CN105079931B - Respiratory organ - Google Patents

Respiratory organ Download PDF

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CN105079931B
CN105079931B CN201510574181.3A CN201510574181A CN105079931B CN 105079931 B CN105079931 B CN 105079931B CN 201510574181 A CN201510574181 A CN 201510574181A CN 105079931 B CN105079931 B CN 105079931B
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chest compression
chest
oxygen
breathing
breathing mask
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CN105079931A (en
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汪静美
何娅妮
王云燕
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Third Affiliated Hospital of TMMU
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Third Affiliated Hospital of TMMU
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Abstract

本发明公开了一种呼吸器,包括输氧系统和与输氧系统连接的呼吸面罩,所述呼吸面罩由压下机构驱动可压向被救者的面部呼吸器官。在行CPR时,人工呼吸与胸外心脏按压相配合,每一胸外按压周期结束后,呼吸面罩压向被救者面部,通过呼吸罩向被救者口鼻输送氧气,提高被救者输氧氧量,同时可以减轻施救者的工作量。另外,本发明还具有以下两点功能:1. 可替代常用人工开放气道。2.压胸计数机构,可以准确记录压胸次数,并在每一次按压之后报数,以控制胸外按压的频率,并在每一压胸周期完成后自动压下呼吸罩,并自动挤压2次呼吸囊,从而使压胸与进氧配合更准确。

The invention discloses a respirator, which comprises an oxygen delivery system and a breathing mask connected with the oxygen delivery system. The breathing mask is driven by a depressing mechanism and can be pressed against the rescued person's facial respiratory organs. When CPR is performed, artificial respiration is combined with chest compressions. After each chest compression cycle, the breathing mask is pressed against the face of the rescued person, and oxygen is delivered to the rescued person's mouth and nose through the breathing mask to increase the oxygen delivery rate of the rescued person. Oxygen, while reducing the workload of rescuers. In addition, the present invention also has the following two functions: 1. It can replace the commonly used artificial open airway. 2. The chest compression counting mechanism can accurately record the number of chest compressions, and report the number after each compression to control the frequency of chest compressions, and automatically depress the breathing mask after each chest compression cycle is completed, and automatically squeeze 2 breathing bags, so that chest compression and oxygen intake are more accurate.

Description

呼吸器respirator

技术领域technical field

本发明涉及一种呼吸器。The present invention relates to a respirator.

背景技术Background technique

简易呼吸气囊是一种常用的急救工具,适用于1.急性呼吸衰竭时出现呼吸停止或呼吸微弱经积极治疗后无改善。肺通气量明显不足者。2.慢性重症呼吸衰竭,经各种治疗无改善或有肺性脑病者,呼吸机使用前或者停用呼吸机时。3.行心肺脑复苏需要人工呼吸时。现在使用的简易呼吸气囊是通过徒手使空气有节律地进入肺内,然后利用胸廓和肺组织的弹性回缩力使进入肺内的气体呼出,人工挤压呼吸囊和人工开放气道,特别是在行心肺脑复苏时,在每个胸外心脏按压时需要人工持续给予开放气道,并配合胸外心脏按压实施者给予被抢救者人工呼吸,胸部按压与吹气的次数比一般为30:2,对于徒手心肺脑复苏施救者既要压胸又要吹气,工作量大,极易疲劳,实施起来十分困难。Simple breathing airbag is a commonly used first aid tool, suitable for 1. Acute respiratory failure occurs when breathing stops or weak breathing does not improve after active treatment. Significantly insufficient pulmonary ventilation. 2. Patients with chronic severe respiratory failure who have not improved after various treatments or have pulmonary encephalopathy, before using the ventilator or when the ventilator is stopped. 3. When artificial respiration is required for cardiopulmonary cerebral resuscitation. The simple breathing air bag currently used is to let the air enter the lungs rhythmically by hand, and then use the elastic retraction force of the thorax and lung tissue to exhale the gas entering the lung, artificially squeeze the breathing bag and artificially open the airway, especially During cardiopulmonary cerebral resuscitation, it is necessary to continue to open the airway manually during each chest compression, and cooperate with the chest compression provider to give artificial respiration to the rescued person. The ratio of chest compressions to insufflations is generally 30: 2. It is very difficult to carry out manual cardiopulmonary cerebral resuscitation rescuers who need both chest compression and air blowing. The workload is heavy and they are prone to fatigue.

发明内容Contents of the invention

有鉴于此,本发明要解决的技术问题在于提供一种简易呼吸气囊,适用于人工呼吸,与按压胸腔相配合,提高被救者的体内血痒含量并减轻施救者的工作量。In view of this, the technical problem to be solved by the present invention is to provide a simple breathing airbag, which is suitable for artificial respiration, cooperates with chest compression, increases the content of blood itching in the rescued person's body and reduces the workload of the rescuer.

本发明的简易呼吸气囊,包括输氧系统和与输氧系统连接的呼吸罩,所述呼吸罩由压下机构驱动可压向被救者的面部呼吸器官。The simple breathing airbag of the present invention comprises an oxygen delivery system and a breathing mask connected with the oxygen delivery system, and the breathing mask is driven by a depressing mechanism and can be pressed against the face respiratory organs of the rescued person.

进一步,还包括胸外心脏按压计数与报数机构,所述压胸计数机构包括压胸感应元件和PLC控制器,所述压胸感应元件感应每次压胸动作;所述PLC控制器将压胸感应元件的感应次数进行统计并产生驱动压下机构下降的信号,并控制输氧系统向呼吸罩内输氧的时长。Further, it also includes a chest compression counting and reporting mechanism, the chest compression counting mechanism includes a chest compression sensing element and a PLC controller, and the chest compression sensing element senses each chest compression action; the PLC controller will compress the chest The number of inductions of the chest sensing element is counted to generate a signal to drive the depressing mechanism down, and to control the duration of the oxygen delivery system to deliver oxygen into the breathing mask.

优选的,所述压胸感应元件为压力传感膜片,压胸时,所述压力传感膜片位于施救者掌心和被救者胸口之间,每当压力传感膜片的压力信号由最大到消失时,PLC控制器计数一次。Preferably, the sensing element for chest compression is a pressure sensing diaphragm. During chest compression, the pressure sensing diaphragm is located between the palm of the rescuer and the chest of the rescued person. Whenever the pressure signal of the pressure sensing diaphragm From the maximum to disappear, the PLC controller counts once.

优选的,所述压胸感应元件包括压板、接近开关和感应板,所述压板位于施救者掌心和被救者胸口之间,压胸时,感应板随压板压下使接近开关产生信号并被PLC计数。Preferably, the chest compression sensing element includes a pressure plate, a proximity switch and a sensing plate, the pressure plate is located between the rescuer’s palm and the rescued person’s chest, when the chest is pressed, the sensing plate is pressed down with the pressure plate to make the proximity switch generate a signal and Counted by PLC.

进一步,所述压胸感应元件还包括套管和在套管内上下滑动的滑柱,所述压板连接在滑柱的上方,所述感应板连接在滑柱的下方,所述套管上设有对压板压下时起缓冲作用的弹簧。Further, the chest compression sensing element also includes a sleeve and a sliding column sliding up and down in the sleeve, the pressure plate is connected above the sliding column, the induction plate is connected below the sliding column, and the sleeve is provided with A spring that acts as a buffer when the pressure plate is pressed down.

进一步,还包括开放气道机构,所述气道开放机构包括位于脖颈下的升降块和提升机构,所述升降块由提升机构驱动使被抢救者气道开放并固定此体位。Further, it also includes an airway opening mechanism, the airway opening mechanism includes a lifting block and a lifting mechanism located under the neck, and the lifting block is driven by the lifting mechanism to open the airway of the rescued person and fix the body position.

进一步,所述提升机构包括斜锲、螺杆和电机,所述斜锲位于升降块下方并与升降块斜面接触并可水平滑动,所述斜锲上开有螺纹孔,所述螺杆穿过螺纹孔并与其螺纹配合,所述螺杆由电机驱动转动。Further, the lifting mechanism includes a wedge, a screw and a motor. The wedge is located below the lifting block and is in contact with the slope of the lifting block and can slide horizontally. There is a threaded hole on the wedge, and the screw passes through the threaded hole And it is threadedly matched, and the screw is driven by a motor to rotate.

进一步,还包括自动挤压呼吸囊装置,所述装置位于呼吸囊内,利用弹簧原理实施收缩和舒张呼吸囊的功能,通过连接电源,根据设置的参数完成此操作。Further, it also includes an automatic extruding breathing bag device, said device is located in the breathing bag, uses the spring principle to implement the function of shrinking and expanding the breathing bag, and completes this operation according to the set parameters by connecting the power supply.

本发明的有益效果:本发明的全自动简易呼吸气囊,包括输氧系统和与输氧系统连接的呼吸面罩,所述呼吸面罩由压下机构驱动可压向被救者的面部呼吸器官。在行CPR时,人工呼吸与胸外心脏按压相配合,每一胸外按压周期结束后,呼吸面罩压向被救者面部,通过呼吸罩向被救者口鼻输送氧气,提高被救者输氧氧量,同时可以减轻施救者的工作量。另外,本发明还具有以下两点功能:1.常用人工开放气道功能,具体方式有仰面举颌发、双手托颌法和仰面抬颈法,本发明均可替代完成。2.压胸计数机构,可以准确记录压胸次数,并在每一次按压之后报数,以控制胸外按压的频率,并在每一压胸周期完成后自动压下呼吸罩,并自动挤压2次呼吸囊,从而使压胸与进氧配合更准确。3.对于仅需要人工呼吸的患者,本发明可以设置挤压呼吸囊的参数,根据不同年龄并情需求的潮气量、呼吸频率、吸/呼时间比等设置,还呼吸气囊可以根据设置自动挤压呼吸囊给氧,从而减轻医护工作负担又更精准操作。Beneficial effects of the present invention: the fully automatic simple breathing airbag of the present invention includes an oxygen delivery system and a breathing mask connected with the oxygen delivery system, and the breathing mask is driven by a depressing mechanism and can be pressed against the rescued person's facial respiratory organs. When CPR is performed, artificial respiration is combined with chest compressions. After each chest compression cycle, the breathing mask is pressed against the face of the rescued person, and oxygen is delivered to the rescued person's mouth and nose through the breathing mask to increase the oxygen delivery rate of the rescued person. Oxygen, while reducing the workload of rescuers. In addition, the present invention also has the following two functions: 1. Commonly used artificial airway opening function, the specific methods include lifting the jaw on the back, supporting the jaw with both hands and lifting the neck on the back, all of which can be replaced by the present invention. 2. The chest compression counting mechanism can accurately record the number of chest compressions, and report the number after each compression to control the frequency of chest compressions, and automatically depress the breathing mask after each chest compression cycle is completed, and automatically squeeze 2 breathing bags, so that chest compression and oxygen intake are more accurate. 3. For patients who only need artificial respiration, the present invention can set the parameters of extruding the breathing bag, according to the tidal volume, breathing frequency, inhalation/exhalation time ratio, etc. of different ages and needs, and the rebreathing air bag can be automatically squeezed according to the settings Oxygen is supplied by pressing the breathing bag, thereby reducing the workload of medical staff and making the operation more precise.

附图说明Description of drawings

下面结合附图和实施例对本发明作进一步描述。The present invention will be further described below in conjunction with the accompanying drawings and embodiments.

图1为实施例1的结构示意图;Fig. 1 is the structural representation of embodiment 1;

图2为实施例1中的颌骨上仰机构的侧视图;Fig. 2 is the side view of the jaw-up mechanism in Embodiment 1;

图3为实施例2的结构示意图。FIG. 3 is a schematic structural view of Embodiment 2.

具体实施方式detailed description

实施例1Example 1

如图所示:本实施例的呼吸器,包括机架10,机架10上设有输氧系统1和呼吸罩2,输氧系统1包括氧气瓶101、氧气瓶出口的电磁阀102和氧气管103,氧气管103的末端与呼吸罩2连接,即电磁阀102打开,氧气瓶101内的氧气通过氧气管103进入呼吸罩2内。所述呼吸罩2由压下机构3驱动可压向被救者的面部呼吸器官。本实施例中的压下机构3为气缸,当然也可以采用其他直线输出装置,在一个压胸周期完成后,比如压胸30次完成后,压下机构3驱动呼吸罩2压下被救者的口鼻,并打开输氧系统1,通过呼吸罩2向被救者体内输氧。As shown in the figure: the respirator of the present embodiment comprises a frame 10, and the frame 10 is provided with an oxygen supply system 1 and a breathing mask 2, and the oxygen supply system 1 includes an oxygen cylinder 101, an electromagnetic valve 102 and an oxygen tube 103 at the outlet of the oxygen cylinder , the end of the oxygen tube 103 is connected with the breathing mask 2, that is, the electromagnetic valve 102 is opened, and the oxygen in the oxygen cylinder 101 enters the breathing mask 2 through the oxygen tube 103. The respirator 2 is driven by a depressing mechanism 3 and can be pressed against the rescued person's facial respiratory organs. The depressing mechanism 3 in this embodiment is an air cylinder. Of course, other linear output devices can also be used. After a chest compression cycle is completed, such as 30 chest compressions, the depressing mechanism 3 drives the breathing mask 2 to depress the rescued person. mouth and nose, and turn on the oxygen delivery system 1, and deliver oxygen to the rescued person through the breathing mask 2.

作为上述技术方案的进一步改进,还包括压胸计数机构4,所述压胸计数机构包括压力传感膜片401和PLC控制器410,压力传感膜片401作为压胸感应元件,位于施救者掌心和被救者胸口之间,每当压力传感膜片401的压力信号由最大到消失时,PLC控制器410计数一次,即压力传感膜片可以感应每次压胸动作,且被PLC控制器410记录,当PLC控制器410统计的压胸次数达到设定值如30次后,PLC产生信号以驱动压下机构下降,使呼吸罩2压下被救者面部,并控制输氧系统1中的电磁阀102打开,是氧气进入呼吸罩2,并在一定氧气输入后关闭电磁阀,即PLC可控制氧气输入量,当输氧完成后,呼吸罩2上抬,继续进入下一压胸周期。As a further improvement of the above technical solution, it also includes a chest compression counting mechanism 4, the chest compression counting mechanism includes a pressure sensing diaphragm 401 and a PLC controller 410, the pressure sensing diaphragm 401 is used as a chest compression sensing element, located in the Between the palm of the rescued person and the chest of the rescued person, whenever the pressure signal of the pressure sensing diaphragm 401 goes from maximum to disappearing, the PLC controller 410 counts once, that is, the pressure sensing diaphragm can sense each chest compression action, and is The PLC controller 410 records that when the number of chest compressions counted by the PLC controller 410 reaches the set value such as 30 times, the PLC generates a signal to drive the depressing mechanism to descend, so that the breathing mask 2 depresses the rescued person's face and controls the oxygen delivery system The electromagnetic valve 102 in 1 is opened, so that oxygen enters the breathing mask 2, and the solenoid valve is closed after a certain amount of oxygen input, that is, the PLC can control the oxygen input amount. When the oxygen delivery is completed, the breathing mask 2 is lifted up and continues to enter the next chest compression cycle.

作为上述技术方案的进一步改进,还包括颌骨上仰机构5,所述颌骨上仰机构5包括位于脖颈下的升降块500和提升机构510,所述升降块500由提升机构510驱动使颌骨上仰。颌骨上仰可使被救者体内的氧气通道畅通,因此通过提升机构510使升降块500上升进而将被救者的脖颈上抬,从而使颌骨上仰以达到呼吸气路的通畅,便于氧气进入被救者的肺部。As a further improvement of the above technical solution, it also includes a jaw raising mechanism 5, which includes a lifting block 500 and a lifting mechanism 510 located under the neck, and the lifting block 500 is driven by the lifting mechanism 510 to make the jaw Bone up. Lifting the jaw can make the oxygen channel in the body of the rescued unblocked, so the lifting block 500 is raised by the lifting mechanism 510, and then the neck of the rescued is lifted up, so that the jaw is raised to achieve the unobstructed breathing air path, which is convenient Oxygen enters the victim's lungs.

作为上述技术方案的进一步改进,所述提升机构510包括斜锲511、螺杆512和电机513,所述斜锲511位于升降块500下方并与升降块斜面接触并可水平滑动,所述斜锲511上开有螺纹孔514,所述螺杆512穿过螺纹孔514并与其螺纹配合,所述螺杆512由电机513驱动转动。As a further improvement of the above technical solution, the lifting mechanism 510 includes a wedge 511, a screw 512 and a motor 513. The wedge 511 is located below the lifting block 500 and is in contact with the slope of the lifting block and can slide horizontally. The wedge 511 There is a threaded hole 514 thereon, and the screw rod 512 passes through the threaded hole 514 and is threadedly engaged with it, and the screw rod 512 is driven to rotate by a motor 513 .

实施例2Example 2

与实施例1不同的是,本实施例中的压胸感应元件包括压板402、接近开关403和感应板404,所述压板402位于施救者掌心和被救者胸口之间,压胸时,感应板随压板压下使接近开关产生信号并被PLC计数。Different from Embodiment 1, the chest compression sensing element in this embodiment includes a pressure plate 402, a proximity switch 403 and an induction plate 404. The pressure plate 402 is located between the palm of the rescuer and the chest of the rescued person. When pressing the chest, The induction plate is pressed down with the pressure plate to make the proximity switch generate a signal and be counted by the PLC.

作为上述技术方案的进一步改进,所述压胸感应元件还包括套管405和在套管内上下滑动的滑柱406,所述压板402连接在滑柱406的上方,所述感应板404连接在滑柱406的下方,所述套管405上设有对压板402压下时起缓冲作用的弹簧407。As a further improvement of the above technical solution, the chest compression sensing element also includes a sleeve 405 and a sliding column 406 that slides up and down inside the sleeve, the pressing plate 402 is connected above the sliding column 406, and the induction plate 404 is connected to the sliding column 406. Below the column 406 , the sleeve 405 is provided with a spring 407 that acts as a buffer when the pressing plate 402 is pressed down.

实施例3Example 3

与实施例1不同的是,输氧系统为呼吸球,呼吸球为一种现有的简易呼吸气囊,包括弹性的球体、进气通道上的各种阀如进气阀、安全阀和出气通道的安全阀、单向阀等,呼吸球的球体由弹性元件挤压以向面罩供气,而弹性元件的动作则由 PLC控制器410控制,从而实现与压胸动作的配合。Different from Embodiment 1, the oxygen delivery system is a breathing ball, and the breathing ball is a kind of existing simple breathing airbag, including elastic spheres, various valves on the air intake passage such as air intake valve, safety valve and air outlet passage. Safety valve, one-way valve, etc., the ball of the breathing ball is squeezed by the elastic element to supply air to the mask, and the action of the elastic element is controlled by the PLC controller 410, so as to realize the cooperation with the chest compression action.

最后说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以对本发明的技术方案进行修改或者等同替换,而不脱离本发明技术方案的宗旨和范围,其均应涵盖在本发明的权利要求范围当中。Finally, it is noted that the above embodiments are only used to illustrate the technical solutions of the present invention without limitation. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be carried out Modifications or equivalent replacements without departing from the spirit and scope of the technical solution of the present invention shall be covered by the claims of the present invention.

Claims (7)

1.一种呼吸器,包括输氧系统(1)和与输氧系统连接的呼吸罩(2),所述呼吸罩(2)由压下机构(3)驱动可压向被救者的面部呼吸器官,其特征在于:还包括压胸计数机构(4),所述压胸计数机构包括压胸感应元件和PLC控制器(410),所述压胸感应元件感应每次压胸动作;所述PLC控制器(410)将压胸感应元件的感应次数进行统计并产生驱动压下机构下降的信号,并控制输氧系统(1)向呼吸罩(2)内输氧的时长。1. A respirator comprising an oxygen delivery system (1) and a breathing mask (2) connected with the oxygen delivery system, the breathing mask (2) is driven by a depressing mechanism (3) and can be pressed against the rescued person's facial respiratory organs , is characterized in that: it also includes a chest compression counting mechanism (4), the chest compression counting mechanism includes a chest compression sensing element and a PLC controller (410), and the chest compression sensing element senses each chest compression action; the PLC The controller (410) counts the sensing times of the chest compression sensing element and generates a signal for driving the depressing mechanism to descend, and controls the duration of the oxygen delivery system (1) delivering oxygen into the breathing mask (2). 2.根据权利要求1所述的呼吸器,其特征在于:所述压胸感应元件为压力传感膜片(401),压胸时,所述压力传感膜片位于施救者掌心和被救者胸口之间,每当压力传感膜片(401)的压力信号由最大到消失时,PLC控制器(410)计数一次。2. The respirator according to claim 1, characterized in that: the chest compression sensing element is a pressure sensing diaphragm (401), and the pressure sensing diaphragm is located between the palm of the rescuer and the victim during chest compression. Between the rescuer's chest, whenever the pressure signal of the pressure sensing diaphragm (401) disappears from the maximum, the PLC controller (410) counts once. 3.根据权利要求1所述的呼吸器,其特征在于:所述压胸感应元件包括压板(402)、接近开关(403)和感应板(404),所述压板(402)位于施救者掌心和被救者胸口之间,压胸时,感应板随压板压下使接近开关产生信号并被PLC计数。3. The respirator according to claim 1, characterized in that: the chest compression sensing element comprises a pressure plate (402), a proximity switch (403) and a sensing plate (404), and the pressure plate (402) is located at the rescuer Between the palm and the chest of the rescued, when the chest is pressed, the induction plate is pressed down with the pressure plate to make the proximity switch generate a signal and be counted by the PLC. 4.根据权利要求3所述的呼吸器,其特征在于:所述压胸感应元件还包括套管(405)和在套管内上下滑动的滑柱(406),所述压板(402)连接在滑柱(406)的上方,所述感应板(404)连接在滑柱(406)的下方,所述套管(405)上设有对压板(402)压下时起缓冲作用的弹簧(407)。4. The respirator according to claim 3, characterized in that: the chest compression induction element also includes a sleeve (405) and a sliding column (406) sliding up and down in the sleeve, and the pressure plate (402) is connected to Above the spool (406), the induction plate (404) is connected below the spool (406), and the sleeve (405) is provided with a spring (407) that acts as a buffer when the pressing plate (402) is pressed down. ). 5.根据权利要求3或4所述的呼吸器,其特征在于:还包括颌骨上仰机构(5),所述颌骨上仰机构(5)包括位于脖颈下的升降块(500)和提升机构(510),所述升降块(500)由提升机构(510)驱动使颌骨上仰。5. The respirator according to claim 3 or 4, characterized in that: it also includes a jaw raising mechanism (5), and the jaw raising mechanism (5) includes a lifting block (500) and a lifting block (500) positioned under the neck. A lifting mechanism (510), the lifting block (500) is driven by the lifting mechanism (510) to raise the jaw. 6.根据权利要求5所述的呼吸器,其特征在于:所述提升机构(510)包括斜锲(511)、螺杆(512)和电机(513),所述斜锲(511)位于升降块(500)下方并与升降块斜面接触并可水平滑动,所述斜锲(511)上开有螺纹孔(514),所述螺杆(512)穿过螺纹孔(514)并与其螺纹配合,所述螺杆(512)由电机(513)驱动转动。6. The respirator according to claim 5, characterized in that: the lifting mechanism (510) includes a wedge (511), a screw (512) and a motor (513), and the wedge (511) is located on the lifting block (500) is below and is in contact with the inclined surface of the lifting block and can slide horizontally. There is a threaded hole (514) on the wedge (511), and the screw (512) passes through the threaded hole (514) and is threaded. Described screw rod (512) is driven to rotate by motor (513). 7.根据权利要求6所述的呼吸器,其特征在于:所述输氧系统为呼吸球,所述呼吸球的球体由弹性元件挤压以向面罩供气,所述PLC控制器(410)控制弹性元件。7. The respirator according to claim 6, characterized in that: the oxygen delivery system is a breathing ball, the spheroid of the breathing ball is extruded by an elastic element to supply air to the mask, and the PLC controller (410) controls Elastic elements.
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