery-powered operations,
Observing system state is allowed, even if system is not connected to AC main power sources.Mechanical tester of the prior art systems using mixing
System status information is transferred to user by the measurement shown on device and clinical display unit.In one embodiment, lead to
Cross and use flat liquid crystal display (LCD) technology, SSC905 to may be disposed at below the transparent surface of AO, such as flat work
Lower face.The all pertinent system informations for collecting electronic form eliminate the needs to mechanical gage, mechanical tester
Device takes the larger space of the usable surface of anesthesiaing system.In the AO, the mechanical gage being generally used in conventional system
Space be released, and be preferably applied to storage or other office type functions.Schematic diagrames of Fig. 9 B there is provided SSC905.
Information projection lamp
In an embodiment of the invention, there is provided the system realm direct light related to warning is shone, for example, anesthesia system
Any region of system is under a cloud just to experience technical problem, so as to expressly and intuitively the notice of user be guided to warning institute
The problem of reflection can the energy.Therefore, information projection lamp of the invention is by illuminating causing or will causing anti-for anesthesiaing system
The part of often/alarm condition and indicate abnormal operational circumstances.
For example, in anesthesiaing system, due to the situation of " blocking (sticking) " check (non-return) valve (check-valves), may occur in which can not
Take a breath for patient.Although warning message indicates to produce low ventilation situation, the direct lamp of the present invention can cause redness according to feature
Passage of scintillation light from check-valves field emission out, so as to the notice of user is guided to potential problem source.In an embodiment party
In formula, the illumination substantially may disperse very much so that whole check-valves dome is illuminated for red or other colors.In multiple realities
Apply in mode, if the more than one function of system causes warning, multiple regions by passage of scintillation light or user will be directed with
Sequentially which is progressively debugged, as from most probable to most unlikely.
In one embodiment, use information projection lamp suitably connect and working region to be recognized.For example, Hen Duoyi
The anesthesiaing system known uses " common gas outlet " (CGO) for sucking purpose.This requires that user uses the control of anesthesiaing system
Device is selecting CGO as the source of common gas.Patient is connected to into CGO without being selected as common gas in order to eliminate
The mistake in the source of body, information projection lamp are used to illuminate the port being related to and the transparent pipe for being connected.In one embodiment, such as
Shown in Fig. 9 B, if not selecting CGO, port 910 is lit for the first color, such as amber；If by rotation
Turn port body and CGO is selected to horizontal level, then port is lit for second color, for example green, and circuit system 915
Port simultaneously illuminated for the third color, such as it is red, represent which is not used.
Referring now to Figure 10 A and 10B, there is provided switch 1002 is removable as what is started when port is rotated upwardly to horizontal level
The two positions hand lever of dynamic CGO.As shown in FIG. 10A, in first position, switch 1002 is horizontally situated and activates CGO ports.
First position is preferably parallel with the working surface 1004 of system.As shown in Figure 10 B, in the second place, switch 1002 is preferred
Ground is in vertical position, and orthogonal with the working surface 1004 of system, and removable CGO is disabled.Figure 10 A and 10B are also illustrated that
Breathing circuit connectivity port 1008, as illustrated by hereinbefore with reference to Fig. 2 G, 2H, 2I, 2J and 2K.
In bag to bore region of taking a breath (bag to vent area) similarly use information projection lamp.In an embodiment
In, when selecting " air-vent " to operate, bellows itself can light up as any color, for example green.Figure 10 A and 10B show and work as
When starting ventilation, bellows 1006 are lighted.Similarly, APL valves and circuit pressure meter are illuminated with different light colors, for example, work as fiber crops
The lung ventilator of liquor-saturated system is amber when being in the closed mode for stopping.
In one embodiment, use information projection lamp indicates multiple controls with the function of being controlled by direct illumination
The state (for example, ON/OFF or engagement/disengaging or activation/deactivation) of system.For example, with reference to Figure 1A, the arm of bag 153 is illuminated to indicate
Lung ventilator is disabled/is started or off/on state；If filter tank (canister) 155 departs from from breathing circuit and/or if because exhaling
High CO in air-breathing body2And report to the police, then illuminate CO2Absorb filter tank 155；If because tidal air monitor (is contained in the physiology of Fig. 1 C
In monitor 132) obstacle and report to the police, then illuminate effluent tidal air monitor dehydrator.In numerous embodiments, information is thrown
Shadow lamp can be used for according to lung ventilator activation/deactivation state, suction ON/OFF, auxiliary oxygen ON/OFF, carbon dioxide bypass ON/OFF etc.
And indicate evaporimeter ON/OFF, circuit system interface enabling/deactivation.
Those of ordinary skill in the art should be understood that the information projection lamp of the present invention can adjust face according to user's needs/preference
Color, intensity and/or luminous time ratio.
Therefore, the invention provides via the fine illumination of the problem area for using the suspection related to warning with clear and definite
The system and method for determining the problem area in anesthesiaing system with intuitive way.By the present invention, user is directed directly
To the system realm for needing to check or correct, and will not occur unnecessary to divert one's attention and shift concern from the nursing of patient.Additionally,
Visually illuminating for impacted system realm will allow other staff's assisted diagnosis or identification problem in OR.By information projection
Visual to illuminate, in can clearly confirming the operable element of system, which function is engaged or disconnects, and reduces and potentially faces
Bed mistake.
User interface alarm lamp
In one embodiment, the present invention relates to provide the anesthesia delivery system of user interface alarm lamp feature.The spy
Levy and provide light belt on the graphic user interface (GUI) of anesthesiaing system, allow a user to not only to quickly determine warning whether by
Start, also quickly determine and start the priority level reported to the police.In one embodiment, also at the top corners of GUI to
Family shows the colour light band for illuminating, and the attention of user is caused alarm condition.Additionally, in one embodiment, illuminate light
The color of band is related to the priority level of alarm condition.For example, can show that yellow illuminates band to indicate that middle priority is reported to the police, and
Redness illuminates band can be related to high preferential warning.Therefore, user interface alarm lamp feature allows user quickly determine alarm condition,
And be particularly advantageous when can not read warning message when the user of anesthetist etc. is too remote away from anesthesiaing system.
Figure 11 A show the example GUI screens of anesthesiaing system according to the embodiment of the present invention.In an embodiment party
In formula, GUI screen 1100 is included in the alarming block region 1110 in upper left corner.In other embodiments, alarming block region
1110 are arranged at any convenient position of GUI1100.As illustrated in figure 11A, alarming block region 1110 (is seen without coloring
Get up is black), expression does not have alarm condition, and therefore no display alarm information.
Figure 11 B show another example GUI screens of the anesthesiaing system of an embodiment of the invention.Such as
Shown in Figure 11 B, the alarming block region 1112 of GUI screen 1114 shows colored (yellow) alarming line, and warning message shows " inspection
Look into sampling pipeline ".In one embodiment, shown yellow alarm line represents that intermediate grade is reported to the police.Additionally, in a reality
Apply the alarming line in mode, showing after a predetermined period of time thin out, and in another embodiment, the alarming line is with pre-
Fixed time interval and show off and on.In another embodiment, alarming line is shown as solid line, until corresponding warning feelings
Condition is in the past or user takes predetermined action.Also illustrate in Figure 11 B, the top mid portion across screen 1114 is color
Color alarm bar 1115.In one embodiment, the color of the alarming line in alarm bar 1115 and alarming block region 1112 is (i.e.,
Yellow) matching.The alarm bar 1115 occupies the large area of screen 1114, and than alarming block 1112 alarming line more highlightedly
Show, so as to contribute to allowing caregiver to see.
Figure 11 C show another exemplary GUI system of anesthesiaing system according to the embodiment of the present invention.As schemed
Shown in 11C, show that first colored (redness) is reported to the police in the first alarming block region 1116 (being shown partially in) of GUI screen 1118
Line.In one embodiment, the red alarm line of the display is related to the alarm condition of high priority.Figure 11 C also show
Second colored (yellow) shown in the second alarming block region 1120 is reported to the police.In one embodiment, alarm bar 1125
Color is related to the current limit priority warning for occurring.According to the embodiment, in Figure 11 C, due to high preferential with centre
Level is reported to the police and is all started, so alarming line is red and related to high priority warning.In multiple embodiments, can be in anesthesia system
The a plurality of alarming line that represent identical or different alarm priority is shown on the GUI screen of system simultaneously.
Recover from automatic alarm limit
As generally known in the art, when using using the anesthesia delivery system reported to the police, it is desired to have " automatic limit "
Function, which automatically regulates the warning limits of the system with regard to the currently monitored value according to predetermined algorithm.The function is by by institute
Some warnings are set to rapidly suitable level and eliminate and the value of each alarm parameters is heightened by surgeon respectively and redundantly
With the needs turned down.Therefore, also it is desirable to " cancellation " or " recovery " function, open so as to alarm setting is back to automatic limit
State before dynamic, for being accidentally in automatic limit value of for example reporting to the police, clinician is not desired to keep this to automatically generate
Limit, and/or clinician expect manually arrange warning limits situation.
The invention provides be bound to the function of " the recovering from automatic limit " of anesthesiaing system, which can be with intuition and measurable
Mode use, so as to increased compared with the anesthesiaing system of prior art use " automatic limit " and " from automatic limit recover "
Ease for use.Figure 12 A show the display screen for showing the multiple icons reported to the police for setting according to the embodiment of the present invention
Curtain 1200.As illustrated, indicator screen 1200 is shown for being provided independently from the icon of warning limits, the warning limits with it is many
Individual medical functions are related, including but not limited to ' pressure (plimit) ' 1202, ' breathing end CO2 (EtCO2) ' 1204, and ' breathing
Suspend ' 1206.The indicator screen 1200 also shows icon ' ' 1208 that arrange automatically limit, for automatically configuring alarm limit
Degree.By clicking on icon 1202,1204 or 1206, user can arrange the warning limits of parameters, and by clicking on ' automatically
Limit is set ' icon 1208, user can cause multiple predefined parameters to automatically adjust.
Figure 12 B show that the multiple another kinds for arranging the icon reported to the police of display according to the embodiment of the present invention show
Show device screen.Once click on being somebody's turn to do ' arranging automatically limit ' icon 1208, then multiple predetermined alarm parameters are automatically regulated.At one
In embodiment, the change that ' arranging automatically limit ' icon 1208 causes 1204 parameters of EtCO2 is clicked on, which illustrates in fig. 12
It is to being shown as in Figure 12 B with limit 110 with limit 80.Once clicking on ' arranging automatically limit ' icon 1208, then show
Show cancellation icon 1210.User can click on cancellation icon 1210, with recover to click on " limit is set automatically " icon 1208 it
The value of multiple alarm parameters of front presence.Cause the feelings of one or more alarm parameters changes in an undesired manner in the function
Under condition, the cancellation icon 1210 can be clicked on to cancel the effect of ' arranging automatically limit ' function by user.Due to not requiring user
One or more alarm parameters are respectively adjusted to its initial value, so the cancellation function increased ' arranging automatically limit ' work(
The ease for use of energy.User can click on ' arranging automatically limit ' icon 1208, to observe the alarm parameters value of the regulation, and in the value
Be it is undesirable in the case of can click on cancellation icon 1210 easily to recover to initial value.If not clicking on cancellation icon
1210, then the alarm parameters value for adjusting continues to serve as existing warning limits.Once annunciator menu is exited, then cancel icon 1210
It is removed, and being back to annunciator menu can shows the screen similar to Figure 12 A in the future, without cancels icon but setting EtCO2
Put to the value of 110mmHg.
Figure 12 C show that the another kind of multiple icons that display according to the embodiment of the present invention is reported to the police for setting shows
Show device screen.As shown in figure 12 c, cancel icon 1210 once clicking on, then by clicking on ' arranging automatically limit ' icon 1208
The alarm parameters value of regulation is recovered to its original state.In one embodiment, click on and cancel icon 1210 so that EtCO2
1204 parameters (being 110 as shown in Figure 12B) are recovered to its initial value 80, as shown in figure 12 c.
Enhanced flow tube visualization
In conventional anesthesia conveying and air exchange system, flow tube is typically used as simply, clearly and reliably machinery side
Method is ensureing the appropriate operation of device-generally in the case of electronics failure or the cross check that reads of flowing as electronics.
As shown in fig. 9b, the present invention alternatively includes the improved visual of the standby flow tube 916 as the measurement of electronics fresh gas flow
Change method.It is on May 7th, 2010 in the applying date, is transferred from applicant of the present invention, entitled " Light Enhanced
Flow Tube ", illustrate exemplary flow tube in the U.S. Patent application of Application No. 12/775,719, here is by quoting
With reference to entire contents.
Wireless proximity sensor (wireless proximal sensor (s))
In one embodiment, the invention provides the single little sensor plan arranged for short range, and does not have
There is the pipe or connector for being back to anesthesiaing system.Optimal flowing and pressure are provided using the little sensor for being set directly at air flue
Power measurement signal.The integrated docking facilities for wireless senser not only provide charging and signal connection, and also provide and be used for
Physical storage locations of the sensor between each case or when not using.In one embodiment, anesthesia system of the invention
System is wireless to perform there is provided the flow-sensint unit for being able to take autoclave effect with radio chipsets, including cpu power
Function, sensor sample and process.
In one embodiment, wireless proximity sensor provides in operating room environment farthest 30 feet reliable logical
Letter.In numerous embodiments, can use wireless technology, such as 802.15.4 (the low-level ieee standard of Zigbee),
SynkroRF (is developed by Freescale), RF4CE (Industry Consortium), ANT and/or ANT+, bluetooth, low-power
Bluetooth etc..In numerous embodiments, wireless proximity sensor coordinates in the power distribution based on battery, and its design is
Stand high humidity environment.
In one embodiment, using the airway pressure sensor with following characteristics：
Zero dynamic range：- 20 to 120cmH2O
Zero resolution ratio：0.01cmH2O (it is for about 14- bit resolutions to calculate)
Zero bandwidth：60Hz (is used for onboard analog- and digital- filtration)
Zero output (ten take one (decimated)) sample rate：250Hz (4msec cycles)
In one embodiment, using the different pressure sensor with following characteristics：
Zero dynamic range：±2.5cmH2O
Zero resolution ratio：0.0004cmH2O (it is for about 14- bit resolutions to calculate)
Zero bandwidth：60Hz (is used for onboard analog- and digital- filtration)
Zero output (ten take one) sample rate：250Hz (4msec cycles)
Using wireless senser require detection appropriate signals loss, such as data loss more than 12 to 50msec, from
And cause the internal sensor using system.Additionally, wireless battery monitoring and forecasting loss of signal, and seamlessly use standby sensing
Device system.The anesthesiaing system of the present invention is by fresh gas flow sensor and drives pneumatic sensor to be provided with the stand-by provision.This
A little sensors form the redundant network of flowing informations, for error-tested being carried out to proximity sensor and in wireless proximity sensor
Continue ventilation output during failure.
In one embodiment, as shown in Figure 9 C, inside " docking " for wireless proximity sensor 921 stands 920
It is arranged in anesthesiaing system, there is provided the data communication channel of coding and the electricity for recharging for wireless senser battery
Source.The wireless proximity sensor is only formed when being physically located in docking facilities to the communication connection of anesthesiaing system.Require to use
Sensor is removed and is disposed in close air flue from docking facilities 920 by family.In one embodiment, using as above
Described information projection lamp provides the information that sensor passage starts.
In one embodiment, wireless senser is divided into two parts, and radio communication cabin (pod) and to be connected to this wireless
The sensor cabin of communication module.The radio communication cabin for only providing communication to anesthesiaing system is arranged in docking facilities.For example, exist
In one embodiment, radio communication " cabin " is connected to the flow-sensint unit of " pitot " type.
Acyclic breathing circuit
In an optional embodiment, the anesthesiaing system of the present invention provides the acyclic breathing time for patient
Road.Most of current anesthesiaing systems adopt " closed circuit ", and which includes CO2Absorbent, for by same amount of tidal air again
Reclaim, be then conveyed back patient.General anaesthesia system is also usually used " blender ", its mixture of oxygen, air and nitrogen,
Closed circuit is introduced as " live gas " afterwards.
Figure 13 A show some primary elements of regular circulation breathing circuit, indicate to return in the acyclic breathing of the present invention
In road, which main element is cancelled or does not need.Absorber is eliminated in acyclic breathing circuit provided by the present invention
Element 1302 and bellows 1304.Additionally, being also replaced by active valve, example for the check-valves in the loop shown in Figure 13 A
As used in common flow valve control ICU lung ventilators.
Figure 13 B show acyclic breathing circuit 1300 according to the embodiment of the present invention.As illustrated, via suction
The live gas of the injection of valve 1308 is mixed with the preparation 1312 of injection, is delivered to patient 1310 and then via 1314 row of exhalation valve
Go out.In one embodiment, live gas can be oxygen or air, therefore be required and used only for the single control valve of air inlet.
In another embodiment, intake valve 1308 includes being designed to directly be mixed into oxygen, air and nitrous oxide
Multiple control valves in loop.In one embodiment, the source of live gas can be pressure piping or gas cylinder supply, and inhale
The function of air valve 1308 can passing ratio magnetic valve complete, such as those for conventional ICU lung ventilators.Alternatively, can use
The low pressure fresh gas source of such as room air or oxygen concentrator, and necessity can be produced by using turbine or piston apparatus
Patient circuit pressure and realize 1308 function of intake valve.
In one embodiment, as acyclic loop does not make to provide gas by recall suction via inlet valve, so note
Enter preparation device 1312 using gaseous anaesthetic preparation and be designed to be controlled to the injection of preparation the lung that is only delivered to patient
The gas part in portion.In alternative embodiments, said preparation presses liquid meter, and by the sucting of respiration loop pipe 1306
The core for dividing is configured and evaporates into gas stream.
Using acyclic breathing circuit 1300, the pulse train of anesthetic gases can be injected the suction fluid of patient in real time
In stream.The target be by the pulse train " adjustment phase place " of preparation, thus it requires segment pulse fall in the lung of patient, and
(dead-space) does not receive preparation for dead space.According to the embodiment of the present invention, can selecting technology using what is minimized by preparation
It is to form anesthetic gases pulse, so as to dead space does not receive preparation.Normally, dead space includes the 20% of about respiratory capacity.
The end of suction, dead space is perfused with live gas；The pulse train " adjustment phase place " of preparation be can help to ensure that into the ending
Gas does not contain preparation for callouse.
Further, since patient lies down, the major part of the rear part of lung be filled and forward part is not filled.
Therefore, the preferable shape of pulse 1321 be it is square and towards end have a taper, as shown in figure 13 c.Implement at one
In mode, dead space and impulse phase adjustment are helped using gas monitor.Therefore, carbon dioxide can be generated using patient
(VCO2) and End-tidal carbon dioxide (EtCO2) volume determining the dead space of the volume for being approximately equal to endotracheal tube (ETT).
Preparation injection is then connected to the conveying of suction breathing, and the end of preparation conveying by phase adjusted to being projected to
Into the amount of the suction gas of dead space.
Therefore, because such as bellows, absorber, alternatively absorb filter tank, blender and Conventional vaporizer and be all omitted, because
This anesthesiaing system of the invention is there is provided the acyclic respiratory system more inexpensive than regular circulation breathing circuit.Additionally, passing through
Using this acyclic breathing circuit 1300, soda lime (or substitute) is removed from Environmental waste stream, and necessarily drive gas
Body (or other forms energy), so as to due to require less energy carry out operating loop so that for air oscillating pump and
Oxygen concentrator is dispensable.Because in this loop, always what suction gas was cleaned, as long as further contemplating infection control, this time
Road is optimum and easy to maintain, causes possessory low cost.In addition, it was further observed that clinician is continually by closed circuit
Dilution effect obscure, so as to seek help from suction gas control (IGC) or discharge gas control (EGC) system.Due to not dilute
Effect is released, therefore this acyclic breathing circuit 1300 automatically provides IGC.In one embodiment, can will be inlet valve feature whole
It is individually implemented in software, and it is capable of achieving the flowing more much higher than what conventional mixer was provided.
Bypass Oxygen control and actuating
As known in the art, the anesthesiaing system for mixing control with electronics generally also includes urgent bypass valve system, its
Enable users to arrange oxygen flowing in the case where blender fails.Some prior art anesthesiaing systems using special needle-valve with
Offer bypass functionality, and other use special-purpose machinery jettrons, to open bypass valve or recover to electronics blender control
System.
In one embodiment, the present invention relates to anesthesia delivery system, which includes two-position button, the two-position button
It is corresponding with active electronic mixing control in first position and corresponding with actively urgent bypass valve in the second place.In the second place,
When urgent bypass valve starts and during from the flow disruption of electronics blender, two-position button " is upspring ", and simultaneously with mechanical needle
Valve is engaged.Two-position button provides single-point oxygen and adjusts, its in the case of the electronics mixing control failure of anesthesiaing system with
And quick regulation oxygen stream is enabled users in the case where user does not know such failure in anesthesiaing system.This
Outward, by two-position button is pushed back to first position, the electronics mixing control of anesthesiaing system is rejoined.The present invention is also tight
Anxious bypass provides the oxygen stream of the scheduled volume for pre-seting from bypass needle-valve when being activated so that fail in the control of electronics blender
In the case of automatically there is the oxygen stream of known quantity, and do not require any customer interaction.
Figure 14 A show first of the bypass actuation button 1406 of anesthesiaing system according to the embodiment of the present invention
Put.The anesthesiaing system includes gas control button 1402,1404 and two-position bypass actuation button 1406.The button 1402,
1404 and 1406 are engaged with Lineside encoding unit (not illustrating in Figure 14 A), and the gas for being electronically controlled in anesthesiaing system
Flow velocity degree.It is displayed on electronic curtain 1408 gas flow image in anesthesiaing system, and through floating ball type flowmeter
1410.As shown in fig. 14 a, bypass activates two-position button 1406 in first concordant with the side surface of anesthesiaing system
Put, represent the electronics mixing control of engagement anesthesiaing system.
Figure 14 B show the second of the bypass actuation button 1406 of anesthesiaing system according to the embodiment of the present invention
Put.As shown in Figure 14 B, bypass activates two-position button 1406 and is in second " ejection " actuated position, indicates in anesthesiaing system
In startup emergency oxygen bypass functionality.In the startup position, button 1406 and the needle-valve (figure for directly controlling oxygen flowing
Not shown in 14B) directly engage, bypass is controlled by the electronics blender of anesthesiaing system.
Figure 14 C show that user according to the embodiment of the present invention adjusts the bypass actuation button 1406 of anesthesiaing system.
As shown in Figure 14 C, user 1412 can be manually adjusted by the oxygen stream being displayed according to image on electronic curtain 1408
Section bypass activates two-position button 1406, so as to adjust the oxygen stream in anesthesiaing system.Therefore, the present invention is enabled users to by seeing
The image for examining slamp value shows 1408 and adjusts bypass oxygen stream.Additionally, floating ball type flowmeter 1410 also records offer to trouble
All air-flows of person.
Figure 14 D show according to the embodiment of the present invention, even if the anesthesia when anesthesiaing system is in "Off" state
The startup bypass actuation button 1406 of system.In one embodiment, even if when the electronic equipment of anesthesiaing system is in simulation
During the state of electronics failure, bypass activates two-position button 1406 and is also maintained at the starting state shown in Figure 14 D and causes oxygen
The continuous flowing of gas is transported to patient.In this case, the table of the flow valuve by observation on floating ball type flowmeter 1410
Show, can manually adjust the flowing of oxygen.
ACGO upsets selector (flip-up selector)
Conventional anesthesiaing system is generally equipped with auxiliary common gas outlet (ACGO), and which allows " the live gas stream " of mixing
(FGF) external circuit is transferred to from the circulatory system, the external circuit is generally non-re-breathing formula anesthesiaing system.In prior art
Anesthesiaing system in, the ACGO is typically the port of horizontal 22mm, and which is via arranging mechanical shaft on a user interface or electricity
Son is controlled and is started.The anesthesiaing system of prior art is not provided and is clearly indicated to starting ACGO, so as to right in some cases
Obscure with regard to whether ACGO starts to cause, or even cause ACGO by mistake to be started by user.
In one embodiment, the present invention relates to anesthesia delivery system, which provides ACGO as 22mm ports so that should
Port can be used for starting in itself.In one embodiment, by the port is rotated down so that the port vertically sets
Put, and port openings are towards ground and its plane is parallel to the ground, so as to close the ACGO.The positioning significantly reduces ACGO
Port is processed as the chance in the source of fresh gas flow by user error.In the position, FGF is automatically caused the circulation of system and is exhaled
Suck back the inside live gas flowing ports in road.The ACGO is by rotating up 90 degree by port so that set port levels
Put, and port openings are towards user and its plane is perpendicular to the ground, so as to start.The positioning allows pipe to be connected to port.At one
In embodiment, ACGO ports are arranged to bistable switch, and which is rotated up or down and corresponds to respectively and start or disable
State.The port can not be arranged on intermediateness.Additionally, in one embodiment, the information projection lamp feature of the present invention
Be bound to AGCO ports, when port upwards and start when which is illuminated with green pulse lamp.
Figure 15 A show auxiliary common gas outlet (ACGO) of anesthesiaing system 1500 according to the embodiment of the present invention
Port 1502.Figure 15 B show the auxiliary common gas outlet of anesthesiaing system 1500 according to the embodiment of the present invention
(ACGO) rest position of port 1502.As illustrated, the ACGO1502 is in dead status when it is straight down to rotate.Figure
15C shows auxiliary common gas outlet (ACGO) port 1502 of anesthesiaing system 1500 according to the embodiment of the present invention
Start position.As shown in Figure 15 C, the ACGO1502 is in starting state when being rotated up to horizontal level.As the ACGO
When port 1502 is activated, the live gas from the gas mixing system of anesthesiaing system 1500 is flowed out from ACGO ports 1502.
Figure 15 D show the auxiliary common gas outlet for being connected with breathing circuit according to the embodiment of the present invention
(ACGO) the startup position of port.As shown in figure 15d, when port 1502 is in startup horizontal level, breathing circuit 1504 can
It is connected to AGCO ports 1502.In one embodiment, the breathing circuit 1504 is used to allow manual ventilation patient (in order to clear
Bag is not shown) using the live gas stream from ACGO ports 1502.In one embodiment, in starting level upwards
The load of 5lb breathing circuits can be supported in the ACGO ports 1502 of position.
Electron evaporation
Current anesthesia vaporizer system includes valve and/or Wick-type system, for liquid preparation for callouse is converted to gas
Body form.Generally, the formulation concentrations level of the gas that these systems are provided be 0-10% (for Suprane despite when more
It is high), the gas is used as " live gas " or " compensation " gas in circulorespiratory system.Current device be it is complicated, and will
Ask accurate mechanical part or flow system to be operated, form the device of higher cost.It is being assigned to Louis
New evaporator element type is illustrated in the United States Patent (USP) of the Patent No. 6,155,255 of Gibeck AB, which uses direct liquid
Body is injected to inexpensive " Wick-type " configuration.
The invention provides fiber crops will be bound to the similar evaporator element illustrated in U.S. Patent No. 6,155,255
Liquor-saturated system carries out actually used method as electronic anesthetic vaporizer.In one embodiment, treated to pump using micro-pressure electric pump
The liquid of evaporation.Liquid injection is measured providing liquid into the supply line of evaporimeter, and is completed using backfeed loop
Control.The measurement of the liquid in inflow evaporimeter (core type) and the gas stream of into or out evaporimeter (being distinguished as anesthetic vapor)
Measurement for determining the concentration of preparation for callouse.Perform the step and surveyed with substituting or combining the preparation for callouse concentration at patient
Amount.Additionally, the executable pulse (that is, increase or reduce) for changing the liquid flow for combining with gas stream that is passing through evaporimeter.Will
Evaporimeter is arranged in the main flow stream of acyclic breathing circuit anesthesiaing system, such as illustrated by previous section.Control
Fluid flows into the control unit of evaporimeter and is connected to the display of anesthesiaing system, by evaporator sub-system be integrated into the present invention compared with
The part of wide anesthesiaing system.
In one embodiment, by valve increase to it is known with U.S. Patent No. 6,155,255 in illustrate it is similar
Electronic anesthetic vaporizer, and be controlled to provide direct gas stream bypass (immediate gas flow bypass) of evaporimeter.
This oxygen for being used for system shoves (oxygen flush) or for evaporimeter is cut out immediately.The ratio control of the bypass is also
The amount of steam that can be used to increasing quickly is reduced and is increased without fully stopping steam, situation about such as bypassing completely.Additionally,
The component of live gas stream (e.g., oxygen) optionally through evaporimeter, to obtain the consistent intake of preparation for callouse steam.
In one embodiment, the agent detection device of kind of liquid is increased to external container (the liquid fiber crops for being connected to liquid anesthesia
It is liquor-saturated from being wherein pumped to evaporimeter) pump or the container itself, to determine anesthesia type.Additionally, container may include it is multiple
Holder, controls the operation of each holder by pump control unit, so as to allow various preparation for callouse types to be provided at
In single anaesthesia machines.The holder for accommodating preparation for callouse can be cooled for preparation for callouse to remain liquid form with by connecting
The device for injecting liquid for being connected to the pump of evaporimeter is injected.In numerous embodiments, using various protections and elimination liquid
Air pocket device.The example of the device includes：Cool down one or more pumps to prevent the gas when anesthetic fluid is pumped across system
Cave；Preparation for callouse holder is depressed into into the pump of connection to prevent air pocket；Make during the supply pipe of pump is connected in pump or by holder
Use air pocket detection means；The concrete known design feature used in supply pipe or pump is preventing air pocket；And, increase to supply pipe
Resistance, so as to form counter-pressure to prevent air pocket.
In one embodiment, the present invention allows to select different evaporator sizes according to live gas stream.For example, fiber crops
Liquor-saturated control device (such as button or switch) can select high flowing or low flow evaporation device according to the amount of the fresh gas flow for using.
Additionally, can use close/open valve as security control to stop the liquid injection to evaporimeter immediately in preparation for callouse supply pipe.
In one embodiment, sensor element is arranged on patient airway to read the gas sucked in different optical wavelength patients
Optical absorption, and the signal sensed in the point is for by carrying out suction gas as the subsystem of anaesthesia apparatus using evaporimeter
Body is controlled or exhaled gas control.Additionally, in one embodiment, using two fluid flow sensors of series connection so as to
FR liquid flow velocity is sensed with enough accuracy, one of fluid flow sensor is another for high flow rate
It is individual for low flow velocity.
Above-mentioned example illustrate only many applications of the system of the present invention.Although only illustrating the several of the present invention here
Embodiment, it is to be understood that the present invention is capable of achieving essence and model for many other concrete forms without departing from the present invention
Enclose.Therefore, this example and embodiment be considered it is exemplary rather than restricted, and can be in the model of claims
Enclose and interior the present invention is modified.
Claims (7)
1. a kind of anesthesia delivery system, including：
A) Part I, which is included for the housing of at least one clinic control and for providing treat at least one to patient
Patient's connector, wherein at least one patient connector includes breathing circuit connector, breathing circuit connector include to
A few branch, wherein at least one branch are used to suck or breathe out or its combination；
B) Part II, which is included for supporting the base portion of the Part I, flat working space surface, at least one
Pneumatic connector and at least one is electrically connected interface, wherein the Part II is by sucking supply line and at least one anesthesia gas
Body supply line and be pneumatically coupled to the Part I, and wherein described Part I is removable relative to the Part II
It is dynamic；With
C) user interface alarm lamp device, wherein light belt are arranged on the graphic user interface (GUI) of the anesthesiaing system, with
Enable users to quickly determine report to the police and whether start and start the priority reported to the police, in addition the position of wherein described light belt and face
Color determines the priority of the warning,
The anesthesia delivery system also includes user interface warning limits recovery device, wherein the anesthesia delivery system includes
" automatic limit " function on, which automatically regulates alarm limit of the system with regard to the currently monitored value according to predetermined algorithm
Degree, wherein the recovery device will be reported to the police and warning limits revert to the state before automatic limit starts.
2. anesthesia delivery system as claimed in claim 1, also bypasses valve system including urgent, its situation in blender failure
Under enable users to arrange oxygen stream, wherein it is described it is urgent bypass valve system include two-position button, two-position button is at first
Put corresponding and corresponding with urgent bypass valve is started in the second place with electronics mixing control is started, in addition wherein when described
Two-position button provides the oxygen stream of scheduled volume when being moved into the second place.
3. anesthesia delivery system as claimed in claim 1, also exports (ACGO) port including self-starting auxiliary common gas.
4. anesthesia delivery system as claimed in claim 3, wherein described auxiliary common gas outlet (ACGO) port is measured as
Overall diameter is in 17 to 27mm scopes.
5. anesthesia delivery system as claimed in claim 3, wherein described auxiliary common gas outlet (ACGO) port is measured as
Interior diameter is in 10 to 20mm scopes.
6. anesthesia delivery system as claimed in claim 3, wherein being in described auxiliary common gas outlet (ACGO) port
First vertically, towards described auxiliary common gas outlet (ACGO) port during down position is in dead status, and pass through will be described
Auxiliary common gas outlet (ACGO) port rotates and starts the auxiliary common gas outlet to the second level, towards front position
(ACGO) port.
7. anesthesia delivery system as claimed in claim 6, wherein being in described auxiliary common gas outlet (ACGO) port
Second level, towards during front position it is described auxiliary common gas outlet (ACGO) port be illuminated.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710089222.9A CN106975132A (en) | 2011-10-13 | 2012-10-12 | Anesthesia delivery system |
Applications Claiming Priority (17)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161546930P | 2011-10-13 | 2011-10-13 | |
| US61/546,930 | 2011-10-13 | ||
| US201161559433P | 2011-11-14 | 2011-11-14 | |
| US61/559,433 | 2011-11-14 | ||
| PCT/US2011/065676 WO2012128808A2 (en) | 2010-12-17 | 2011-12-16 | Integrated, extendable anesthesia system |
| US13/329,186 US20120180789A1 (en) | 2010-10-16 | 2011-12-16 | Integrated, Extendable Anesthesia System |
| USPCT/US2011/065676 | 2011-12-16 | ||
| US13/329,186 | 2011-12-16 | ||
| US13/329,259 | 2011-12-17 | ||
| PCT/US2011/065685 WO2012083281A1 (en) | 2010-12-17 | 2011-12-17 | Sliding track and pivot mounting system for displays on anesthesia machines |
| US13/329,219 US20120180793A1 (en) | 2010-12-17 | 2011-12-17 | Dynamic Graphic Respiratory Communication System |
| USPCT/US2011/065685 | 2011-12-17 | ||
| US13/329,219 | 2011-12-17 | ||
| USPCT/US2011/065678 | 2011-12-17 | ||
| US13/329,259 US9022492B2 (en) | 2010-12-17 | 2011-12-17 | Sliding track and pivot mounting system for displays on anesthesia machines |
| PCT/US2011/065678 WO2012083276A2 (en) | 2010-12-17 | 2011-12-17 | Dynamic graphic respiratory communication system |
| PCT/US2012/060125 WO2013056171A2 (en) | 2011-10-13 | 2012-10-12 | Integrated, extendable anesthesia system |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710089222.9A Division CN106975132A (en) | 2011-10-13 | 2012-10-12 | Anesthesia delivery system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104066469A CN104066469A (en) | 2014-09-24 |
| CN104066469B true CN104066469B (en) | 2017-03-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710089222.9A Pending CN106975132A (en) | 2011-10-13 | 2012-10-12 | Anesthesia delivery system |
| CN201280061261.3A Expired - Fee Related CN104066469B (en) | 2011-10-13 | 2012-10-12 | Integrated, extendable anesthesia system |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710089222.9A Pending CN106975132A (en) | 2011-10-13 | 2012-10-12 | Anesthesia delivery system |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP2766077A4 (en) |
| CN (2) | CN106975132A (en) |
| GB (1) | GB2554303A (en) |
| WO (1) | WO2013056171A2 (en) |
Families Citing this family (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080221930A1 (en) | 2007-03-09 | 2008-09-11 | Spacelabs Medical, Inc. | Health data collection tool |
| US9604020B2 (en) | 2009-10-16 | 2017-03-28 | Spacelabs Healthcare Llc | Integrated, extendable anesthesia system |
| BR112012012147A2 (en) | 2009-10-16 | 2019-09-24 | Spacelabs Healthcare Llc | improved light flow tube |
| WO2011119512A1 (en) | 2010-03-21 | 2011-09-29 | Spacelabs Healthcare, Llc | Multi-display bedside monitoring system |
| US9047747B2 (en) | 2010-11-19 | 2015-06-02 | Spacelabs Healthcare Llc | Dual serial bus interface |
| US9629566B2 (en) | 2011-03-11 | 2017-04-25 | Spacelabs Healthcare Llc | Methods and systems to determine multi-parameter managed alarm hierarchy during patient monitoring |
| US10987026B2 (en) | 2013-05-30 | 2021-04-27 | Spacelabs Healthcare Llc | Capnography module with automatic switching between mainstream and sidestream monitoring |
| CN104208784B (en) * | 2013-05-31 | 2018-11-13 | 北京谊安医疗系统股份有限公司 | Anesthesia machine |
| BE1023363B1 (en) * | 2014-08-26 | 2017-02-20 | Medec Benelux Nv | CONNECTION AND CLOSING SYSTEM OF BREATH BALK CUP ON RESPIRATORY SYSTEM |
| CN104740739A (en) * | 2015-03-20 | 2015-07-01 | 韩冰 | General anaesthesia device |
| CN104740740A (en) * | 2015-04-06 | 2015-07-01 | 谭高霞 | Comprehensive monitoring type respiration anaesthesia machine |
| CN105233383A (en) * | 2015-09-12 | 2016-01-13 | 张萍 | Foldable anesthesia machine with automatic warning device |
| CN105727410A (en) * | 2016-02-18 | 2016-07-06 | 夏放军 | Multifunctional anaesthesia machine |
| JP7239574B2 (en) * | 2017-10-18 | 2023-03-14 | レスメド・プロプライエタリー・リミテッド | Breathing Apparatus with Multiple Power Supplies |
| CN108404262B (en) * | 2018-02-24 | 2021-02-09 | 重庆博视知识产权服务有限公司 | Medical injection device for disabled people |
| CN108310569A (en) * | 2018-03-13 | 2018-07-24 | 冯秉健 | Novel anesthesia machine |
| CN108392710A (en) * | 2018-05-03 | 2018-08-14 | 浙江氙科医疗器械有限公司 | A kind of rotation elevating mechanism of passage formula xenon oxygen gas mixture intake system device |
| CN110101948A (en) * | 2019-05-14 | 2019-08-09 | 谢辉 | The anesthesia procedures device of operation is convenient in a kind of clinical anesthesia section |
| CN112827046A (en) * | 2020-12-31 | 2021-05-25 | 北京谊安医疗系统股份有限公司 | Interface display system for evaporating pot of anesthesia machine |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1350469A (en) * | 1999-05-10 | 2002-05-22 | 阿诺股份公司 | An arrangement for anaesthetising livign creature |
| CN201431644Y (en) * | 2009-06-04 | 2010-03-31 | 张军 | Loop sterilizing machine inside anesthesia machine and breathing machine |
| CA2752862A1 (en) * | 2009-02-20 | 2010-08-26 | Baxter International Inc. | Inhaled anesthetic agent therapy and delivery system |
| CN101854972A (en) * | 2007-11-13 | 2010-10-06 | Imt股份公司 | Respirator and/or anesthetic device |
| CN101854973A (en) * | 2007-11-13 | 2010-10-06 | Imt股份公司 | Respirator and/or anesthetic device |
Family Cites Families (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4428507A (en) * | 1981-05-19 | 1984-01-31 | Sneider Vincent R | Collapsible container with accordion pleated sidewalls, air vent and swivel valve outlet |
| DE8716928U1 (en) * | 1987-12-23 | 1989-04-27 | Friedhelm Kreuzer GmbH, 8039 Puchheim | Ceiling mount for medical devices |
| US4879997A (en) * | 1988-04-07 | 1989-11-14 | Bickford Allan M | Anesthetic vaporizer |
| US5915379A (en) * | 1997-03-14 | 1999-06-29 | Nellcor Puritan Bennett Incorporated | Graphic user interface for a patient ventilator |
| US6188407B1 (en) * | 1998-03-04 | 2001-02-13 | Critikon Company, Llc | Reconfigurable user interface for modular patient monitor |
| DE19910289A1 (en) * | 1999-03-09 | 2000-09-21 | Kreuzer Gmbh & Co Ohg | Furnished with an operating table top removably mounted on a stand |
| EP1448090A4 (en) * | 2001-11-01 | 2010-07-14 | Scott Lab Inc | User interface for sedation and analgesia delivery systems and methods |
| DE60209784T2 (en) * | 2001-12-06 | 2006-11-30 | Cardinal Health 303, Inc., San Diego | INFUSION DEVICE WITH CO2 MONITORING |
| US7837651B2 (en) * | 2004-08-31 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Infusion pump |
| JPWO2007129515A1 (en) * | 2006-05-10 | 2009-09-17 | 株式会社スカイネット | Small animal anesthesia system |
| US8409124B2 (en) * | 2007-03-08 | 2013-04-02 | Medronic, Inc. | Blood pump system user interface alarm management |
| US9265429B2 (en) * | 2009-09-18 | 2016-02-23 | Welch Allyn, Inc. | Physiological parameter measuring platform device supporting multiple workflows |
| US8794173B2 (en) * | 2009-10-16 | 2014-08-05 | Spacelabs Healthcare Llc | Light enhanced flow tube |
| WO2011047363A1 (en) * | 2009-10-16 | 2011-04-21 | Spacelabs Healthcare, Llc | Integrated, extendable anesthesia system |
| US20110138323A1 (en) * | 2009-12-04 | 2011-06-09 | Nellcor Puritan Bennett Llc | Visual Indication Of Alarms On A Ventilator Graphical User Interface |
-
2012
- 2012-10-12 CN CN201710089222.9A patent/CN106975132A/en active Pending
- 2012-10-12 CN CN201280061261.3A patent/CN104066469B/en not_active Expired - Fee Related
- 2012-10-12 EP EP12839321.2A patent/EP2766077A4/en not_active Withdrawn
- 2012-10-12 GB GB1718998.6A patent/GB2554303A/en not_active Withdrawn
- 2012-10-12 WO PCT/US2012/060125 patent/WO2013056171A2/en active Application Filing
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1350469A (en) * | 1999-05-10 | 2002-05-22 | 阿诺股份公司 | An arrangement for anaesthetising livign creature |
| CN101854972A (en) * | 2007-11-13 | 2010-10-06 | Imt股份公司 | Respirator and/or anesthetic device |
| CN101854973A (en) * | 2007-11-13 | 2010-10-06 | Imt股份公司 | Respirator and/or anesthetic device |
| CA2752862A1 (en) * | 2009-02-20 | 2010-08-26 | Baxter International Inc. | Inhaled anesthetic agent therapy and delivery system |
| CN201431644Y (en) * | 2009-06-04 | 2010-03-31 | 张军 | Loop sterilizing machine inside anesthesia machine and breathing machine |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2013056171A3 (en) | 2013-06-20 |
| EP2766077A4 (en) | 2015-12-30 |
| GB2554303A (en) | 2018-03-28 |
| EP2766077A2 (en) | 2014-08-20 |
| CN106975132A (en) | 2017-07-25 |
| GB201718998D0 (en) | 2018-01-03 |
| WO2013056171A2 (en) | 2013-04-18 |
| CN104066469A (en) | 2014-09-24 |
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