CN104874055A - Respirator - Google Patents

Respirator Download PDF

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Publication number
CN104874055A
CN104874055A CN201410072324.6A CN201410072324A CN104874055A CN 104874055 A CN104874055 A CN 104874055A CN 201410072324 A CN201410072324 A CN 201410072324A CN 104874055 A CN104874055 A CN 104874055A
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China
Prior art keywords
respirator
autonomous respiration
shallow
rapid
mode
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Pending
Application number
CN201410072324.6A
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Chinese (zh)
Inventor
王堃
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Beijing Aeonmed Co Ltd
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Beijing Aeonmed Co Ltd
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Priority to CN201410072324.6A priority Critical patent/CN104874055A/en
Publication of CN104874055A publication Critical patent/CN104874055A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a respirator. Working modes of the respirator comprises a ventilation mode and an autonomous respiration mode. The respirator comprises a breathing rate monitor used for monitoring a breathing rate of a patient and comparing the breathing rate and a breathing rate threshold; an end-expiratory positive pressure monitor used for detecting the end-expiratory positive pressure of the patient and comparing the end-expiratory positive pressure and an end-expiratory positive pressure threshold; a rapid-shallow-breathing index monitor used for detecting a rapid-shallow-breathing index of the patient and comparing the rapid-shallow-breathing index and a rapid-shallow-breathing index threshold; an alarm device, and a controller. The input end of the controller is connected to the breathing rate monitor, the end-expiratory positive pressure monitor and the rapid-shallow-breathing index monitor, and the output end of the controller is connected to the alarm device. In the autonomous respiration mode, the controller controls the alarm device to give an alarm when at least one of the breathing rate, the end-expiratory positive pressure and the rapid-shallow-breathing index exceeds the corresponding threshold. The respirator is high in automation degree, does not depend on manual duty, and facilitates the improvement of medical care efficiency.

Description

Respirator
Technical field
The present invention relates to respirator technical field, be specifically related to a kind of respirator with autonomous respiration monitoring function.
Background technology
When doctor uses respirator to treat patient, patient when can off line autonomous respiration, is substantially to judge by the experience of doctor.Respirator is transferred to autonomous respiration mode by doctor, observes breathing state and the sign change of patient, judge whether the respiration capability of patient can reach off-line state within a period of time.
Existing respirator is under autonomous respiration mode, by doctor, the minimum support pressure of self-service ventilation is set to resist patient's respiratory resistance, but because existing respirator lacks corresponding autonomous respiration monitoring function, need doctor to stay patient and continue observation at one's side, and after observation terminates, respirator switched to ventilating mode by doctor or remove machine.Therefore existing respirator automaticity is low, depends on manually on duty, is unfavorable for improving medical care efficiency.
Summary of the invention
The present invention is intended at least one of solve the problems of the technologies described above.
For this reason, the object of the invention is to propose a kind of respirator with autonomous respiration ability monitoring function.
To achieve these goals, the respirator of the embodiment of the present invention, comprising: respiratory frequency monitor, for monitoring the respiratory frequency of patient and it being compared with respiratory frequency threshold value; End expiratory positive pressure monitor, for detecting the end expiratory positive pressure of patient and it being compared with end expiratory positive pressure threshold value; Rapid-shallow-breathing index monitor, for detecting the Rapid-shallow-breathing index of patient and it being compared with Rapid-shallow-breathing index threshold value; Alarm device; And controller, the input of described controller is connected with Rapid-shallow-breathing index monitor with described respiratory frequency monitor, end expiratory positive pressure monitor respectively, the outfan of described controller is connected with described alarm device, wherein, under autonomous respiration mode, when described respiratory frequency, breathe in last malleation and Rapid-shallow-breathing index one of at least exceed corresponding threshold value time, described controller controls described alarm device and reports to the police.
According to respirator of the present invention, there is autonomous respiration ability monitoring function, described respiratory frequency can be monitored under doctor leaves the theatre situation, breathe last malleation and Rapid-shallow-breathing index, then send alarm doctor to show up in time process if any abnormal, automaticity is high, manually on duty without the need to depending on, be conducive to improving medical care efficiency.
In addition, above-mentioned according to the present invention respirator with autonomous respiration ability monitoring function can also have following additional technical feature:
In one embodiment of the invention, when described alarm device continues time of fire alarming more than the first preset time t 1, described controller controls described respirator and is switched to described ventilating mode from described autonomous respiration mode, wherein t1 >=0.After warning continues for some time, automatically switch to ventilating mode, can prevent patient from causing danger.
In one embodiment of the invention, when the described autonomous respiration mode persistent period reaches the second preset time t 2, described controller controls described respirator and is switched to described ventilating mode from described autonomous respiration mode, wherein t2 >=0.This means to automatically switch to ventilating mode after autonomous respiration test terminates, can prevent patient from causing danger.
In one embodiment of the invention, also comprise: alarm set, described alarm set is connected with the outfan of described controller, when the described autonomous respiration mode persistent period reaches (t2-Δ t), described controller controls to remind when described alarm set is issued to, and wherein Δ t represents and sets aside some time and Δ t >=0.Remind when being issued in advance when autonomous respiration test closes to an end, so that doctor gets back to patient at one's side in advance, prepare when test terminates, make medical care process.
In one embodiment of the invention, also comprise: display and logging modle, described display is connected with described controller with logging modle, for show and described in recording and logging modle and described respiratory frequency, breathe last malleation and Rapid-shallow-breathing index.Display can provide relevant Monitoring Data for doctor to logging modle.
In one embodiment of the invention, also comprise: parameter setting module, described parameter setting module is connected with described controller, for arranging respiratory frequency threshold value, breathe last malleation threshold value, Rapid-shallow-breathing index threshold value, the first Preset Time, the second Preset Time, set aside some time, the support pressure under autonomous respiration mode and the oxygen concentration under autonomous respiration mode.
Additional aspect of the present invention and advantage will part provide in the following description, and part will become obvious from the following description, or be recognized by practice of the present invention.
Accompanying drawing explanation
Above-mentioned and/or additional aspect of the present invention and advantage will become obvious and easy understand from accompanying drawing below combining to the description of embodiment, wherein:
Fig. 1 is the structural representation of respirator according to a first embodiment of the present invention;
Fig. 2 is the structural representation of respirator according to a second embodiment of the present invention;
Fig. 3 is the structural representation of respirator according to a third embodiment of the present invention; With
Fig. 4 is the structural representation of respirator according to a fourth embodiment of the present invention.
Detailed description of the invention
Be described below in detail embodiments of the invention, the example of described embodiment is shown in the drawings, and wherein same or similar label represents same or similar element or has element that is identical or similar functions from start to finish.Be exemplary below by the embodiment be described with reference to the drawings, be intended to for explaining the present invention, and can not limitation of the present invention be interpreted as.
Below in conjunction with accompanying drawing, the respirator with autonomous respiration ability monitoring function according to the embodiment of the present invention is described.
Fig. 1 is the structure chart with the respirator of autonomous respiration ability monitoring function according to a first embodiment of the present invention.As shown in Figure 1, this respirator comprises: respiratory frequency monitor 100, end expiratory positive pressure monitor 200, Rapid-shallow-breathing index monitor 300, alarm device 400 and controller 500.Wherein, respiratory frequency monitor 100 is for monitoring the respiratory frequency (f) of patient and it being compared with respiratory frequency threshold value.End expiratory positive pressure monitor 200 is for detecting the end expiratory positive pressure (PEEP) of patient and it being compared with end expiratory positive pressure threshold value.Rapid-shallow-breathing index monitor 300 is for detecting the Rapid-shallow-breathing index (RSBI) of patient and it being compared with Rapid-shallow-breathing index threshold value.Alarm device 400 is reported to the police near patient, also can pass to long-range client by wired or wireless mode and report to the police.The input of controller 500 is connected with Rapid-shallow-breathing index monitor 300 with respiratory frequency monitor 100, end expiratory positive pressure monitor 200 respectively, and the outfan of controller 500 is connected with alarm device 400.The mode of operation of this respirator comprises ventilating mode and autonomous respiration mode.Under autonomous respiration mode, when respiratory frequency, breathe in last malleation and Rapid-shallow-breathing index one of at least exceed corresponding threshold value time, controller 500 controls alarm device 400 and reports to the police.
According to respirator of the present invention, there is autonomous respiration ability monitoring function, respiratory frequency can be monitored under doctor leaves the theatre situation, breathe last malleation and Rapid-shallow-breathing index, then send alarm doctor to show up in time process if any abnormal, automaticity is high, manually on duty without the need to depending on, be conducive to improving medical care efficiency.
In one embodiment of the invention, when alarm device continues time of fire alarming more than the first preset time t 1, controller controls respirator and is switched to ventilating mode from autonomous respiration mode, wherein t1 >=0.After warning continues for some time, automatically switch to ventilating mode, can prevent patient from causing danger.
In one embodiment of the invention, when the autonomous respiration mode persistent period reaches the second preset time t 2, controller controls respirator and is switched to ventilating mode from autonomous respiration mode, wherein t2 >=0.This means to automatically switch to ventilating mode after autonomous respiration test terminates, can prevent patient from causing danger.
Fig. 2 is the structure chart with the respirator of autonomous respiration ability monitoring function according to a second embodiment of the present invention.As shown in Figure 2, in this embodiment, also comprise: alarm set 600.Alarm set 600 is connected with the outfan of controller 500.When the autonomous respiration mode persistent period reaches (t2-Δ t), controller 500 controls to remind when alarm set 600 is issued to, and wherein Δ t represents and sets aside some time and Δ t >=0.Remind when being issued in advance when autonomous respiration test closes to an end, so that doctor gets back to patient at one's side in advance, prepare when test terminates, make medical care process.
Fig. 3 is the structure chart with the respirator of autonomous respiration ability monitoring function according to a third embodiment of the present invention.As shown in Figure 3, in this embodiment, also comprise: display and logging modle 700, show and be connected with controller 500 with logging modle 700, for showing and recording and respiratory frequency, breathe last malleation and Rapid-shallow-breathing index.Display can provide relevant Monitoring Data for doctor to logging modle 700.
Fig. 4 is the structure chart with the respirator of autonomous respiration ability monitoring function according to a fourth embodiment of the present invention.As shown in Figure 4, in this embodiment, also comprise: parameter setting module 800.Parameter setting module 800 is connected with controller 500, for arranging respiratory frequency threshold value, breathe last malleation threshold value, Rapid-shallow-breathing index threshold value, the first preset time t 1, second preset time t 2, the support pressure (Psupp) under set aside some time Δ t, autonomous respiration mode and the oxygen concentration under autonomous respiration mode.Doctor can arrange above-mentioned parameter as required flexibly.
It should be noted that, when respirator of the present invention is switched under autonomous respiration mode, being mainly applicable to adult patient having under wound pattern uses.Preferably, when switching enters autonomous respiration mode, the points for attention that respirator automatic-prompting user is relevant, to reduce the generation of malpractice.
In addition, according to the respirator of the embodiment of the present invention other form and effect be all known to those skilled in the art, in order to reduce redundancy, do not repeat.
For making those skilled in the art understand the present invention better, below in conjunction with the respirator of the 4th embodiment, embody rule scene is described.
First, doctor respiratory frequency threshold value be set by parameter setting module 700, breathe last malleation threshold value, Rapid-shallow-breathing index threshold value, the first preset time t 1, second preset time t 2, the support pressure (Psupp) under set aside some time Δ t, autonomous respiration mode and the oxygen concentration under autonomous respiration mode.
Secondly, doctor starts respirator, selects autonomous respiration mode, starts to perform test.
Then, display and logging modle 700 show and records and respiratory frequency, breathe last malleation and Rapid-shallow-breathing index, and form the daily record of textual form or the trendgram of curve form.
Finally, if in the process of test, there is respiratory frequency, to breathe last malleation or Rapid-shallow-breathing index abnormal, controller 500 controls alarm device 400 and reports to the police.Now expect that doctor is on the scene in a short time to process.If report to the police, the persistent period, doctor not yet arrived in more than the first preset time t 1, and respirator automatically switches to ventilating mode.If in the process of test, do not have data exception, then from the second preset time t 2(and testing time length) set aside some time in addition Δ t time, controller 500 to control when alarm set 500 is issued to prompting, notifies that doctor gets back to scene.By the time, after autonomous respiration mode continue for the second preset time t 2, after being namely completed, respirator automatically switches to ventilating mode.
In the present invention, unless otherwise clearly defined and limited, the term such as term " installation ", " being connected ", " connection ", " fixing " should be interpreted broadly, and such as, can be fixedly connected with, also can be removably connect, or integral; Can be mechanical connection, also can be electrical connection; Can be directly be connected, also indirectly can be connected by intermediary, can be the connection of two element internals or the interaction relationship of two elements.For the ordinary skill in the art, above-mentioned term concrete meaning in the present invention can be understood as the case may be.
In addition, term " first ", " second " only for describing object, and can not be interpreted as instruction or hint relative importance or imply the quantity indicating indicated technical characteristic.Thus, be limited with " first ", the feature of " second " can express or impliedly comprise one or more these features.In describing the invention, the implication of " multiple " is two or more, unless otherwise expressly limited specifically.
In the description of this description, specific features, structure, material or feature that the description of reference term " embodiment ", " some embodiments ", " example ", " concrete example " or " some examples " etc. means to describe in conjunction with this embodiment or example are contained at least one embodiment of the present invention or example.In this manual, to the schematic representation of above-mentioned term not must for be identical embodiment or example.And the specific features of description, structure, material or feature can combine in one or more embodiment in office or example in an appropriate manner.In addition, the different embodiment described in this description or example can carry out combining and combining by those skilled in the art.
Although illustrate and describe embodiments of the invention above, be understandable that, above-described embodiment is exemplary, can not be interpreted as limitation of the present invention, and those of ordinary skill in the art can change above-described embodiment within the scope of the invention, revises, replace and modification.

Claims (6)

1. a respirator, is characterized in that, the mode of operation of described respirator comprises ventilating mode and autonomous respiration mode, and described respirator comprises:
Respiratory frequency monitor, for monitoring the respiratory frequency of patient and it being compared with respiratory frequency threshold value;
End expiratory positive pressure monitor, for detecting the end expiratory positive pressure of patient and it being compared with end expiratory positive pressure threshold value;
Rapid-shallow-breathing index monitor, for detecting the Rapid-shallow-breathing index of patient and it being compared with Rapid-shallow-breathing index threshold value;
Alarm device; And
Controller, the input of described controller is connected with Rapid-shallow-breathing index monitor with described respiratory frequency monitor, end expiratory positive pressure monitor respectively, and the outfan of described controller is connected with described alarm device, wherein,
Under autonomous respiration mode, when described respiratory frequency, breathe in last malleation and Rapid-shallow-breathing index one of at least exceed corresponding threshold value time, described controller controls described alarm device and reports to the police.
2. the respirator with autonomous respiration ability monitoring function according to claim 1, it is characterized in that, when described alarm device continues time of fire alarming more than the first preset time t 1, described controller controls described respirator and is switched to described ventilating mode from described autonomous respiration mode, wherein t1 >=0.
3. the respirator with autonomous respiration ability monitoring function according to claim 1 and 2, it is characterized in that, when the described autonomous respiration mode persistent period reaches the second preset time t 2, described controller controls described respirator and is switched to described ventilating mode from described autonomous respiration mode, wherein t2 >=0.
4. the respirator with autonomous respiration ability monitoring function according to claim 3, it is characterized in that, also comprise: alarm set, described alarm set is connected with the outfan of described controller, when the described autonomous respiration mode persistent period reaches (t2-Δ t), described controller controls to remind when described alarm set is issued to, and wherein Δ t represents and sets aside some time and Δ t >=0.
5. the respirator with autonomous respiration ability monitoring function according to any one of claim 1-4, it is characterized in that, also comprise: display and logging modle, described display is connected with described controller with logging modle, for show and record described with logging modle and described respiratory frequency, breathe last malleation and Rapid-shallow-breathing index.
6. the respirator with autonomous respiration ability monitoring function according to any one of claim 1-5, it is characterized in that, also comprise: parameter setting module, described parameter setting module is connected with described controller, for arranging respiratory frequency threshold value, breathe last malleation threshold value, Rapid-shallow-breathing index threshold value, the first Preset Time, the second Preset Time, set aside some time, the support pressure under autonomous respiration mode and the oxygen concentration under autonomous respiration mode.
CN201410072324.6A 2014-02-28 2014-02-28 Respirator Pending CN104874055A (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106730219A (en) * 2016-12-07 2017-05-31 杭州电子科技大学 Intelligent rehabilitation lung ventilator
CN108136147A (en) * 2015-10-12 2018-06-08 皇家飞利浦有限公司 With the mechanical ventilation for automatically controlling patient respiratory work(using classical feedback control
CN109718441A (en) * 2018-12-28 2019-05-07 北京谊安医疗系统股份有限公司 Respiration parameter adjusting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment
CN109718438A (en) * 2018-12-28 2019-05-07 北京谊安医疗系统股份有限公司 Breathing Suppotion equipment automatization pings the method and system of gas
CN109718443A (en) * 2018-12-28 2019-05-07 北京谊安医疗系统股份有限公司 Breathing Suppotion process control method, device and Breathing Suppotion equipment
CN110585538A (en) * 2019-10-08 2019-12-20 天津工业大学 Intelligent household monitoring respirator
CN112826498A (en) * 2020-12-31 2021-05-25 北京谊安医疗系统股份有限公司 Autonomous respiration monitoring method and system

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CN2049941U (en) * 1989-06-30 1989-12-27 天津市胸科医院 Compound function intermittence instruction ventilating device
CN1886169A (en) * 2003-11-26 2006-12-27 雷斯梅德有限公司 Methods and apparatus for the systemic control of ventilatory support in the presence of respiratory insufficiency
US20110041850A1 (en) * 2009-08-20 2011-02-24 Nellcor Puritan Bennett Llc Method For Ventilation
US20110213215A1 (en) * 2010-02-26 2011-09-01 Nellcor Puritan Bennett Llc Spontaneous Breathing Trial Manager

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2049941U (en) * 1989-06-30 1989-12-27 天津市胸科医院 Compound function intermittence instruction ventilating device
CN1886169A (en) * 2003-11-26 2006-12-27 雷斯梅德有限公司 Methods and apparatus for the systemic control of ventilatory support in the presence of respiratory insufficiency
US20110041850A1 (en) * 2009-08-20 2011-02-24 Nellcor Puritan Bennett Llc Method For Ventilation
US20110213215A1 (en) * 2010-02-26 2011-09-01 Nellcor Puritan Bennett Llc Spontaneous Breathing Trial Manager

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108136147A (en) * 2015-10-12 2018-06-08 皇家飞利浦有限公司 With the mechanical ventilation for automatically controlling patient respiratory work(using classical feedback control
CN106730219A (en) * 2016-12-07 2017-05-31 杭州电子科技大学 Intelligent rehabilitation lung ventilator
CN106730219B (en) * 2016-12-07 2018-12-07 杭州电子科技大学 Intelligent rehabilitation ventilator
CN109718441A (en) * 2018-12-28 2019-05-07 北京谊安医疗系统股份有限公司 Respiration parameter adjusting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment
CN109718438A (en) * 2018-12-28 2019-05-07 北京谊安医疗系统股份有限公司 Breathing Suppotion equipment automatization pings the method and system of gas
CN109718443A (en) * 2018-12-28 2019-05-07 北京谊安医疗系统股份有限公司 Breathing Suppotion process control method, device and Breathing Suppotion equipment
CN109718443B (en) * 2018-12-28 2020-01-14 北京谊安医疗系统股份有限公司 Respiratory support process management method and device and respiratory support equipment
CN110585538A (en) * 2019-10-08 2019-12-20 天津工业大学 Intelligent household monitoring respirator
CN112826498A (en) * 2020-12-31 2021-05-25 北京谊安医疗系统股份有限公司 Autonomous respiration monitoring method and system
CN112826498B (en) * 2020-12-31 2023-04-18 北京谊安医疗系统股份有限公司 Autonomous respiration monitoring method and system

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