CN106730219A - Intelligent rehabilitation lung ventilator - Google Patents

Intelligent rehabilitation lung ventilator Download PDF

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Publication number
CN106730219A
CN106730219A CN201611118269.5A CN201611118269A CN106730219A CN 106730219 A CN106730219 A CN 106730219A CN 201611118269 A CN201611118269 A CN 201611118269A CN 106730219 A CN106730219 A CN 106730219A
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China
Prior art keywords
patient
lung ventilator
air
gas
flow
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CN201611118269.5A
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CN106730219B (en
Inventor
韩宁
冯冰
金涛
周宗仁
胡淼
李齐良
周雪芳
曾然
魏振
魏一振
钱正丰
毕美华
杨国伟
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Hangzhou Dianzi University
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Hangzhou Dianzi University
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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
    • A61M16/06Respiratory or anaesthetic masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/087Measuring breath flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • 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
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/201Controlled valves
    • A61M16/202Controlled valves electrically actuated
    • 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
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Physiology (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Magnetic Treatment Devices (AREA)

Abstract

The present invention proposes a kind of lung ventilator that patient is lost for part respiratory function, including oxygen mask, mainframe box and WINCE industrial control boards.The intensity of its air-flow according to produced by the patient's current autonomous respiration for detecting, and then trigger matched secondary air, and the moment is synchronous with the holding of patient respiratory frequency, patient's autonomous respiration ability that doctor can detect according to lung ventilator carries out real-time parameter regulation, can ensure that patient can be in the matching stream condition of suitable strength always, such that it is able to realize intelligentized control method to the secondary air rhythm and intensity produced by lung ventilator.Present invention mainly solves two problems:One be that solve cannot the current desired optimal secondary air intensity of real-time judge patient, it is to avoid the different degrees of injury of lungs phenomenon that single standard is caused to patient;Two can be to carry out assisted ventilation in strict accordance with the respiratory rate of detected patient, so as to avoid man-machine uncoordinated problem.

Description

Intelligent rehabilitation lung ventilator
Technical field
The present invention proposes a kind of intelligent rehabilitation lung ventilator, belongs to medical equipment technological field.
Background technology
Lung ventilator is a kind of medicine equipment of the most frequently used auxiliary Rehabilitation in clinical medicine, according to mechanical ventilation principle Develop.China's lung ventilator is started late, and at present, domestic lung ventilator is technically most of to be in using for reference and imitating state Outer product technology, in terms of service quality, especially in reliability, lags behind developed countries, so country is very heavy Depending on the innovation and research of lung ventilator technology.Existing lung ventilator can be largely classified into two major classes according to ventilating mode:Stress control leads to Gas and volume controlled ventilation.
Pressure controlled ventilation pattern is mainly using airway pressure as handoff parameter.Lung ventilator produces air-flow to enter breathing Road, makes alveolar ectasia, and chest, lung are extended, and pressure is constantly raised in respiratory tract, and after reaching scheduled pressure value, air-flow terminates, and switchs to Exhale, now intra-airway pressure constantly declines, and reaches a predetermined value, and air-flow occurs again.Its advantage is to reduce PIP, is subtracted It is few to cause dangerous probability due to airway pressure;Gas distribution uniform, can improve gas exchanges.But its tidal volume can not be protected Card, is particularly easy to cause patient-ventilator asynchrony problem.
Volume controlled ventilation pattern is main using capacity as handoff parameter.Lung ventilator breathes default tidal volume by people Lung is sent into road, and it ensures in predetermined pressure limit, and tidal volume is not influenceed by respiratory dynamics and airway resistance change. Its advantage is can to provide accurate tidal volume according to preset value, does not result in the excessive or very few phenomenon of ventilation, also will not be with The change of PFT and change.For from combination property and control effect, better than pressure controlled ventilation pattern.
But all there are two total defects in which type of lung ventilator.One is no specific aim, to different Patient and different pathological states all carry out assisted respiartion with single control parameter, and hypoventilation often so occurs Or excessive ventilation phenomenon, different degrees of injury of lungs is caused to patient;Another is man-machine uncoordinated phenomenon, patient respiratory frequency Assisted ventilation frequency from lung ventilator is different, so can bring great pain for patient.
The content of the invention
In order to overcome the above not enough, the present invention proposes a kind of intelligent rehabilitation lung ventilator.
The technical solution adopted for the present invention to solve the technical problems is:
The present invention includes oxygen mask, mainframe box and WINCE industrial control boards.
Described oxygen mask is exactly medical oxygen mask, is connected for the mouth and nose with patient, and lung ventilator is trouble by it Person carries out assisted ventilation.
Described mainframe box can be divided into Switching Power Supply, source of the gas, sensor, air guide chamber, magnetic valve and information processing mould Block.Switching Power Supply as transformer, for system provides suitable voltage;Source of the gas provides air-flow for system;Air guide chamber is used for air guide, For all parts of connection system;Sensor is used for acquisition system air-flow velocity intensity and pressure;Magnetic valve is used as system The discharge control of interior gas, is core component;Described message processing module includes USB6009 information acquisition cards and amplifies electricity Road, i.e., be amplified and analog-to-digital conversion process for the signal for collecting sensor, and signal is ultimately delivered to WINCE works Concentration analyzing and processing is carried out in control plate.
Described WINCE industrial control boards are microcomputer.In the present invention, the Labview by being installed in industrial control board Software carries out information processing, instruction control and working condition, the displaying of system performance index to system.Simultaneously because industrial control board Small volume, portability preferably, can to its it is further expansion realize remote control so that doctor to patient monitoring more and When, convenience.
Current rate of the present invention according to produced by the current autonomous respiration of patient for detecting, and then trigger matched Secondary air, and the moment is synchronous with the holding of patient respiratory frequency, it is to avoid patient-ventilator asynchrony problem, doctor can be according to lung ventilator The patient's autonomous respiration ability for detecting carries out real-time parameter regulation, it is ensured that patient can be in suitable strength always Matching stream condition, such that it is able to realize intelligentized control method to the secondary air rhythm and intensity produced by lung ventilator.
Brief description of the drawings
Fig. 1 is apparatus of the present invention structure chart;
Fig. 2 is mainframe box cut-away view of the present invention;
Fig. 3 a and Fig. 3 b are magnetic valve schematic diagram of the present invention;
Fig. 4 is invention software monitoring interface figure.
Specific embodiment
The present invention is further described with reference to the accompanying drawings and examples.
As shown in figure 1, being apparatus of the present invention structure chart.Intelligent rehabilitation lung ventilator can be divided into three parts:Part I is The oxygen mask 1 of the model ComfortGel Blue provided by Philip Acoba L. L. C., the mask attached gel technology, surely It is fixed, comfortable, with 360 degree of turning glands, increase the free degree of wearer;Part II is the design of Guangzhou Luo Gang industry controls company The WINCE industrial control boards 3 of model WLT_0431, industrial control board CPU is Samsung S3C2416, ARM9 framework, and dominant frequency is 400MHz, With data processing speed higher, while there is 3 road network communication serial ports, two-way peripheral hardware serial ports can support that various exploitations are soft Part, such as Visual Studio, EVC++ and Labview, its extended capability are stronger;Part III is mainframe box 2.Work as system When starting running, mainframe box 2 is detected to patient's autonomous respiration intensity, in transferring information to industrial control board 3, using 2014 editions The program that this Labview softwares are write is analyzed treatment to it, and makes corresponding instruction according to analysis result.Realize certainly Dynamic detection, the function of Based Intelligent Control.
As shown in Fig. 2 being mainframe box cut-away view of the invention.Intelligent rehabilitation lung ventilator mainframe box internal structure is main Consist of the following components:
1) the western SA5012 Switching Power Supplies 4 of morals power, AC-input voltage is 85~132 and 170~264, can be selected by switch Select, with reliable and stable 12VDC output voltages;
2) the WS7040-24-V200N air blowers source of the gas 5 of ripples Dongguo electromechanics Co., Ltd production, the blower fan is rolled using NMB Pearl bearing, with service life and low noise more long, air quantity stabilization, highest confining pressure up to 6Kpa, air output than larger, Maximum open air quantity reaches 200L/min, and motor is three-phase direct-current brushless structure, windage is reduced, while there are three Hall units inside Part, sensitivity is high, and driving circuit of brushless electric machine is external, is easy to be connected with other equipment;
3) model AWM700 and the 26PCA sensing device 6 of .Honywell companies design, the former is at feature:Maximum stream flow Value can keep high stability up to 200SLPM, zero-bit with full scale, and encapsulation is compact, and sealing is good, is not in gas leakage Situation, extremely low hysteresis and repeatability error, less than the 0.35% of reading, the response time is short, relatively sensitiveer, usually 6ms, Power consumption is relatively low, is 60mW to the maximum;The latter's feature is:Maximum range be ± 1psi (about ± 68cmH2O), resolution ratio be better than 0.03% FSS (full scale), with high burst pressure force characteristic, more than up to 415inH2O (1034mbar), in different rings Sensitivity higher can also be kept under border, to installation direction and all no requirement (NR)s whether is vibrated, small volume, area occupied is small;
4) air guides chamber 7, i.e., for air guide and connection various pieces;
5) magnetic valve 8 of independent developments, according to electromagnetism perception principle autonomous Design, rated voltage is 12V, with higher Sensitivity;
6) message processing modules 9, with reference to integrated circuit knowledge, the amplifying circuit and AD conversion module of design.
Its course of work is:Switching Power Supply 4 is powered for message processing module 9, and message processing module 9 is according to from industry control The instruction that the main program of plate 3 is given, domination source of the gas 1, sensing device 6 and magnetic valve 8 are worked in order, and air guide chamber 7 is used as connection System all parts and the effect of air-flow conducting.
As shown in Figure 3 a and Figure 3 b shows, it is magnetic valve schematic diagram of the invention.Its structure can be divided into air guide interface tube 10, sky Heart magnet 11, slide coil 12, hollow pipe 13 and shell 13.Wherein the left side of hollow magnet 11 with outside air guide interface tube 10 Communicate, right side communicates with hollow pipe 13;The right side of hollow pipe 13 is closing, and an aperture is provided with its side wall, just with Magnetic valve venthole 15 is relative.The course of work of magnetic valve is:When energized, due to electromagnetic induction, slide coil 12 is pulled to Right side, the venthole 15 between the side wall of hollow pipe 13 and shell 14 is blocked, it is ensured that air-flow will not flow out, and realizes the work(of choked flow Can, see Fig. 3 a;When power is off, slide coil 12 returns to initial position, and now, air-flow is flowed into by outside air guide interface tube 10, leads to Hollow magnet 11 and hollow pipe 13 are crossed, is flowed out by the side wall aperture of hollow pipe 13, finally discharged in venthole 15, realized through-flow Function, is shown in Fig. 3 b.
As shown in figure 4, being invention software monitoring interface figure.Interface left part is reality when being run for observing system When performance curve, contribute to supervisor's state of an illness state to patient at that time to get information about;Right side is control parameter, can be with root The actual conditions for arriving according to observations, corresponding adjustment is made to lung ventilator.
The workflow of intelligent rehabilitation lung ventilator is:When system brings into operation, detect from the oxygen being connected with patient's mouth and nose Derived current rate in gas mask, detects current rate if zero, that is, do not have autonomous respiration ability, then just it is set Determining doctor's advice parameter carries out assisted respiartion;If detecting current rate to be not zero, that is, there is autonomous respiration ability, accordingly, system meeting The signal that will be detected is amplified and analog-to-digital conversion by mainframe box, is sent in WINCE industrial control boards and is processed, while meeting Instruction is sent, is allowed mainframe box to arrange source of the gas and is sent with the secondary air intensity matched with current patents' autonomous respiration ability Gas, now system formally supplied gas state into auxiliary.When not detecting actual tidal volume and set target tidal volume not Timing, system can automatically adjust the air inlet intensity of source of the gas, eventually keep the tidal volume of stabilization to be supplied gas.

Claims (3)

1. intelligent rehabilitation lung ventilator, including oxygen mask, mainframe box and WINCE industrial control boards, it is characterised in that:Described mainframe box Detection derived current rate from the oxygen mask being connected with patient's mouth and nose, detects current rate if zero, that is, do not have There is autonomous respiration ability, then doctor's advice parameter is just set to it carries out assisted respiartion;If detecting current rate to be not zero, i.e., There is autonomous respiration ability, then the signal that will be detected is amplified and analog-to-digital conversion by mainframe box, be sent to WINCE industrial control boards In processed, while instruction can be sent, allow mainframe box to arrange source of the gas with auxiliary with what current patents' autonomous respiration ability matched Current rate is helped to be supplied gas, it is now formal to be supplied gas state into auxiliary;When detecting actual tidal volume with set mesh When mark tidal volume is mismatched, the air inlet intensity of source of the gas is automatically adjusted, eventually keep the tidal volume of stabilization to be supplied gas.
2. intelligent rehabilitation lung ventilator according to claim 1, it is characterised in that:Described mainframe box include Switching Power Supply, Source of the gas, sensor, air guide chamber, magnetic valve and message processing module;Switching Power Supply as transformer, for lung ventilator is provided properly Voltage;Source of the gas provides air-flow;Air guide chamber is used for air guide;Sensor is used for gathering air-flow velocity intensity and pressure;Magnetic valve As the discharge controlling part of gas;Message processing module includes USB6009 information acquisition cards and amplifying circuit, i.e., for inciting somebody to action The signal that sensor is collected is amplified and analog-to-digital conversion process, and signal is ultimately delivered in WINCE industrial control boards carries out Concentrate analyzing and processing.
3. intelligent rehabilitation lung ventilator according to claim 2, it is characterised in that:Described magnetic valve connects including wireway Mouth, hollow magnet, slide coil, hollow pipe and shell;Wherein the left side of hollow magnet communicates with the air guide interface tube of outside, right Side communicates with hollow pipe;Hollow pipe right side is closing, and an aperture is provided with its side wall, just with shell on electromagnetism Valve venthole is relative;During energization, due to electromagnetic induction, slide coil is pulled to right side, by between side wall of hollow pipe and shell Magnetic valve venthole is blocked, it is ensured that air-flow will not flow out, and realizes the function of choked flow;During power-off, slide coil returns to initial bit Put, now, air-flow is flowed into by outside air guide interface tube, by hollow magnet and hollow pipe, is flowed out by side wall of hollow pipe aperture, most Discharged in magnetic valve venthole eventually, realize through-flow function.
CN201611118269.5A 2016-12-07 2016-12-07 Intelligent rehabilitation ventilator Active CN106730219B (en)

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CN106730219B CN106730219B (en) 2018-12-07

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111467621A (en) * 2020-05-06 2020-07-31 杨东明 Multifunctional chronic obstructive pulmonary disease rehabilitation training device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2325548Y (en) * 1997-12-26 1999-06-23 胡英杰 Electromagnetic water pump
CN102451506A (en) * 2010-10-19 2012-05-16 袁含光 Method and device for controlling airflow of respirator
CN102655903A (en) * 2009-12-15 2012-09-05 皇家飞利浦电子股份有限公司 System and method for supporting sub-physiologic and physiologic tidal volumes in spontaneous or non-spontaneous breathing during high frequency ventilation
CN104874055A (en) * 2014-02-28 2015-09-02 北京谊安医疗系统股份有限公司 Respirator
CN105381526A (en) * 2015-12-08 2016-03-09 杭州电子科技大学 Intelligent outflow resistance switching simulation breathing apparatus

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2325548Y (en) * 1997-12-26 1999-06-23 胡英杰 Electromagnetic water pump
CN102655903A (en) * 2009-12-15 2012-09-05 皇家飞利浦电子股份有限公司 System and method for supporting sub-physiologic and physiologic tidal volumes in spontaneous or non-spontaneous breathing during high frequency ventilation
CN102451506A (en) * 2010-10-19 2012-05-16 袁含光 Method and device for controlling airflow of respirator
CN104874055A (en) * 2014-02-28 2015-09-02 北京谊安医疗系统股份有限公司 Respirator
CN105381526A (en) * 2015-12-08 2016-03-09 杭州电子科技大学 Intelligent outflow resistance switching simulation breathing apparatus

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111467621A (en) * 2020-05-06 2020-07-31 杨东明 Multifunctional chronic obstructive pulmonary disease rehabilitation training device

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