CN105517615A - Anesthesia machine and anesthesia machine respiratory system thereof - Google Patents

Anesthesia machine and anesthesia machine respiratory system thereof Download PDF

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Publication number
CN105517615A
CN105517615A CN201480017664.7A CN201480017664A CN105517615A CN 105517615 A CN105517615 A CN 105517615A CN 201480017664 A CN201480017664 A CN 201480017664A CN 105517615 A CN105517615 A CN 105517615A
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China
Prior art keywords
driving gas
respiratory system
air
anesthetic machine
main body
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CN201480017664.7A
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Chinese (zh)
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CN105517615B (en
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罗才瑾
蔡琨
陈培涛
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Shenzhen Mindray Scientific Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/01Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10Preparation of respiratory gases or vapours

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  • Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The invention relates to an anesthesia machine respiratory system, including a driving gas isolation means, a driving gas control system and a circulatory and respiratory system; the driving gas control system and the circulatory and respiratory system are both connected with the driving gas isolation means; and the driving gas isolation means comprises a means body in which at least two gas channels are disposed in parallel and having an elongated structure. The driving gas isolation means in the anesthesia machine respiratory system achieves non-physical isolation between a driving gas and a mixed gas carrying a large amount of narcotic drugs through the elongated and parallel air channels, wherein no arrangement of an elastic member such as a foldable bag enables the driving gas isolation means to control the pressure and flow more accurately. The air channels are of a parallel structure, has a length of 1-4 meters, and are conducive to reducing the air resistance when a patient is breathing and improving the comfort of the patient. Further provided is an anesthesia machine using the anesthesia machine respiratory system.

Description

Anesthetic machine and anesthetic machine respiratory system thereof
Technical field
The present invention relates to field of medical device, particularly relate to a kind of anesthetic machine and anesthetic machine respiratory system thereof.
Background technology
The respiratory system of anesthetic machine is divided into non-respiratory system again and respiratory system again.The anesthetic machine of respiratory system is adopted to be most widely used again.Be different from non-respiratory system again, in the anesthetic machine of respiratory system again, the gas that patient breathes out can be recycled.Concrete, usually adopt bellows structure to realize the isolation of driving gas and patient's breath, to reduce the loss of the anaesthetic that patient breathes out.During expiration, the gas that live gas and patient breathe out enters the folding capsule in bellows in the lump, and during air-breathing, driving gas enters in bellows, drives the gas in folding capsule again to enter in the lung of patient.
Traditional anesthetic machine, its driving gas spacer assembly adopts bellows structure to realize the isolation of driving gas and patient's breath mostly, and the gas pressure in patient's lung and flow all act on the realization of folding capsule by controlling driving gas.But because folding capsule material softness has certain elasticity, be difficult to when ventilation is less accurately control, and there is a small end expiratory positive pressure in relief valve, especially has a serious impact neonatal ventilation, may cause hypoventilation.
Summary of the invention
Based on this, be necessary a kind of anesthetic machine respiratory system of accurate control ventilation is provided and uses the anesthetic machine of this anesthetic machine respiratory system.
A kind of anesthetic machine respiratory system, comprising:
Driving gas spacer assembly, described driving gas spacer assembly comprises apparatus main body, is provided with at least two air flues in described apparatus main body, and described air flue is thin-and-long structure, and described at least two air flues are arranged in parallel;
Driving gas control system, is connected with one end of air flue in described driving gas spacer assembly, and described driving gas control system is used for providing driving gas to described driving gas spacer assembly; And
Circulorespiratory system, is connected with the other end of air flue in described driving gas spacer assembly.
Wherein in an embodiment, the length of described air flue is 1 ~ 4 meter.
Wherein in an embodiment, the total measurement (volume) of described at least two air flues is 1000 ~ 1500ml.
Wherein in an embodiment, described apparatus main body comprises at least two tracheas, and described trachea is helicoidal structure, and the tube wall of described trachea surrounds described air flue.
Wherein in an embodiment, described apparatus main body is block structure, and described at least two air flues are opened on described apparatus main body, and described air flue bends in spiral shape.
Wherein in an embodiment, described apparatus main body is made up of hard material.
Wherein in an embodiment, described apparatus main body comprises at least two tracheas, and described trachea is spiral structure, and the tube wall of described trachea surrounds described air flue.
Wherein in an embodiment, described apparatus main body is thin-and-long tubular structure, on described apparatus main body interval offer described at least two air flues.
Wherein in an embodiment, described circulorespiratory system comprises patient's pipeline and the air-breathing branch road that is all connected with described patient's pipeline and expiration branch road, described air-breathing branch road is provided with breather cheek valve, and expiration branch road is provided with expiratory one-way valve, and described air-breathing branch road is also provided with live gas branch road.
Wherein in an embodiment, described driving gas control system comprises the driving air pipe be connected with driving gas spacer assembly, drives air pipe to be provided with for carrying out the inlet valve of air inlet and the outlet valve for discharging excessive gas in driving gas spacer assembly to driving gas.
A kind of anesthetic machine comprising above-mentioned anesthetic machine respiratory system
Above-mentioned anesthetic machine and anesthetic machine respiratory system thereof, compared with traditional anesthetic machine, at least possess following advantage:
First, driving gas spacer assembly in above-mentioned anesthetic machine respiratory system is by the elongated and air flue of parallel connection, non-physical between the mist realizing driving gas and carry a large amount of anaesthetic is isolated, flexible member wherein not as folding capsule, make above-mentioned driving gas spacer assembly can controlled pressure and flow more accurately, the end expiratory positive pressure being difficult to accurately control can't be there is as traditional bellows-type driving gas spacer assembly.Air flue is parallel-connection structure, and length is 1 ~ 4 meter, is conducive to vapour lock when reducing patient respiration, improves the comfort level of patient.
Simultaneously, because air flue is comparatively elongated, contact area between mist and driving gas is very little, the amount diffusing to the anaesthetic driving gas from mist is less, thus the non-physical between the mist achieving driving gas and carry a large amount of anaesthetic is isolated, ensure that the concentration of the anaesthetic flowed in the gas of circulorespiratory system comparatively fast can reach setting value, and remain on setting value.
In addition, traditional driving gas spacer assembly is physical property isolation, if anesthetic machine leaks in operation, the gas that patient breathes out is not enough to be full of folding capsule, fold capsule time serious can subside to bottom, cause anesthetic machine to patient's air feed, cannot may cause patient's death by suffocation.Above-mentioned driving gas spacer assembly is non-physical isolation, even if anesthetic machine respiratory system leaks, also can normal ventilation, and guarantee patients ' lives safety.
Finally, above-mentioned driving gas spacer assembly is integrated, and dismounting is comparatively easy, and sterilization easy to clean.
Accompanying drawing explanation
Fig. 1 is the structural representation of anesthetic machine respiratory system in one embodiment of the invention;
Fig. 2 is the structural representation of driving gas spacer assembly in the respiratory system of anesthetic machine shown in Fig. 1;
Fig. 3 is the structural representation of another angle of driving gas spacer assembly in the respiratory system of anesthetic machine shown in Fig. 1;
Fig. 4 is the operating diagram of driving gas spacer assembly in the respiratory system of anesthetic machine shown in Fig. 1;
Fig. 5 is the operating diagram of another state of driving gas spacer assembly in the respiratory system of anesthetic machine shown in Fig. 1;
Fig. 6 is the structural representation of the driving gas spacer assembly of another embodiment;
Fig. 7 is the sectional view of the spacer assembly of driving gas shown in Fig. 6;
Fig. 8 is the structural representation of the driving gas spacer assembly of another embodiment.
Detailed description of the invention
For the ease of understanding the present invention, below with reference to relevant drawings, the present invention is described more fully.Better embodiment of the present invention is given in accompanying drawing.But the present invention can realize in many different forms, is not limited to embodiment described herein.On the contrary, provide the object of these embodiments be make to disclosure of the present invention understand more thorough comprehensively.
It should be noted that, when element is called as " being fixed on " another element, directly can there is element placed in the middle in it on another element or also.When an element is considered to " connection " another element, it can be directly connected to another element or may there is centering elements simultaneously.Term as used herein " vertical ", " level ", "left", "right" and similar statement just for illustrative purposes, do not represent it is unique embodiment.
Unless otherwise defined, all technology used herein and scientific terminology are identical with belonging to the implication that those skilled in the art of the present invention understand usually.The object of term used in the description of the invention herein just in order to describe concrete embodiment, is not intended to be restriction the present invention.Term as used herein " and/or " comprise arbitrary and all combinations of one or more relevant Listed Items.
Refer to Fig. 1, the anesthetic machine (figure does not mark) in present pre-ferred embodiments, comprises anesthetic machine respiratory system 10.Anesthetic machine respiratory system 10 comprises driving gas spacer assembly 100, driving gas control system 200 and circulorespiratory system 300.Driving gas control system 200 and circulorespiratory system 300 are all connected with driving gas spacer assembly 100.
Specifically in the present embodiment, circulorespiratory system 300 comprises patient's pipeline 310 and the air-breathing branch road 330 that is all connected with patient's pipeline 310 and expiration branch road 350, air-breathing branch road 330 is provided with breather cheek valve 332a, expiration branch road 350 is provided with expiratory one-way valve 332b, and air-breathing branch road 330 is also provided with live gas branch road 334.Driving gas control system 200 comprises the driving air pipe 210 be connected with driving gas spacer assembly 100, drives air pipe 210 to be provided with for carrying out the inlet valve 212 of air inlet and the outlet valve 214 for discharging excessive gas in driving gas spacer assembly 100 to driving gas.Inlet valve 212 and outlet valve 214 are all by driving air pipe 210 to be connected with driving gas spacer assembly 100.
During patient exhales, the inlet valve 212 in driving gas control system 200 cuts out.The breath with anaesthetic that patient breathes out enters in expiration branch road 350 through patient's pipeline 310, and enters driving gas spacer assembly 100 through expiratory one-way valve 332b.The live gas branch road 334 of live gas also on air-breathing branch road 330 enters in anesthetic machine respiratory system 10 simultaneously.Live gas carries as carrier gas the loop that gas anesthesia medicine injects anesthetic machine respiratory system 10.Air-breathing branch road 330 is also provided with tourie 336, live gas enters in driving gas spacer assembly 100 after the filtration of tourie 336, the gas and vapor permeation of breathing out with patient, the driving gas of part in driving gas spacer assembly 100 is pushed into and drives outlet valve 214 place on air pipe 210 by the mist of breath and live gas, and is discharged by outlet valve 214.
During patient inhales, the inlet valve 212 in driving gas control system 200 is opened, and driving gas enters driving gas spacer assembly 100 through inlet valve 212, promotes the mist of breath and live gas through tourie 336.Mist can by the sodica calx filtering in tourie 336 by carbon dioxide during tourie 336.Again enter in the lung of patient after the mist of filtering carbon dioxide flows through breather cheek valve 332a and patient's pipeline 310 together, complete respiration circulation.Concrete, driving gas can be oxygen or air.The pressure in patient inhales stage and flow-control all can be controlled by inlet valve 212.
Anesthetic machine respiratory system 10 also can comprise control system 400, control system 400 comprises the control piper 410 be connected with driving gas spacer assembly 100 and circulorespiratory system 300, control piper 410 is provided with hand-machine control transfer valve 412, Manual bladder 414 and APL valve 416 (AdjustablePressureLimitValve, limiting valve with adjustable pressure).Hand-machine control transfer valve 412 can by systematic evaluation to manual mode, and now manually leather bag 414 controls ventilation, and unnecessary gas is discharged by APL valve 416.
Driving gas spacer assembly 100 can be isolated mist and driving gas, stops mist to mix mutually with driving gas, is reused to make the anaesthetic in mist.
Driving gas spacer assembly 100 comprises apparatus main body 110.Be provided with at least two air flues 130 in apparatus main body 110, air flue 130 is thin-and-long structure, and at least two air flues 130 are arranged in parallel.
See also Fig. 2 and Fig. 3, apparatus main body 110 comprises at least two tracheas 112, and trachea 112 is helicoidal structure, and the tube wall of trachea 112 surrounds air flue 130.The total measurement (volume) of at least two air flues 130 is 1000 ~ 1500ml, and its total measurement (volume) is greater than the tidal volume that patient once breathes out.
Specifically in the present embodiment, trachea 112 is two, and the tube wall of two tracheas 112 surrounds two air flues 130 respectively.See also Fig. 4, during patient exhales, the mist of breath and live gas enters driving gas spacer assembly 100 from one end of air flue 130, and pushes driving gas the other end of air flue 130 to, and part driving gas is discharged by the outlet valve 214 driven on air pipe 210.
Total measurement (volume) due to air flue 130 is greater than the tidal volume that patient once breathes out, and when mist does not also overflow from the other end of driving gas spacer assembly 100, namely patient enters suction condition.See also Fig. 5, driving gas enters in air flue 130 through air pipe 210 of overdriving, and to be pushed back from driving gas spacer assembly 100 by mist, and mist is sucked again by patient.
Because air flue 130 is comparatively elongated, contact area between mist and driving gas is very little, the amount diffusing to the anaesthetic driving gas from mist is less, thus the non-physical between the mist achieving driving gas and carry a large amount of anaesthetic is isolated, ensure that the concentration of the anaesthetic in the gas flowing to circulorespiratory system 300 comparatively fast can reach setting value, and remain on setting value.Anaesthetic in breath is reused, and decreases the waste of anaesthetic.
The length of air flue 130 is 1 ~ 4 meter.The length of air flue 130 is less, and the vapour lock in air flue 130 loop is less, can improve the comfort level of patient respiration.
See also Fig. 6, be appreciated that in other embodiments, apparatus main body 110 is block structure, and air flue 130 is opened on apparatus main body 110, and air flue 130 bends in spiral shape.Apparatus main body 110 is made up of hard material.Concrete, the material of producing device main body 110 can be the metal materials such as copper, aluminum, steel or is the plastic materials such as PPSU (Polyphenylenesulfoneresins, polyphenylene sulphone resin).See also Fig. 7, when air flue 130 is two or more, multiple air flue 130 can be stacked at apparatus main body 110, and as shown in Figure 7 in embodiment, two air flues 130 distribute in apparatus main body 110 short transverse.
See also Fig. 8, in another embodiment, apparatus main body 110 is thin-and-long tubular structure.On apparatus main body 110, at least two air flues 130 are offered at interval.Concrete, in the embodiment shown in fig. 8, apparatus main body 110 offers seven air flues, 130, seven air flues 130 and be uniformly distributed, form single cellular porous tubular structure to make apparatus main body 110.
Above-mentioned anesthetic machine and anesthetic machine respiratory system 10 thereof, compared with traditional anesthetic machine, at least possess following advantage:
First, driving gas spacer assembly 100 in above-mentioned anesthetic machine respiratory system 10 is by the elongated and air flue 130 of parallel connection, non-physical between the mist realizing driving gas and carry a large amount of anaesthetic is isolated, flexible member wherein not as folding capsule, make above-mentioned driving gas spacer assembly 100 can controlled pressure and flow more accurately, the end expiratory positive pressure being difficult to accurately control can't be there is as the bellows-type driving gas spacer assembly of tradition.Air flue 130 is parallel-connection structure, and length is 1 ~ 4 meter, is conducive to vapour lock when reducing patient respiration, improves the comfort level of patient.
Simultaneously, because air flue 130 is comparatively elongated, contact area between mist and driving gas is very little, the amount diffusing to the anaesthetic driving gas from mist is less, thus the non-physical between the mist achieving driving gas and carry a large amount of anaesthetic is isolated, ensure that the concentration of the anaesthetic in the gas flowing to circulorespiratory system 300 comparatively fast can reach setting value, and remain on setting value.
In addition, traditional driving gas spacer assembly 100 is physical property isolation, if anesthetic machine leaks in operation, the gas that patient breathes out is not enough to be full of folding capsule, fold capsule time serious can subside to bottom, cause anesthetic machine to patient's air feed, cannot may cause patient's death by suffocation.Above-mentioned driving gas spacer assembly 100 is non-physical isolation, even if anesthetic machine respiratory system 10 leaks, also can normal ventilation, and guarantee patients ' lives safety.
Finally, above-mentioned driving gas spacer assembly 100 is integrated, and dismounting is comparatively easy, and sterilization easy to clean.
The above embodiment only have expressed several embodiment of the present invention, and it describes comparatively concrete and detailed, but therefore can not be interpreted as the restriction to the scope of the claims of the present invention.It should be pointed out that for the person of ordinary skill of the art, without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.Therefore, the protection domain of patent of the present invention should be as the criterion with claims.

Claims (11)

1. an anesthetic machine respiratory system, is characterized in that, comprising:
Driving gas spacer assembly, described driving gas spacer assembly comprises apparatus main body, is provided with at least two air flues in described apparatus main body, and described air flue is thin-and-long structure, and described at least two air flues are arranged in parallel;
Driving gas control system, is connected with one end of air flue in described driving gas spacer assembly, and described driving gas control system is used for providing driving gas to described driving gas spacer assembly; And
Circulorespiratory system, is connected with the other end of air flue in described driving gas spacer assembly.
2. anesthetic machine respiratory system according to claim 1, is characterized in that, the length of described air flue is 1 ~ 4 meter.
3. anesthetic machine respiratory system according to claim 1, is characterized in that, the total measurement (volume) of described at least two air flues is 1000 ~ 1500ml.
4. anesthetic machine respiratory system according to claim 1, is characterized in that, described apparatus main body comprises at least two tracheas, and described trachea is helicoidal structure, and the tube wall of described trachea surrounds described air flue.
5. anesthetic machine respiratory system according to claim 1, is characterized in that, described apparatus main body is block structure, and described at least two air flues are opened on described apparatus main body, and described air flue bends in spiral shape.
6. anesthetic machine respiratory system according to claim 5, is characterized in that, described apparatus main body is made up of hard material.
7. anesthetic machine respiratory system according to claim 1, is characterized in that, described apparatus main body comprises at least two tracheas, and described trachea is spiral structure, and the tube wall of described trachea surrounds described air flue.
8. anesthetic machine respiratory system according to claim 1, is characterized in that, described apparatus main body is thin-and-long tubular structure, on described apparatus main body interval offer described at least two air flues.
9. anesthetic machine respiratory system according to claim 1, it is characterized in that, described circulorespiratory system comprises patient's pipeline and the air-breathing branch road that is all connected with described patient's pipeline and expiration branch road, described air-breathing branch road is provided with breather cheek valve, expiration branch road is provided with expiratory one-way valve, and described air-breathing branch road is also provided with live gas branch road.
10. anesthetic machine respiratory system according to claim 1, it is characterized in that, described driving gas control system comprises the driving air pipe be connected with driving gas spacer assembly, drives air pipe to be provided with for carrying out the inlet valve of air inlet and the outlet valve for discharging excessive gas in driving gas spacer assembly to driving gas.
11. 1 kinds of anesthetic machines comprising anesthetic machine respiratory system described in any one of claim 1-10.
CN201480017664.7A 2014-12-02 2014-12-02 Anesthesia machine and its Anesthesia machine respiratory system Active CN105517615B (en)

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Cited By (4)

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WO2020087397A1 (en) * 2018-10-31 2020-05-07 深圳迈瑞生物医疗电子股份有限公司 Anesthesia respiration device and method
WO2020133274A1 (en) * 2018-12-28 2020-07-02 深圳迈瑞生物医疗电子股份有限公司 Ventilation device and control method therefor, and computer storage medium
CN111479608A (en) * 2017-12-15 2020-07-31 马奎特紧急护理公司 Respiratory component and method for producing a respiratory component
CN112657029A (en) * 2020-12-31 2021-04-16 北京谊安医疗系统股份有限公司 Loop coil pipe for anesthesia machine

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WO2019117776A1 (en) * 2017-12-15 2019-06-20 Maquet Critical Care Ab Modular breathing gas separator unit
EP4272790A4 (en) * 2020-12-31 2024-01-17 Shenzhen Mindray Animal Medical Technology Co., Ltd. Respiratory ventilation method and device, anesthesia machine and computer-readable storage medium

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CN112657029A (en) * 2020-12-31 2021-04-16 北京谊安医疗系统股份有限公司 Loop coil pipe for anesthesia machine

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