CN106039428B - A kind of intelligent sputum aspirator - Google Patents
A kind of intelligent sputum aspirator Download PDFInfo
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- CN106039428B CN106039428B CN201610322017.8A CN201610322017A CN106039428B CN 106039428 B CN106039428 B CN 106039428B CN 201610322017 A CN201610322017 A CN 201610322017A CN 106039428 B CN106039428 B CN 106039428B
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- sputum
- sputum aspirator
- aspirator tube
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- suction sputum
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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
-
- 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)
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Abstract
A kind of intelligent sputum aspirator, case, sputum attraction collection device and sputum aspirator tube are changed including suction sputum detection warning device, suction sputum motion action arm, master controller, sputum aspirator tube cleaning, suction sputum detection warning device judges whether to need suction sputum for detection, sputum aspirator tube is pumped in the clamping of suction sputum motion action arm, and it is configured with the pressure inductor that pipe resistance is sent for detecting；Sputum aspirator tube cleaning changes subregion in case and places cleaning sputum aspirator tube and discarded sputum aspirator tube, sputum attracts have sputum collecting bottle in collection device, and it is configured with infrared detector, analyze suctioning out sputum, master controller receives various detection signals, and pushed away before controlling sputum aspirator tube, retreat, the action such as rotation, control the start and stop of negative pressure pump, the present invention can effectively realize that suction sputum operates, suction sputum position is not only limited to artificial airway's leading portion, deep suction sputum can effectively be realized, and patient's sputum is effectively avoided mutually to be polluted with suction sputum equipment, increase the situation of infection risk, reduce damage of the suction sputum operation to patients with respiratory tract mucous membrane.
Description
Technical field
The invention belongs to technical field of medical instruments, more particularly to a kind of intelligent sputum aspirator.
Background technology
The ciliated columnar epithelium and secretion that the defence mechanism of respiratory system is depended on tracheae and tunica mucosa bronchiorum are viscous
The goblet cell structure of liquid, the rhythmic motion from inside to outside of ciliated cell drive the particulate being deposited on mucous membrane to be arranged with mucus
Go out to throat, when mucus is piled into phlegm, then through cough reflex, excrete.Only in mucus cilia transportation function normal condition
Under, the secretion of distal end air flue could be transported to larger air flue, then removed by cough reflex.But for establishing
The patient of artificial airway such as trachea cannula or tracheal tube, artificial airway on the one hand ensure that air flue it is unobstructed, saved danger
The life of weight patient, the own cilium-mucus defense mechanism of respiratory system is seriously compromised but then, bacterium is added and determines
Put the generation with mechanical ventilationassociatepneumonia pneumonia.Need to attract to avoid sputum from accumulating by the external world for the patient of open artificial airway
Caused by harm.
Existing suction sputum operation is completed by Nurses, and nurse is assessing the suction sputum pointer of patient, determines patient's needs
After suction sputum, in sending sputum aspirator tube in air flue, the power that is hampered moves back 1 centimetre of pipe, opens negative pressure rotation and moves back pipe attraction sputum.But for carrier
The patient of work air flue, repeated multiple times suction sputum operation, occupies nurse's substantial amounts of working time, increases nurse job intensity daily.And
Between nurse and nurse, between the nurse of the especially different age and service seniority, operation has differences with technology, has acquistion for suction sputum operation
With the process of exercise.And suction sputum is a store period, improperly operates and easily patient is caused to damage.Therefore, it is badly in need of design
A kind of alternative nurse's suction sputum operation, mitigate nurse job intensity and the accurate phlegm sucking equipment for reducing complication for patients of operation.
Sputum aspirator disclosed in the A of the Chinese patent CN 104703646 and A of CN 103330981, its sputum aspirator tube are fixed on
Artificial airway bottom, artificial airway's front-end position is opened on, can not moved, be 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 opens negative pressure mode and attracts for timing or judged whether to need suction sputum according to airway pressure, does not meet in existing guide
The requirement that suction sputum is needed by patient proposed, airway pressure is only one that suction sputum is accused of, can not reasonably prompt suction sputum to need
Ask.
The content of the invention
The shortcomings that in order to overcome above-mentioned prior art, it is an object of the invention to provide a kind of intelligent sputum aspirator, takes up a job as a doctor
Learn angle close examination suction sputum process, extraction parameters, depth index, suction sputum effect is good, quality is high, control is accurate, it is with high safety,
It is homogeneous high.
To achieve these goals, the technical solution adopted by the present invention is：
A kind of intelligent sputum aspirator, including suction sputum detection warning device 1, suction sputum motion action arm 2, master controller 3, suction
Case 4 is changed in the cleaning of phlegm pipe, sputum attracts collection device 5 and sputum aspirator tube, wherein：
The suction sputum detection warning device 1 includes data processor 6, is connected by signal wire 39 with detection sensor device, institute
Detection sensor device is stated to visit using the camera of vision-based detection air flue endocrine and using the audio of sense of hearing detection gurgling weith sputum sound
Head；
The suction sputum motion action arm 2 includes multivariant manipulator, manipulator connection steering wheel, manipulator clamping suction sputum
Pipe, the pressure inductor 13 that pipe resistance is sent for detecting is provided with the front end of manipulator；
The sputum aspirator tube cleaning changes subregion in case 4 and places cleaning sputum aspirator tube and discarded sputum aspirator tube, and sputum aspirator tube cleaning is changed
The sputum aspirator tube lubrication for being contained with sterilized water for injection is set to rinse box 14 in case 4, the top that sputum aspirator tube lubrication rinses box 14 is set
There is sterilization nozzle 16；
The sputum attracts have sputum collecting bottle 17 in collection device 5, and sputum collecting bottle 17 passes through negative pressure pump and sputum aspirator tube
Connection, and bottleneck is provided with infrared detector 18；
The master controller 3 connects the data of the data processor 6, pressure inductor 13 and infrared detector 18
Output end, and push away, retreat before controlling it to the steering wheel output control signal of manipulator, rotating and start-stop, to negative pressure pump
Output control signal controls its start and stop.
In the detection sensor device, gurgling weith sputum sound is monitored using sound, and using the visible sputum of visual monitoring tracheal strips, when going out
Now ring sound and find visible sputum when, triggering suction sputum operation.
The audio detector is tone sensor, detects the pitch value of patient airway, and the detection sensor device also includes red
Outer light source and sensitive chip, the change of test patient airway's iuuminting degree is coordinated by infrared light supply and sensitive chip, works as appearance
In patient airway tone increase and meanwhile light transmittance weaken, and amplitude of variation exceed basic value 10% when, triggering alarm simultaneously opens
Suction sputum operates.
The data processor 6 is connected by signal wire 1 with life monitor, is connected by signal wire 28 and lung ventilator
Connect, Peak Inspiratory Pressure increase, pressure pattern air-breathing tide under lung ventilator volume flow ring is serrated waveform, lung ventilator capacity model
Tolerance reduces, blood oxygen saturation declines situation and then sends alarm, triggering suction sputum operation.
The manipulator is 4DOF.
When sputum aspirator tube rinses box 14 by sputum aspirator tube lubrication, negative pressure pump is opened, realizes that the lubrication of sputum aspirator tube and inside are clear
Wash, the sterilization nozzle 16 is connected with infra-red sensor switch 15, and when manipulator passes through, triggering infra-red sensor switch 15 opens
Dynamic sterilization nozzle 16, sprays thimerosal to the outside of sputum aspirator tube and manipulator
The sputum attracts collection device 5 to be arranged on the side that case 4 is changed in sputum aspirator tube cleaning.
The infrared detector 18 is monitored to the sputum for attracting, and is reported immediately once detecting red courageous and upright sputum
It is alert, stop the work of negative pressure pump.
Suction sputum operation program is preset built in the master controller 3, control the suction sputum motion action arm 2 send pipe speed
For 5~7cm/s, after the resistance run into when pressure inductor 13, which detects, send pipe reaches preset value, master controller 3 is to rudder
Machine output control signal, control machinery hand push again after sputum aspirator tube is rotated by 90 °, if resistance is opened still greater than preset value
Negative pressure pump starts suction sputum, and moves back pipe with 7~12cm/s speed, and during moving back pipe, pipe is moved back with 90 ° of rotation modes.
Compared with prior art, the beneficial effects of the invention are as follows：
1. suction sputum detects the suction that warning device attracts to propose in guide according to newest adult respiratory's endocrine both at home and abroad
Phlegm index, comprehensive detection bubble, air flue endocrine, Peak Inspiratory Pressure, tidal volume, blood oxygen saturation, lung ventilator sawtooth sample ripple
Shape, cough reflex many index, comprehensive pre-warning, timely and effectively realize that suction sputum operates, suction sputum quality high effect is good.
2. suction sputum operating robotic arm and master controller, parameter setting, can be effective accurately based on clinical practice practice operation
Realize that suction sputum operates.Sputum aspirator tube, rather than the design that suction sputum pipeline is fixed under artificial airway, suction sputum position are pinched by mechanical arm
Artificial airway's leading portion is not only limited to, can effectively realize deep suction sputum.
3. case is changed in sputum aspirator tube cleaning, standby sputum aspirator tube is changed case and sputum aspirator tube and set with the sterilization of suction sputum mechanical arm nozzle cleaning
Meter can effectively avoid patient's sputum from mutually being polluted with suction sputum equipment, increase the situation of infection risk.
4. sputum attracts collection device bottleneck to be monitored provided with infrared observation device to the sputum for attracting, once monitoring
Go out red courageous and upright sputum to alarm immediately, attract negative pressure to stop.Reduce damage of the suction sputum operation to patients with respiratory tract mucous membrane.
Brief description of the drawings
Fig. 1 is the structural representation of suction sputum system of the present invention.
Fig. 2 is that the suction sputum of the present invention detects the structural representation of warning device.
Fig. 3 is the structural representation of the suction sputum operating robotic arm of the present invention.
Fig. 4 is that the structural representation of case is changed in the sputum aspirator tube cleaning of the present invention.
Embodiment
Describe embodiments of the present invention in detail with reference to the accompanying drawings and examples.
As shown in figure 1, a kind of intelligent sputum aspirator, including suction sputum detection warning device 1, suction sputum motion action arm 2, center
Controller 3, sputum aspirator tube cleaning change case 4, sputum attracts collection device 5 and sputum aspirator tube.Wherein：
Suction sputum detects the suction sputum that warning device 1 attracts to propose in guide according to newest adult respiratory's endocrine both at home and abroad
Index, comprehensive detection bubble, air flue endocrine, Peak Inspiratory Pressure, tidal volume, blood oxygen saturation, lung ventilator sawtooth sample waveform,
Cough reflex many index, comprehensive pre-warning.Suction sputum early warning is sent when an index reaches preset value.It includes data processor
6, data processor 6 is connected by signal wire 39 with detection sensor device, and detection sensor device is located in artificial airway, including tone
Sensor detects the pitch value of patient airway, and the change of test patient airway's iuuminting degree is coordinated by infrared light supply and sensitive chip
Change, when occur tone in patient airway increase simultaneously light transmittance weaken, and amplitude of variation exceed basic value 10% when triggering report
Alarm device is opened；
Meanwhile data processor 6 is also connected by signal wire 1 with life monitor, pass through signal wire 28 and lung ventilator
Connection, Peak Inspiratory Pressure increase, pressure pattern air-breathing under lung ventilator volume flow ring is serrated waveform, lung ventilator capacity model
Tidal volume reduces, blood oxygen saturation declines situation and then sends alarm, triggering suction sputum operation.
Suction sputum detection the leading flank of warning device 1 on have touch screen display board 10, can real alarm project and numerical value and adjust set
Parameters index is put, and has switch key 11 and silence switch 12.
Suction sputum motion action arm 2 includes the manipulator of 4DOF, manipulator connection steering wheel, manipulator clamping sputum aspirator tube, height
Simulation implementation simulation nurse suction sputum operation is spent, implements to be automatically fed into sputum aspirator tube and sends out the action of sputum aspirator tube.Before manipulator
End is provided with the pressure inductor 13 that pipe resistance is sent for detecting；Resistance is sensed when being sent into sputum aspirator tube, that is, rotates back to and keeps out of the way
Exempt from the damage to patient, its various command signal is sent by central controller 3.
Sputum aspirator tube cleaning change case 4 be used for meet open sputum aspirator tube one changed with one and using it is front and rear need flushing requirement,
Case Inner Front End is used to place cleaning sputum aspirator tube, and discarded sputum aspirator tube is placed in rear end.The suction for being contained with sterilized water for injection is set in case
Phlegm pipe lubrication rinses box 14, when sputum aspirator tube leading portion rinses box 14 by sputum aspirator tube lubrication, opens negative pressure pump and realizes sputum aspirator tube
Lubrication and internal washing.The top that sputum aspirator tube lubrication rinses box 14 is provided with sterilization nozzle 16, and sterilization nozzle 16 is connected with infrared
Line inductive switch 15, when manipulator passes through, triggering infra-red sensor switch 15 starts sterilization nozzle 16, to the outside of sputum aspirator tube
And manipulator injection thimerosal, realize the sterilization of sputum aspirator tube and manipulator.
Sputum attracts collection device 5 to be connected with sputum aspirator tube cleaning replacing case 4, realizes changing certainly for sputum aspirator tube.
Sputum attracts have sputum collecting bottle 17 in collection device 5, and sputum collecting bottle 17 is connected by negative pressure pump with sputum aspirator tube
And bottleneck is provided with infrared detector 18；Sputum is attracted in sputum collecting bottle 17 under the work of negative pressure pump, it is infrared
Thread detector 18 is monitored to the sputum for attracting, and is alarmed immediately once detecting red courageous and upright sputum, is attracted negative pressure to stop.
Master controller 3 connects the data output of the data processor 6, pressure inductor 13 and infrared detector 19
End, and push away, retreat before controlling it to the steering wheel output control signal of manipulator, rotating and start-stop, exported to negative pressure pump
Control signal controls its start and stop, specifically, presets suction sputum operation program built in master controller 3, sputum aspirator tube pass in and out speed according to
The actual operational speed that clinic is collected into, inlet pipe speed control between 5~7cm/s,
After the resistance run into when pressure inductor 13, which detects, send pipe reaches preset value, master controller 3 is to steering wheel
Output control signal, control machinery hand push again after sputum aspirator tube is rotated by 90 °, if resistance is opened negative still greater than preset value
Press pump starts suction sputum, and moves back pipe with 7~12cm/s speed rotation, to realize that the complete simulation of artificial suction sputum operation is simulated.
The external control and regulation plate of master controller 3, the action of Comprehensive Control suction sputum are implemented.Various control pattern is realized, entirely certainly
Dynamic model formula：Reminded according to suction sputum demand prior-warning device, automatically voluntarily attract sputum pattern.Semiautomatic-mode：Nursing staff's root
According to patient profiles are assessed after warning reminding, judge whether to need suction sputum, determine that patient opens sputum aspirator switch after needing suction sputum,
Attracted.Control panel can accurate adjustment vacuum extractor negative pressure.
The specific work process of the present invention：
After suction sputum detection warning device 1 detects the suction sputum demand of patient, alarm, automatic start or medical personnel are sent
Start after judgement, suction sputum motion action arm 2 grips sputum aspirator tube cleaning and changes clean sputum aspirator tube in case, lubricates and rinses by sputum aspirator tube
Box 14 opens negative pressure examination and attracts sterilized water for injection 1s, by sterilizing the infra-red sensor switch region of nozzle 16, 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
Somewhat retracted after being sent pipe resistance, then with 90 ° of angle, rotation push sputum aspirator tube.When meeting obstructions again, open negative pressure and inhale
Phlegm, with 90 ° of angle rollback sputum aspirator tubes.After exiting artificial airway, the infrared ray sense of the sterilization nozzle 16 by discarding suction sputum bobbin carriage
Inductive switch region, put discarded sputum aspirator tube aside after rinsing sputum aspirator tube, negative-pressure suction pipe is connected with cleaning sputum aspirator tube.
Claims (9)
- A kind of 1. intelligent sputum aspirator, it is characterised in that including suction sputum detection warning device (1), suction sputum motion action arm (2), Master controller (3), sputum aspirator tube cleaning change case (4), sputum attracts collection device (5) and sputum aspirator tube, wherein：The suction sputum detection warning device (1) includes data processor (6), and data processor (6) is by signal wire three (9) with visiting Inductor connection is surveyed, the detection sensor device is detected using the camera of vision-based detection air flue endocrine and using the sense of hearing The audio detector of gurgling weith sputum sound；The suction sputum motion action arm (2) includes multivariant manipulator, manipulator connection steering wheel, manipulator clamping suction sputum Pipe, the pressure inductor (13) that pipe resistance is sent for detecting is provided with the front end of manipulator；The sputum aspirator tube cleaning changes subregion in case (4) and places cleaning sputum aspirator tube and discarded sputum aspirator tube, and case is changed in sputum aspirator tube cleaning (4) the sputum aspirator tube lubrication for being contained with sterilized water for injection is set to rinse box (14) in, sputum aspirator tube lubrication rinses the top of box (14) It is provided with sterilization nozzle (16)；The sputum attracts have 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)；It is defeated that the master controller (3) connects the data output end of the data processor (6), the data of pressure inductor (13) Go out the data output end of end and infrared detector (18), and the folder of the steering wheel output control signal control machinery hand to manipulator Take, it is preceding push away, retreat, rotating and start-stop, control its start and stop to negative pressure pump output control signal.
- 2. intelligent sputum aspirator according to claim 1, it is characterised in that in the detection sensor device, monitored using sound Gurgling weith sputum sound, and utilize the visible sputum of visual monitoring tracheal strips, when ring sound occur and finding visible sputum, triggering suction sputum operation.
- 3. intelligent sputum aspirator according to claim 1, it is characterised in that the audio detector is tone sensor, detection The pitch value of patient airway, the detection sensor device also include infrared light supply and sensitive chip, pass through infrared light supply and photosensitive core Piece coordinates the change of test patient airway's iuuminting degree, increases light transmittance decrease simultaneously when there is tone in patient airway, and thoroughly When luminosity decrease amplitude of variation exceedes the 10% of basic value, triggering, which is alarmed, simultaneously opens suction sputum operation.
- 4. intelligent sputum aspirator according to claim 1, it is characterised in that the data processor (6) passes through signal wire one (7) it is connected with life monitor, is connected by signal wire two (8) with lung ventilator, when lung ventilator volume flow ring is serrated ripple Peak Inspiratory Pressure increase, the reduction of pressure pattern air-breathing tidal volume or blood oxygen saturation decline situation then under shape, lung ventilator capacity model Send alarm, triggering suction sputum operation.
- 5. intelligent sputum aspirator according to claim 1, it is characterised in that the manipulator is 4DOF.
- 6. intelligent sputum aspirator according to claim 1, it is characterised in that when sputum aspirator tube rinses box by sputum aspirator tube lubrication (14) when, negative pressure pump is opened, realizes the lubrication and internal washing of sputum aspirator tube, the sterilization nozzle (16) is connected with infrared induction Switch (15), when manipulator passes through, triggering infra-red sensor switch (15) starts sterilization nozzle (16), to the outside of sputum aspirator tube And manipulator injection thimerosal.
- 7. intelligent sputum aspirator according to claim 1, it is characterised in that the sputum attracts collection device (5) to be arranged on The side of case (4) is changed in sputum aspirator tube cleaning.
- 8. intelligent sputum aspirator according to claim 1, it is characterised in that the infrared detector (18) is to attracting what is Sputum is monitored, and is alarmed immediately once detecting red courageous and upright sputum, is stopped the work of negative pressure pump.
- 9. intelligent sputum aspirator according to claim 1, it is characterised in that suction sputum is preset built in the master controller (3) Operation program, the pipe speed of sending for controlling the suction sputum motion action arm (2) is 5~7cm/s, when pressure inductor (13) detects After the resistance send during pipe, run into reaches preset value, master controller (3) will to steering wheel output control signal, control machinery hand Sputum aspirator tube pushes again after being rotated by 90 °, if resistance starts suction sputum still greater than preset value, unlatching negative pressure pump, and with 7~12cm/s Speed move back pipe, during moving back pipe, move back pipe in a rotative pattern.
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| Application Number | Priority Date | Filing Date | Title |
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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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| CN106039428A CN106039428A (en) | 2016-10-26 |
| CN106039428B true CN106039428B (en) | 2018-03-16 |
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| CN107281560A (en) * | 2017-05-17 | 2017-10-24 | 扬州大学 | Full-automatic sputum aspirator |
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| CN110779922B (en) * | 2019-11-19 | 2021-11-26 | 牡丹江医学院 | Sputum collection and analysis integrated device for internal medicine |
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| CN112451821B (en) * | 2020-11-30 | 2021-10-15 | 卢雯 | Automatic air flue management system |
| CN113082317B (en) * | 2021-04-12 | 2023-04-25 | 中国科学院大学宁波华美医院 | Intelligent full-automatic sputum aspirator |
| CN113209430A (en) * | 2021-04-15 | 2021-08-06 | 深圳市安保科技有限公司 | Respirator control method with sputum excretion function and respirator |
| 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 |
| CN114404693B (en) * | 2022-01-26 | 2024-04-02 | 中国人民解放军陆军军医大学第一附属医院 | Sputum aspirator of suction intelligent regulation |
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| CN103330981A (en) * | 2013-07-04 | 2013-10-02 | 山东大学齐鲁医院 | Automatic sputum suction type artificial airway and sputum suction system with same |
| CN204261106U (en) * | 2014-12-01 | 2015-04-15 | 潍坊医学院 | The automatic sputum aspirator of critically ill patient |
| CN104548222A (en) * | 2014-12-30 | 2015-04-29 | 宁波卫生职业技术学院 | Sputum suction apparatus |
| CN204542986U (en) * | 2014-12-30 | 2015-08-12 | 宁波卫生职业技术学院 | A kind of sputum aspirator |
| CN105126218A (en) * | 2015-08-31 | 2015-12-09 | 李庆喜 | Automatic sputum suction machine |
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