CN106039428A - Intelligent sputum suction device - Google Patents
Intelligent sputum suction device Download PDFInfo
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- CN106039428A CN106039428A CN201610322017.8A CN201610322017A CN106039428A CN 106039428 A CN106039428 A CN 106039428A CN 201610322017 A CN201610322017 A CN 201610322017A CN 106039428 A CN106039428 A CN 106039428A
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- sputum
- sputum suction
- sputum aspirator
- aspirator tube
- suction
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/73—Suction drainage systems comprising sensors or indicators for physical values
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Vascular Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
The invention relates to an intelligent sputum suction device, which comprises a sputum suction detection warning device, a sputum suction action operation arm, a center controller, a sputum suction tube clean replacing box, a sputum suction and collection device and a sputum suction tube, wherein the sputum suction detection warning device is used for detecting and judging whether the sputum suction is needed or not; the sputum suction action operation arm clamps, pulls and feeds the sputum suction tube, and is provided with a pressure sensor used for detecting the tube feeding resistance; a clean sputum suction tube and a waste sputum suction tube are placed in different regions in the sputum suction tube clean replacing box; a sputum collecting bottle is arranged in the sputum suction and collection device; an infrared ray detector is configured for analyzing sucked sputum; and a central controller receives various detection signals, controls the actions of forward pushing, backward retreating, rotating and the like of the sputum suction tube, and controls the starting and the stopping of the negative pressure pump. The intelligent sputum suction device has the advantages that the sputum suction operation can be effectively realized; the sputum suction position is not limited in the front section of an artificial airway; the deep sputum suction can be effectively realized; the condition of infection risk increase due to mutual pollution of the sputum of a patient and sputum suction equipment is effectively avoided; and the injury on the respiratory tract mucosa of the patient caused by sputum suction operation is reduced.
Description
Technical field
The invention belongs to technical field of medical instruments, particularly to a kind of intelligence sputum aspirator.
Background technology
The self-defense mechanism of respiratory system depends on the ciliated columnar epithelium on trachea and bronchial mucosa and secretion is viscous
The goblet cell structure of liquid, the rhythmic motion from inside to outside of ciliated cell drives the microgranule being deposited on mucosa to arrange with mucus
Go out to throat, when mucus is piled into expectorant, then through coughre flex, excrete.Only have in mucus cilia transportation function normal condition
Under, the secretions of far-end air flue could be transported to bigger air flue, be then passed through coughre flex and removed.But for setting up
The patient of artificial airway such as tracheal intubation or tracheal casing pipe, artificial airway on the one hand ensure that air flue unobstructed, saved danger
The life of weight patient, the most seriously compromises cilium-mucus defense mechanism that respiratory system is own, adds antibacterial fixed
Put the generation with mechanical ventilationassociatepneumonia pneumonia.Patient for open artificial airway needs to attract to avoid sputum to pile up by the external world
The harm caused.
The operation of existing suction sputum is to be completed by Nurses, and nurse, at the suction sputum pointer of assessment patient, determines that patient needs
After suction sputum, sending sputum aspirator tube in air flue, the power that is hampered moves back pipe 1 centimetre, opens negative pressure rotation and moves back pipe attraction sputum.But for carrier
The patient of work air flue, every day, the operation of repeated multiple times suction sputum, occupied nurse's substantial amounts of working time, increased nurse job intensity.And
Between nurse and nurse, between the nurse of the especially different age and service seniority, operation there are differences with technology, has acquistion for suction sputum operation
Process with exercise.And suction sputum is a store period, patient is easily caused damage by operation improperly.Therefore, it is badly in need of design
A kind of alternative nurse's suction sputum operation, alleviates nurse job intensity and the phlegm sucking equipment of operation precisely minimizing complication for patients.
Sputum aspirator disclosed in Chinese patent CN 104703646 A and CN 103330981 A, its sputum aspirator tube is fixed on
Artificial airway bottom, is opened on artificial airway's front-end position, it is impossible to mobile, is only capable of attracting the sputum of artificial airway's leading portion, it is impossible to
Realize the complete replacement of suction sputum operation.And lack the design to suction sputum line clear, add the risk of respiratory tract infection.And
Above patent is opened negative pressure mode and is attracted for timing or judge whether to need suction sputum according to airway pressure, does not meets in existing guide
The requirement needing suction sputum by patient proposed, accuse of one of airway pressure only suction sputum, can not reasonably point out suction sputum to need
Ask.
Summary of the invention
In order to overcome the shortcoming of above-mentioned prior art, it is an object of the invention to provide a kind of intelligence sputum aspirator, take up a job as a doctor
Learn angle close examination suction sputum process, extract parameters, depth index, suction sputum is effective, quality is high, control is accurate, enforcement is safe,
Homogeneity is high.
To achieve these goals, the technical solution used in the present invention is:
A kind of intelligence sputum aspirator, including suction sputum detection alarm device 1, suction sputum motion action arm 2, master controller 3, inhales
Expectorant pipe cleaning changes case 4, sputum attracts collection device 5 and sputum aspirator tube, wherein:
Described suction sputum detection alarm device 1 includes data processor 6, is connected with detection sensor device by holding wire 39, institute
State detection sensor device to include utilizing the endocrine photographic head of vision-based detection air flue and utilizing the audio frequency of audition detection rale sound to visit
Head；
Described suction sputum motion action arm 2 includes multivariant mechanical hand, and mechanical hand connects steering wheel, manipulator clamping suction sputum
Pipe, is provided with the pressure inductor 13 sending pipe resistance for detection in the front end of mechanical hand；
Described sputum aspirator tube cleaning is changed subregion in case 4 and is placed cleaning sputum aspirator tube and discarded sputum aspirator tube, and sputum aspirator tube cleaning is changed
Arranging the sputum aspirator tube lubrication flushing box 14 being contained with sterilized water for injection in case 4, sputum aspirator tube lubrication rinses being provided above of box 14
There is sterilization nozzle 16；
Described sputum attracts to have in collection device 5 sputum collecting bottle 17, and sputum collecting bottle 17 is by negative pressure pump and sputum aspirator tube
Connect, and bottleneck is provided with infrared detector 18；
Described master controller 3 connects described data processor 6, pressure inductor 13 and the data of infrared detector 18
Outfan, and push away before the steering wheel output control signal of mechanical hand controls it, retreat, rotate and start-stop, to negative pressure pump
Output control signal controls its start and stop.
In described detection sensor device, utilize sound to monitor rale sound, and utilize sputum seen from visual monitoring tracheal strips, when going out
Now when ring sound and the visible sputum of discovery, trigger suction sputum operation.
Described audio detector is tone sensor, and the pitch value of detection patient airway, described detection sensor device also includes red
Outer light source and sensitive chip, coordinated the change of test patient airway's iuuminting degree, work as appearance by infrared light supply with sensitive chip
In patient airway, tone increases simultaneously transmittance and weakens, and amplitude of variation exceed basic value 10% time, triggering reports to the police also opens
Suction sputum operates.
Described data processor 6 is connected with life monitor by holding wire 1, by holding wire 28 with respirator even
Connect, when Peak Inspiratory Pressure increase under respirator volume flow ring indentation waveform, respirator capacity model, pressure pattern air-breathing tide
Tolerance reduces, blood oxygen saturation declines situation and then sends alarm, triggers suction sputum operation.
Described mechanical hand is 4DOF.
When sputum aspirator tube rinses box 14 through sputum aspirator tube lubrication, open negative pressure pump, it is achieved the lubrication of sputum aspirator tube is clear with inside
Washing, described sterilization nozzle 16 connects infra-red sensor switch 15, when mechanical hand is through out-of-date, triggers infra-red sensor switch 15 and opens
Dynamic sterilization nozzle 16, sprays disinfectant solution to the outside of sputum aspirator tube and mechanical hand
Described sputum attracts collection device 5 to be arranged on the side of sputum aspirator tube cleaning replacing case 4.
Described infrared detector 18, to attracting the sputum to be monitored, once detects red courageous and upright sputum and reports immediately
Alert, stop the work of negative pressure pump.
The built-in default suction sputum operation program of described master controller 3, control described suction sputum motion action arm 2 send pipe speed
Being 5～7cm/s, after the resistance run into when pressure inductor 13 detects and send pipe reaches preset value, master controller 3 is to rudder
Machine output control signal, controls mechanical hand and again pushes after sputum aspirator tube half-twist, if resistance is still greater than preset value, then open
Negative pressure pump starts suction sputum, and moves back pipe with the speed of 7～12cm/s, during moving back pipe, moves back pipe with 90 ° of rotation modes.
Compared with prior art, the invention has the beneficial effects as follows:
1. suction sputum detection alarm device attracts the suction proposed in guide according to up-to-date domestic and international adult respiratory's endocrine
Expectorant index, comprehensive detection moist rale, air flue endocrine, Peak Inspiratory Pressure, tidal volume, blood oxygen saturation, respirator sawtooth sample ripple
Shape, coughre flex many index, comprehensive pre-warning, realize suction sputum operation timely and effectively, suction sputum quality height is effective.
2. suction sputum operating robotic arm and master controller, parameter is arranged accurately based on clinical practice practice, can be effective
Realize suction sputum operation.Pinched sputum aspirator tube by mechanical arm, rather than suction sputum pipeline is fixed on the design under artificial airway, suction sputum position
It is not only limited to artificial airway's leading portion, can effectively realize deep suction sputum.
3. sputum aspirator tube cleaning changes case, and standby sputum aspirator tube is changed case and sputum aspirator tube and set with the sterilization of sputum aspirator mechanical arm nozzle cleaning
Meter can be prevented effectively from patient's sputum and mutually pollute with suction sputum equipment, increases the situation of infection risk.
4. sputum attracts collection device bottleneck to be provided with infrared observation device to attracting the sputum to be monitored, and once monitors
Go out red courageous and upright sputum to report to the police immediately, attract negative pressure to stop.Reduce the suction sputum operation damage to patients with respiratory tract mucosa.
Accompanying drawing explanation
Fig. 1 is the structural representation of suction sputum system of the present invention.
Fig. 2 is the structural representation of the suction sputum detection alarm device of the present invention.
Fig. 3 is the structural representation of the suction sputum operating robotic arm of the present invention.
Fig. 4 is the structural representation of the sputum aspirator tube cleaning replacing case of the present invention.
Detailed description of the invention
Embodiments of the present invention are described in detail below in conjunction with the accompanying drawings with embodiment.
As it is shown in figure 1, a kind of intelligence sputum aspirator, detect alarm device 1, suction sputum motion action arm 2, center including suction sputum
Controller 3, sputum aspirator tube cleaning changes case 4, sputum attracts collection device 5 and sputum aspirator tube.Wherein:
Suction sputum detection alarm device 1 attracts the suction sputum proposed in guide according to up-to-date domestic and international adult respiratory's endocrine
Index, comprehensive detection moist rale, air flue endocrine, Peak Inspiratory Pressure, tidal volume, blood oxygen saturation, respirator sawtooth sample waveform,
Coughre flex many index, comprehensive pre-warning.Suction sputum early warning is i.e. sent when an index reaches preset value.It includes data processor
6, data processor 6 is connected with detection sensor device by holding wire 39, and detection sensor device is positioned at artificial airway, including tone
The pitch value of sensor detection patient airway, coordinates the change of test patient airway's iuuminting degree by infrared light supply with sensitive chip
Changing, in there is patient airway, tone increases simultaneously transmittance and weakens, and amplitude of variation exceed basic value 10% time trigger report
Alarm device is opened；
Meanwhile, data processor 6 is connected with life monitor also by holding wire 1, by holding wire 28 and respirator
Connect, when Peak Inspiratory Pressure increase, pressure pattern air-breathing under respirator volume flow ring indentation waveform, respirator capacity model
Tidal volume reduces, blood oxygen saturation declines situation and then sends alarm, triggers suction sputum operation.
Suction sputum detection alarm device 1 leading flank on have touch screen display panel 10, can reality warning project and numerical value and regulate set
Put parameters index, and have switch key 11 and silence switch 12.
Suction sputum motion action arm 2 includes the mechanical hand of 4DOF, and mechanical hand connects steering wheel, manipulator clamping sputum aspirator tube, height
Simulation nurse's suction sputum operation is implemented in degree emulation, implements be automatically fed into sputum aspirator tube and send the action of sputum aspirator tube.Before mechanical hand
End is provided with the pressure inductor 13 sending pipe resistance for detection；Sense resistance when sending into sputum aspirator tube, i.e. rotate back to keep out of the way
Exempting from the damage to patient, its various command signals are sent by central controller 3.
Sputum aspirator tube cleaning is changed case 4 and is changed with one and use front and back need the requirement of flushing for meeting open sputum aspirator tube one,
Case Inner Front End is used for placing cleaning sputum aspirator tube, and discarded sputum aspirator tube is placed in rear end.Case arranges the suction being contained with sterilized water for injection
Expectorant pipe lubrication rinses box 14, when sputum aspirator tube leading portion rinses box 14 through sputum aspirator tube lubrication, opens negative pressure pump and realizes sputum aspirator tube
Lubrication and internal washing.Sputum aspirator tube lubrication rinses the nozzle 16 of sterilizing that is provided above of box 14, and sterilization nozzle 16 connection has infrared
Line inductive switch 15, when mechanical hand is through out-of-date, triggers infra-red sensor switch 15 and starts sterilization nozzle 16, to the outside of sputum aspirator tube
And mechanical hand injection disinfectant solution, it is achieved sputum aspirator tube and the sterilization of mechanical hand.
Sputum attracts collection device 5 to be connected with sputum aspirator tube cleaning replacing case 4, it is achieved certainly changing of sputum aspirator tube.
Sputum attracts have sputum collecting bottle 17, sputum collecting bottle 17 to be connected with sputum aspirator tube by negative pressure pump in collection device 5
And bottleneck is provided with infrared detector 18；Sputum is attracted in sputum collecting bottle 17 under the work of negative pressure pump, infrared
Thread detector 18, to attracting the sputum to be monitored, once detects red courageous and upright sputum and reports to the police immediately, attract negative pressure to stop.
Master controller 3 connects the data output of described data processor 6, pressure inductor 13 and infrared detector 19
End, and push away before the steering wheel output control signal of mechanical hand controls it, retreat, rotate and start-stop, export to negative pressure pump
Control signal controls its start and stop, specifically, the built-in default suction sputum operation program of master controller 3, sputum aspirator tube turnover speed according to
The actual operational speed that clinic is collected, inlet pipe speed controlling between 5～7cm/s,
After the resistance run into when pressure inductor 13 detects and send pipe reaches preset value, master controller 3 is to steering wheel
Output control signal, controls mechanical hand and again pushes after sputum aspirator tube half-twist, if resistance is still greater than preset value, then opens negative
Press pump starts suction sputum, and moves back pipe with the speed rotation of 7～12cm/s, to realize the complete simulation simulation of artificial suction sputum operation.
Master controller 3 external control and regulation plate, Comprehensive Control suction sputum action is implemented.Realize various control pattern, the most certainly
Dynamic model formula: remind according to suction sputum demand prior-warning device, attracts sputum pattern the most voluntarily.Semiautomatic-mode: nursing staff's root
According to warning reminding later evaluation patient profiles, it may be judged whether need suction sputum, determine that patient opens sputum aspirator switch after needing suction sputum,
Attract.Panel can accurately regulate vacuum extractor negative pressure.
The specific works process of the present invention:
After suction sputum detection alarm device 1 detects the suction sputum demand of patient, send alarm, automatically start or medical personnel
Starting after judgement, suction sputum motion action arm 2 grips sputum aspirator tube cleaning and changes clean sputum aspirator tube in case, rinses through sputum aspirator tube lubrication
Box 14 is opened negative pressure examination and is attracted sterilized water for injection 1s, through the infra-red sensor switch region of nozzle 16 of sterilizing, is cleaned
Sterilization.Suction sputum motion action arm 2 pushes sputum aspirator tube in patient artificial airway, pinches sputum aspirator tube with 5～7cm/s speed, works as sense
Sent after pipe resistance somewhat rollback, then the angle with 90 °, rotate and push sputum aspirator tube.When again meeting obstructions, open negative pressure and inhale
Expectorant, with 90 ° of angle rollback sputum aspirator tubes.After exiting artificial airway, through the infrared ray sense of the sterilization nozzle 16 of discarded suction sputum bobbin carriage
Inductive switch region, puts discarded sputum aspirator tube aside after rinsing sputum aspirator tube, negative-pressure suction pipe is connected with cleaning sputum aspirator tube.
Claims (9)
1. an intelligent sputum aspirator, it is characterised in that include suction sputum detection alarm device (1), suction sputum motion action arm (2),
Master controller (3), sputum aspirator tube cleaning changes case (4), sputum attracts collection device (5) and sputum aspirator tube, wherein:
Described suction sputum detection alarm device (1) includes data processor (6), and data processor (6) is by holding wire three (9) and spy
Survey induction apparatus connects, and described detection sensor device includes utilizing the endocrine photographic head of vision-based detection air flue and utilizing audition to detect
The audio detector of rale sound；
Described suction sputum motion action arm (2) includes multivariant mechanical hand, and mechanical hand connects steering wheel, manipulator clamping suction sputum
Pipe, is provided with the pressure inductor (13) sending pipe resistance for detection in the front end of mechanical hand；
Described sputum aspirator tube cleaning is changed subregion in case (4) and is placed cleaning sputum aspirator tube and discarded sputum aspirator tube, and sputum aspirator tube cleaning changes case
(4) arranging sputum aspirator tube lubrication flushing box (14) being contained with sterilized water for injection in, sputum aspirator tube lubrication rinses the top of box (14)
It is provided with sterilization nozzle (16)；
Described sputum attracts there is sputum collecting bottle (17) in collection device (5), and sputum collecting bottle (17) passes through negative pressure pump and suction sputum
Pipe connects and bottleneck is provided with infrared detector (18)；
Described master controller (3) connects described data processor (6), pressure inductor (13) and infrared detector (18)
Data output end, and export control signal to the steering wheel of mechanical hand and control its gripping, front push away, retreat, rotate and start-stop,
Its start and stop are controlled to negative pressure pump output control signal.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that in described detection sensor device, utilize sound to monitor
Rale sound, and utilize sputum seen from visual monitoring tracheal strips, when ring sound occurring and finding visible sputum, trigger suction sputum operation.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that described audio detector is tone sensor, detection
The pitch value of patient airway, described detection sensor device also includes infrared light supply and sensitive chip, by infrared light supply and photosensitive core
Sheet coordinates the change of test patient airway's iuuminting degree, and the while that in there is patient airway, tone increasing, transmittance weakens, and becomes
When change amplitude exceedes the 10% of basic value, trigger and report to the police and open suction sputum operation.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that described data processor (6) passes through holding wire one
(7) it is connected with life monitor, is connected with respirator by holding wire two (8), when respirator volume flow ring indentation ripple
Under shape, respirator capacity model, Peak Inspiratory Pressure increases, pressure pattern air-breathing tidal volume reduces, blood oxygen saturation declines situation and then sends out
Go out alarm, trigger suction sputum operation.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that described mechanical hand is 4DOF.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that when sputum aspirator tube rinses box through sputum aspirator tube lubrication
(14) time, opening negative pressure pump, it is achieved the lubrication of sputum aspirator tube and internal washing, described sterilization nozzle (16) connects infrared induction
Switch (15), when mechanical hand is through out-of-date, triggers infra-red sensor switch (15) and starts sterilization nozzle (16), to the outside of sputum aspirator tube
And mechanical hand injection disinfectant solution.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that described sputum attracts collection device (5) to be arranged on
Sputum aspirator tube cleaning changes the side of case (4).
Intelligence sputum aspirator the most according to claim 1, it is characterised in that described infrared detector (18) is to attracting
Sputum is monitored, and once detects red courageous and upright sputum and reports to the police immediately, stops the work of negative pressure pump.
Intelligence sputum aspirator the most according to claim 1, it is characterised in that the built-in default suction sputum of described master controller (3)
Operation program, the pipe speed of sending controlling described suction sputum motion action arm (2) is 5～7cm/s, when pressure inductor (13) detects
When sending pipe, after the resistance that runs into reaches preset value, master controller (3) exports control signal to steering wheel, and controlling mechanical hand will
Again push after sputum aspirator tube half-twist, if resistance is still greater than preset value, then opens negative pressure pump and start suction sputum, and with 7～12cm/s
Speed move back pipe, during moving back pipe, move back pipe in a rotative pattern.
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| CN201610322017.8A CN106039428B (en) | 2016-05-16 | 2016-05-16 | A kind of intelligent sputum aspirator |
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| CN201610322017.8A CN106039428B (en) | 2016-05-16 | 2016-05-16 | A kind of intelligent sputum aspirator |
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| CN106039428B CN106039428B (en) | 2018-03-16 |
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Cited By (18)
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|---|---|---|---|---|
| CN107281560A (en) * | 2017-05-17 | 2017-10-24 | 扬州大学 | Full-automatic sputum aspirator |
| CN107469161A (en) * | 2017-08-17 | 2017-12-15 | 葛海 | A kind of sputum aspirator |
| CN109003498A (en) * | 2018-07-19 | 2018-12-14 | 苏州敏行医学信息技术有限公司 | Suction sputum art intelligent training method and system |
| CN108992719A (en) * | 2018-08-13 | 2018-12-14 | 张晨晨 | A kind of oral care respiratory tract and oral cavity attraction device |
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| CN109646004A (en) * | 2019-01-29 | 2019-04-19 | 黄世英 | A kind of sputum intelligent-induction monitoring device |
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| CN112451821A (en) * | 2020-11-30 | 2021-03-09 | 卢雯 | Automatic air flue management system |
| CN112535785A (en) * | 2020-07-24 | 2021-03-23 | 中南大学湘雅医院 | Respirator with liquid removing function |
| CN113082317A (en) * | 2021-04-12 | 2021-07-09 | 中国科学院大学宁波华美医院 | Intelligent full-automatic phlegm suction device |
| CN113509601A (en) * | 2021-07-15 | 2021-10-19 | 中国人民解放军西部战区总医院 | Negative pressure sputum suction equipment |
| CN114404693A (en) * | 2022-01-26 | 2022-04-29 | 中国人民解放军陆军军医大学第一附属医院 | Suction intelligent regulation's sputum aspirator |
| WO2022217676A1 (en) * | 2021-04-15 | 2022-10-20 | 深圳市安保科技有限公司 | Control method for ventilator having sputum excretion function, and ventilator |
| CN116407694A (en) * | 2023-03-20 | 2023-07-11 | 上海市公共卫生临床中心 | Automatic change sputum aspirator |
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