A kind of oxygen therapy control system of Intelligent servo
Art
The present invention relates to a kind of oxygen therapy control system of Intelligent servo, and patient's blood oxygen saturation is measured when belonging to oxygen inhalation therapy
And the medicine equipment of dynamic control oxygen flow.
Background technology
Anoxic is to cause the root of many diseases, and the life of people is directly threatened when serious.Many diseases can all cause oxygen
The shortage of supply, oxygen uptake are one of the most frequently used rescue of hospital or treatment means, by oxygen supply, improve arterial partial pressure of oxygen
(PaO2) and arterial oxygen saturation (SaO2), increase arterial oxygen content (CaO2) oxygenation status caused by a variety of causes is corrected,
The metabolism of promotion organization, maintain a kind for the treatment of method of body vital movement.During oxygen inhalation therapy (hereinafter referred to as " oxygen therapy "),
Medical personnel give different oxygen flows according to patient's degree of oxygen deficiency difference, and the conventional doctor's advice form of oxygen therapy is:XXX patient,
Oxygen uptake N hours, flow X L/min (low discharge oxygen uptake general 1/min~2L/min, the middle general 2/min~4L/ of flow oxygen inspiration
Min, the general 4/min~6L/min of high flow capacity oxygen uptake).Blood oxygen saturation refers to be combined O in whole blood volumes2Capacity accounts for entirely
The combinative O in portion2The percentage of capacity.(oxygen saturation are abbreviated as SpO to oximetry value2) it is in clinical treatment
One of important basic data, be judge patient whether the clinical indices of anoxic, the oxygen content of blood (blood oxygen saturation of normal person
Value) it is 94%~100%, SpO2It is determined as oxygen supply deficiency below 94%, has scholar by SpO2< 90% is set to hypoxemia
Standard.But degree of oxygen deficiency is that a dynamic clinic is accused of, and existing oxygen delivery devices, following defect be present:
1st, medical personnel rely on clinical experience and provide patient's oxygen therapy scheme substantially, rather than rely on clear and definite blood oxygen saturation
It is worth (SpO2) judge the order of severity of anoxic, lack certain accuracy and science.
2nd, medical personnel judge the therapeutic scheme that the initial oxygenation status of patient provides, and determine oxygen uptake flow and oxygen time
Afterwards, oxygen therapy scheme is typically fixed in treatment cycle, without according to patient's oximetry value (SpO2) change adjust in time
Whole oxygen uptake flow and oxygen time.
Therefore, existing oxygen therapy scheme can not meet the requirement of accurate medical treatment, propose that one kind can enter action to patient
The real-time monitoring of arteries and veins blood oxygen saturation, and the Medical Instruments of oxygen flow dynamic control is good in clinical and individual on this basis
It is very necessary on Kang Guanli, therefore, technical scheme of the present invention in the oxygen therapy control system for proposing a kind of Intelligent servo, intelligence
Change degree is high, consistent, cost is suitable with existing common oxygen inhalation apparatus, is advantageous to clinical promotion and popularization.
The content of the invention
The present invention is mainly defeated by Oximetry device, communication module, control unit, electronic flow valve, integrated circuit, oxygen
Inbound port, oxygen output mouth, control button, protection shell composition.
The present invention operation principle be:Oximetry device is the oximetry value monitored from patient by communicating
Module is sent to control unit, and the oximetry value of acquisition and built-in oxygen therapy data model are compared analysis by control unit,
Judge patient's degree of oxygen deficiency, and oximetry value and patient's degree of oxygen deficiency etc. are monitored into analysis result in nformation alert module
Middle reading;If it is determined that patient's anoxic, control unit carries out oxygen therapy prompting by word, icon or caution sound, and provides suggestiveness
Oxygen therapy scheme;The oxygen therapy scheme that medical personnel can use control unit to provide enters automatic servo pattern and carries out oxygen therapy, also may be used
Oxygen therapy is carried out independently to set oxygen therapy scheme;After the startup function key according to corresponding to oxygen therapy is opened in prompting, electronic flow valve is automatic
The flow value opened and oxygen therapy is provided according to automatic servo pattern or medical personnel controls oxygen flow;Controlled in process of oxygen therapy
The Monitoring Data that unit can be sent from motion tracking with analysis Oximetry device, if patient's degree of oxygen deficiency changes, control is single
Member can judge the instant anaerobic condition of patient again, and export oxygen therapy flow value according to instant degree of oxygen deficiency adjust automatically;Oxygen therapy knot
Control unit automatically can close electronic flow valve during beam, terminate oxygen conveying.
Described Oximetry device predominantly detects index as pulse frequency, blood oxygen saturation, perfusion index (PI), and monitoring obtains
Data control unit is sent to by built-in communication module;Structure, principle and the detection side of described Oximetry device
Method is unlimited, and generally use non-invasive monitoring mode obtains pulse oximetry value (SpO2), urgent patient can also use minimally invasive
Monitoring mode obtains central venous oxygen saturation (ScvO2) and mixing Svo2 (SvO2).Non-invasive monitoring mode obtains
Take pulse oximetry value (SpO2) Oximetry device generally by a microprocessor, memory (EPROM and RAM),
Two control LED digital analog converter, the signal received to photodiode are filtered and the device of amplification, analog-digital converter
Composition.Oximetry device determines ratio R/IR and arterial oxygen saturation (SaO according to Beer-Lambert laws2) pair
It should be related to, monitor the ratio that the hemoglobin of oxygen is carried in artery and does not carry the hemoglobin of oxygen, try to achieve pulse blood oxygen saturation
Angle value (SpO2).Certainly, probe for detecting temperature etc. can also be embedded in Oximetry device, realizes patient pulse, blood oxygen saturation, body
The multi-parameter monitorings such as temperature and output.
Described Oximetry device is provided with a communication module, and communication module is used to send monitoring acquisition to control unit
Data, Monitoring Data includes but is not limited to oximetry value, pulse, body temperature etc..The model and communication modes of communication module
Unlimited (wired or wireless transmission).Preferred scheme is to use communication module Bluetooth chip, middle implantation in Oximetry device
Bluetooth chip, the microprocessor in Oximetry device directly can be controlled by common I O port line to bluetooth, utilize indigo plant
Tooth realizes being wirelessly transferred for measurement data.
Described control unit is mainly by control module, integrated circuit, communication module, information reminding module and control button
Composition.Described control module can use programmable logic controller (PLC) (PLC) or single-chip microcomputer, the communication module type of control unit
Number and communication modes it is unlimited, can with the communication module of the wired or wireless transmission of Oximetry device protocol;
The control module of control unit receives the Monitoring Data that Oximetry device is sent, and simultaneous communications module can also synthesize analysis
Monitoring-information be sent remotely to medical attendance terminal.
Described information reminding module mainly by display screen, voice prompting device, indicator lamp groups into.Information reminding module is used for
Instant messages are shown with reading, storage information browses, failure is enough to cause what medical personnel paid attention to failure warning, patient
Changes of vital signs prompting etc..The alerting pattern of information reminding module includes but is not limited to word, icon, sound, indicator lamp etc..
Described control button be used for various functions operation and switching, control button can use contact switch or directly
It is arranged on the touch button of electric capacity display screen.
The major function that control unit is realized includes but is not limited to:1. analysis and evaluation patient anaerobic condition simultaneously provides corresponding
Oxygen therapy scheme (including oxygen therapy flow, oxygen time etc.);2. dynamic tracking patient's anaerobic condition and dynamic corrections oxygen therapy scheme;③
Control unlatching, Flow-rate adjustment and the dynamic corrections of electronic flow valve, automatic closing;4. monitoring-information is read and warning;5. guard
Stored with oxygen therapy information;6. remote transmission and feedback.Control unit realizes that the operation principle of its function is:One built in control unit
Individual oxygen therapy data model, the communication module of control unit receive the Monitoring Data that Oximetry device is sent, and control module will obtain
The Monitoring Data taken is analysed and compared with built-in oxygen therapy data model, judges the degree of oxygen deficiency of patient, if patient's oxygen closes shape
Control unit sends warning information when state exceedes normal value.If patient is in anaerobic condition, control unit is according to built-in
Oxygen therapy data model provides corresponding oxygen therapy scheme, and oxygen therapy scheme includes oxygen therapy flow value, oxygen time, oxygen inhalation mode (selection
Nasal oxygen tube, mask or breathing pipeline).The oxygen therapy scheme that control unit provides is suggestion property, and medical personnel can directly adopt
The oxygen therapy scheme provided with control unit carries out Intelligent servo formula oxygen therapy, can also can also basis according to the individual demand of patient
The individual demand of patient manually sets oxygen therapy scheme in control unit.During the oxygen therapy scheme that selection control unit provides, as long as behaviour
Make corresponding function key in control unit to be confirmed, after the oxygen therapy scheme that control unit provides is identified, medical personnel
By oxygen-absorbing material is ready, corresponding open function key in operation control unit, electronic flow valve automatically opens up, and according to doctor
The oxygen therapy flow value output oxygen that shield personnel confirm.
The framework that described built-in oxygen therapy data model is established is the blood oxygen saturation sent according to Oximetry device
Value, judges and prompts patient's degree of oxygen deficiency, and prompt suitable oxygen therapy scheme under immediate status.Built-in oxygen therapy data model master
Will be by oximetry value --- degree of oxygen deficiency judgement --- three key element Organic structures of oxygen therapy flow value;According to clinical needs,
Can also be by oxygen therapy duration, oxygen therapy flow value amendment interval time insertion oxygen therapy data model.It is further illustrated,
According to the anoxic clinical indication decision content and corresponding oxygen therapy scheme being widely recognized as at present, by oximetry value, degree of oxygen deficiency
Judgement, oxygen therapy flow value, oxygen therapy duration and oxygen therapy five key elements of flow value amendment interval time are as oxygen therapy data model
Framework, the oxygen therapy data model built in control unit can set according to following table:
Arrangement above parameter is only used for illustrating the method that built-in oxygen therapy data model is established, and not represents the present invention
It is applied to also must not form according to the oxygen therapy scheme of execution and form the oxygen therapy data model built in the present invention during clinic
The limitation of framework.
Because in process of oxygen therapy, the degree of oxygen deficiency of patient constantly changes, therefore monitor the oximetry value obtained
It is a dynamic data.The Monitoring Data of control unit dynamic tracking Oximetry device transmission, according to built-in oxygen therapy
Data model dynamic judges the degree of oxygen deficiency of patient, and corrects oxygen therapy scheme automatically according to the change of patient's degree of oxygen deficiency, commonly uses
Oxygen therapy revision of option method be reset oxygen therapy flow value.When control unit resets oxygen therapy flow value, electronic flow
The new oxygen therapy flow value that valve can provide according to control module readjusts the flow regulation state of electronic flow valve, regulation oxygen
Output quantity.If patient's oximetry value reduces, degree of oxygen deficiency aggravates, control module sends increase oxygen to electronic flow valve
The instruction of flow value is treated, electronic flow valve heightens oxygen therapy flow value, increase oxygen output according to the automatic increase valve opening of instruction
Amount;, whereas if the rise of patient's oximetry value, degree of oxygen deficiency improve substantially, control module is sent to electronic flow valve to be subtracted
The instruction of few oxygen therapy flow value, electronic flow valve reduce valve opening according to instruction is automatic, turn down oxygen therapy flow value, reduce oxygen
Output quantity.The interval time of oxygen therapy flow correction can establish in oxygen therapy data model, can also be independent in the control module
Setting, typically amendment interval time can be set as every 5min~10min once.
At the end of oxygen therapy in control unit also have oxygen conveying automatic closing function, such as doctor's advice be oxygen therapy flow 2~
4L/min, oxygen uptake 3 hours, the oxygen therapy time that medical personnel provide in control unit setting doctor's advice, oxygen therapy starts rear control module
Interior clock chip starts timing, and when completing the doctor's advice oxygen therapy time, control module automatically can close electronic flow valve, terminates
Oxygen conveys, and significantly facilitates the operation of nursing staff.
Because dynamic of the present invention tracks oximetry value and according to amendment and the adjustment automatically of blood oxygen saturation value changes
Oxygen therapy flow value, oxygen therapy terminate to close oxygen conveying automatically, therefore automatic servo pattern is additionally provided with control unit of the present invention.
The specific implementation of automatic servo pattern is:One automatic servo function key is set in a control unit, and the function key can be with
It is unlimited to be named as " automatic mode ", " intelligent mode " or " unattended " etc..As long as nursing staff is by Oximetry in oxygen therapy
Device properly connects at patient-monitoring position, after selection starts function key (such as automatic mode) corresponding to automatic servo pattern, control
Unit processed judges patient's anaerobic condition automatically according to the oximetry value that Oximetry device monitoring obtains, and by built-in oxygen
Treat data model and provide the oxygen therapy scheme of matching and automatically into oxygen therapy program, can be according to patient's degree of oxygen deficiency in process of oxygen therapy
Change correct oxygen therapy scheme (change oxygen stream value or oxygen time) automatically, oxygen therapy terminates rear control unit and closes oxygen automatically
Gas exports, and the oxygen therapy integrated information of the course for the treatment of is stored automatically or be sent remotely to medical attendance terminal.Can of the present invention is certainly
It is dynamic realize the monitoring of patient's anaerobic condition, start oxygen therapy, the amendment of oxygen therapy flow dynamics, oxygen therapy terminate automatic closing, information storage with
Series Nursing Care operation is sent, operating oxygen therapy, more safe and effective, nursery work is simpler easily.
Described electronic flow valve can typically use the gas electronic control valve of bi-bit bi-pass, the air inlet of electronic flow valve
The rear end close communication of mouth and oxygen input port, gas outlet and the oxygen output mouth close communication of electronic flow valve.Electronics
Flow valve and control module UNICOM work, and receive and perform valve opening, flow adjustment, flow value dynamic that control module provides
The instructions such as amendment, valve closing.
The front end of described oxygen input port can it is direct/or with switching pipeline connected with source of the gas port, oxygen input
The rear end of port and the air inlet close communication of electronic flow valve, the general stainless steel of oxygen input port or copper material processing and
Into.Oxygen input port and different source of the gas port mode of communicating are each variant, are typically inserted in Central oxygen-supply port using quick
Formula connection is pulled out, the tight-lipped close connection of spiral end is typically used with oxygen bottle.
The gas outlet of described oxygen output mouth front end and electronic flow valve directly/or with pipeline close communication of transferring,
Oxygen output mouth rear end can fast connect with oxygen humidifying device or oxygen uptake pipeline, the general aluminium alloy of oxygen output mouth,
Stainless steel or copper material are process.
Described protection shell is used for the protection of main frame, can typically use high polymer material injection molding or sheet metal mould
It is molded.
It is an advantage of the invention that:
1st, patient's degree of oxygen deficiency is judged using the oximetry value that obtains immediately, and by built-in oxygen therapy data model with
Oxygen therapy scheme is provided, makes the medical more accurate, science of oxygen uptake link.
2nd, the change of patient's degree of oxygen deficiency is judged using dynamic oximetry value, tracking, and it is automatic by control unit
Correct oxygen therapy flow value.The clinical effectiveness of oxygen therapy is not only ensure that, and the unnecessary consumption of oxygen can be reduced, it is single for medical treatment
A large amount of expenses are saved in position.
3rd, there is dynamic data analysis, information instant alerts, data remote transmission, the oxygen function such as closing automatically, than passing
The oxygen inhalation apparatus of system is more intelligent, greatly reduces nurse job amount.
Brief description of the drawings
Fig. 1 is the system architecture diagram of the present invention
Fig. 2 is operation principle block diagram of the present invention
Fig. 3 is the product agent structure schematic diagram of the embodiment of the present invention 1
Shown in figure:Oximetry device (1), communication module (2), control unit (3), electronic flow valve (4), information carry
Awake module (5), oxygen input port (6), oxygen output mouth (7), control button (8), protection shell (9), oxygen humidification dress
Put (10), Oxygen uptaking catheter interface (11), humidification device air inlet (12)
Embodiment
The present invention is specifically described with reference to the accompanying drawings and examples.
Embodiment 1:The product with humidification device of the present invention prepares citing
Product agent structure is as shown in figure 3, critical piece design parameter is:
1st, Oximetry device (1):Finger clamping type oximeter, adult's specification are mono- from the MSP430FG4619 of TI companies
Piece machine is processing core;Blood oxygen saturation probe uses double-colored LED P DFE833, and it is 660nm respectively to send wavelength
And 940nm;Power module uses TPS62007DGS chips, output voltage 3.3V.
DAC12 inside single-chip microcomputer periodically exports the pulse of 2 road 100Hz dutycycles 1: 4, by the drive of Current amplifier
Dynamic circuit drives, alternating light feux rouges and infrared light LED in blood oxygen probe.Reception signal is sent to by photelectric receiver in probe
OA amplifiers inside single-chip microcomputer are amplified, and the signal after amplification enters internal A/D and sampled.DAC12 samples according to A/D
The intensity of the big minor adjustment light source driving of signal, so as to maintain the stabilization of light source.Signal after processing again through go direct current amplification and
Digital filtering, what is obtained is exactly to exchange pulse wave component, now can be by analyzing its cycle and amplitude to heart rate, blood oxygen saturation
Angle value is calculated.
2nd, Oximetry device (1) and the communication module (2) built in control unit (3):Employ Samsung
BTVZ0502SA Bluetooth chips.
3rd, the display screen of information reminding module (5) uses 7 cun of 256 pixel liquid crystal screen.
4th, control button (8) is switched using contact, contact switch external PP material injection button shells.
5th, the communication module (2) built in control unit (3):Connect using what the radio frequency tablet eZ430-RF2500 of TI companies was used as
Receive module.
6th, control unit (3):Using ARM9 PC104 (EAC-905) industry control module of Ying Pengfei scientific & technical corporation as core
Processor;
7th, electronic flow valve (4):Using Japanese SMC companies VF magnetic valves, the VF3130-4GB-02 of model, bi-bit bi-pass
Formula ball valve, use 0.1~9MPa of pressure limit.
8th, after oxygen input port (6), oxygen output mouth (7) use red copper machine-shaping prepared by chromium plating, and oxygen is defeated
Inbound port (6) is applied to Central oxygen-supply port (wall type oxygen supply port);
9th, oxygen humidifying device (10) is molded with PC material injections, and profile is rectangular box shape, oxygen humidifying device (10)
It is provided with air inlet, oxygen therapy tube connection ports;
10th, built-in oxygen therapy data model setting:
Degree of oxygen deficiency judges information alert pattern:Oxygen closes normally, and information reminding module (5) shows green column in screen
Figure;Modest hypoxia, show yellow block diagram;Malhypoxia, show orange block diagram;Severe hypoxia, show red block diagram.
Embodiment 2:Clinical practice citing of the present invention
The product prepared according to embodiment 1, it is as follows for patients in respiratory department oxygen therapy application, operate with method:
1st, finger clamping type oximeter prepared by embodiment 1 is clipped in patient's right hand middle finger, opens BOLD contrast, BOLD contrast enters prison
Ranging sequence;
2nd, by oxygen input port (6) insertion wall type oxygen supply port, connection seal and fastness are checked;
3rd, " unlatching " control button (8) that control unit (3) is provided with is opened, opens control unit (3);
4th, BOLD contrast starts bluetooth transmission Monitoring Data, the prison immediately of information reminding module (5) display in control unit (3)
Survey parameter, including pulse frequency, blood oxygen saturation (SpO2), perfusion index (PI);
5th, information reminding module (5) shows patient's blood oxygen saturation (SpO2) it is 89%, information reminding module (5) provides
Orange block diagram prompting, and send drop drop caution sound;Screen prompt " oxygen therapy, flow 2~4L/min, 4h " oxygen therapy clinic side simultaneously
Case suggestion, and provide " confirmation ", "No" human-computer dialogue frame;
6th, medical personnel start oxygen therapy preparation, oxygen output mouth (7) are connected with humidification device air inlet (12), by nose
Oxygen pipe is placed in patient nostril with the oxygen therapy tube connection ports close communication of oxygen humidifying device (10), by the front end nasal obstruction of nasal oxygen tube
It is interior;
7th, medical personnel operate corresponding control button (8), select " confirmation ", and electronic flow valve (4) is opened, and supplies oxygen port
Oxygen is exported with 2~4L/min flows;
8th, oxygen therapy is after 1 hour, patient's blood oxygen saturation (SpO2) 93% is risen to, information reminding module (5) provides yellow
Block diagram is prompted, and prompts patient's degree of oxygenation to improve, and built-in oxygen therapy data model judges that patient has switched to modest hypoxia shape
State;
9th, control module sends the instruction of amendment oxygen therapy flow value, and the oxygen therapy flow initially set is adjusted into 1~2L/
Min, electronic flow valve (4) reduce valve opening automatically, and oxygen conveying capacity is adjusted to 1~2L/min;
10th, oxygen therapy after 4 hours, close automatically by electronic flow valve (4), and oxygen conveying terminates, and oxygen therapy terminates;
11st, control unit (3) by the course for the treatment of dynamic monitoring parameter, oxygen therapy flow (including modified flow rate), the oxygen therapy time from
Dynamic storage, medical personnel can consult or print out.
Above-mentioned drawings and Examples are merely illustrative of the technical solution of the present invention and unrestricted, although with reference to preferred embodiment
The present invention is described in detail, it will be understood by those within the art that, technical scheme can be entered
Row modification or equivalent substitution, without departing from the objective and scope of technical solution of the present invention, it all should cover the power in the present invention
Among sharp claimed range.Protection scope of the present invention is not limited in any way.