CN108652688A - A kind of pneumoperitoneum apparatus and its voltage stabilizing control method with voltage stabilizing function - Google Patents

A kind of pneumoperitoneum apparatus and its voltage stabilizing control method with voltage stabilizing function Download PDF

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Publication number
CN108652688A
CN108652688A CN201810853240.4A CN201810853240A CN108652688A CN 108652688 A CN108652688 A CN 108652688A CN 201810853240 A CN201810853240 A CN 201810853240A CN 108652688 A CN108652688 A CN 108652688A
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pressure
valve
control unit
pressure sensor
air
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CN108652688B (en
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曹俊文
胡多传
殷黎云
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Eagle View Medical Technology Co Ltd
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Eagle View Medical Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281Abdominal wall lifters
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F17STORING OR DISTRIBUTING GASES OR LIQUIDS
    • F17DPIPE-LINE SYSTEMS; PIPE-LINES
    • F17D1/00Pipe-line systems
    • F17D1/02Pipe-line systems for gases or vapours
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F17STORING OR DISTRIBUTING GASES OR LIQUIDS
    • F17DPIPE-LINE SYSTEMS; PIPE-LINES
    • F17D3/00Arrangements for supervising or controlling working operations
    • F17D3/01Arrangements for supervising or controlling working operations for controlling, signalling, or supervising the conveyance of a product
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F17STORING OR DISTRIBUTING GASES OR LIQUIDS
    • F17DPIPE-LINE SYSTEMS; PIPE-LINES
    • F17D3/00Arrangements for supervising or controlling working operations
    • F17D3/18Arrangements for supervising or controlling working operations for measuring the quantity of conveyed product

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Engineering & Computer Science (AREA)
  • Mechanical Engineering (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Endoscopes (AREA)

Abstract

The present invention relates to a kind of pneumoperitoneum apparatus with voltage stabilizing function, including pressure-reduction module, proportioning valve, control unit, air bleeding valve, switch valve, first pressure sensor and second pressure sensor;Further include flow monitoring unit, port corresponding with flow monitoring unit is connected respectively for the proportioning valve, switch valve and air bleeding valve, and flow monitoring unit is electrically connected with control unit.The present invention is then sent in control unit by flow monitoring unit monitoring human abdominal cavity actual pressure and is handled, and it is compared with abdominal cavity actual pressure according to the abdominal pressure of setting by control unit, regulate and control the opening and closing of proportioning valve or air bleeding valve, and it corresponds to and carries out gas injection or exhaust, the voltage stabilizing control method of the present invention is instead of the technical solution for utilizing single baroceptor to judge operative space air pressure size in prior art, not only overcome and sees in prior art delay effect caused by sensor and proportioning valve, and barometric error is small, and the stability of pressure control might as well, facilitate the operation of doctor.

Description

A kind of pneumoperitoneum apparatus and its voltage stabilizing control method with voltage stabilizing function
Technical field
The present invention relates to a kind of pneumoperitoneum apparatus, and in particular to a kind of pneumoperitoneum apparatus and its voltage stabilizing controlling party with voltage stabilizing function Method.
Background technology
In Minimally Invasive Surgery, since the organ of human body or its hetero-organization press together, not enough spaces Observation and operation, just need pneumoperitoneum apparatus to provide air pressure this when, and inner cavity is supportted greatly, in order to provide suitable operative space and hand The art visual field, air pressure it is unstable, can bring it is soft tissue be subjected to displacement with the variation of air pressure, influence doctor to operative site The judgement of exact position, excessively high air pressure can bring some patientss and seriously affect.Existing routine pneumoperitoneum apparatus, air pressure fluctuation Greatly, therefore, it is provided with higher air pressure, enough operative spaces are provided also to meet in the low ebb of air pressure fluctuation.In order to Ensure that the safety of operation, the stability for the air pressure that pneumoperitoneum apparatus provides are even more important.
For pneumoperitoneum apparatus, the pneumoperitoneum apparatus in prior art is all to judge operative space using single baroceptor at present The size of air pressure, and gas injection or tonifying Qi are carried out according to this judgement control proportioning valve.But due to the delay of sensor and proportioning valve The barometric error of effect, this voltage stabilizing control method is larger, and the stability of pressure control is also poor, it has not been convenient to the hand of doctor Art.
Invention content
The purpose of the present invention is:It provides one kind to be not only simple in structure, and barometric error is smaller, it is ensured that stable gas pressure, And facilitate the pneumoperitoneum apparatus and its voltage stabilizing control method with voltage stabilizing function of surgical.
In order to achieve the above object, first technical solution of the invention is:A kind of pneumoperitoneum apparatus with voltage stabilizing function, packet Pressure-reduction module, proportioning valve, control unit, air bleeding valve, switch valve, first pressure sensor and second pressure sensor are included, it is described The inlet end of pressure-reduction module is connected to air source, and its outlet side is connected with the inlet end of proportioning valve, the first pressure sensing Device is located on the pipeline that pressure-reduction module is connected to air source, the proportioning valve, first pressure sensor and second pressure sensor point Connecting pin electrical connection not corresponding with control unit, the outlet side of the air bleeding valve are connected with air, the outlet side of switch valve It is connected to human abdominal cavity;Its innovative point is:
Further include flow monitoring unit, the proportioning valve, switch valve and air bleeding valve port corresponding with flow monitoring unit respectively It is connected, and the connecting pin electrical connection corresponding with control unit of flow monitoring unit.
In above-mentioned first technical solution, the flow monitoring unit include pressure difference filter core, third pressure sensor and 4th pressure sensor, the outlet side of the proportioning valve and the inlet end of air bleeding valve are connected with pressure difference filter core simultaneously, pressure difference filter The outlet side of core is connected with the inlet end of switch valve, and the third pressure sensor is located at what proportioning valve was connected to pressure difference filter core On pipeline, and the connecting pin electrical connection corresponding with control unit of third pressure sensor, the 4th pressure sensor are located at pressure On the pipeline that poor filter core is connected to switch valve, and the connecting pin electrical connection corresponding with control unit of the 4th pressure sensor.
In above-mentioned first technical solution, the pressure-reduction module includes one-level pressure relief valve and second depressurized valve, and described one The inlet end of grade pressure reducing valve is connected with air source, and outlet side is connected with the inlet end of second depressurized valve, the second depressurized valve Outlet side be connected with the inlet end of proportioning valve, the first pressure sensor is located at the one-level pressure relief valve and gas of pressure-reduction module On the pipeline of source connection.
In order to achieve the above object, second technical solution of the invention is:A kind of voltage stabilizing control method of pneumoperitoneum apparatus, packet Include pneumoperitoneum apparatus, the pneumoperitoneum apparatus include pressure-reduction module, proportioning valve, control unit, air bleeding valve, switch valve, first pressure sensor, Second pressure sensor and flow monitoring unit, the inlet end of the pressure-reduction module are connected to air source, and its outlet side and ratio The inlet end of valve is connected, and the first pressure sensor is located on the pipeline that pressure-reduction module is connected to air source, the proportioning valve, Connecting pin electrical connection corresponding with control unit, the air bleeding valve go out respectively for first pressure sensor and second pressure sensor Gas end is connected with air, and the outlet side of switch valve is connected to human abdominal cavity, the proportioning valve, switch valve and air bleeding valve respectively with The corresponding port of flow monitoring unit is connected, and the connecting pin electrical connection corresponding with control unit of flow monitoring unit;
Its innovative point is:The specific steps of pneumoperitoneum apparatus voltage stabilizing control are successively:
Step a, gas injection for the first time, detailed process are:
A1, human body air pressure P1 is output to by described control unit setting,
A2, air source is sent to pressure-reduction module and is depressurized, the actual pressure of air source air pressure is monitored by the first pressure sensor, if gas The actual pressure of source gas pressure is less than 200Kp, then alarms, and described control unit forbids opening proportioning valve gas injection,
A3, described control unit open proportioning valve and switch valve, and start gas injection timing, are then turned on the monitoring of flow monitoring unit Real-time traffic V,
Described control unit obtains actual human body abdominal cavity air pressure P2 in real time, if air pressure P2 in actual human body abdominal cavity meets P2=P1-2, Described control unit closes proportioning valve, and closes gas injection timing, obtains gas injection time T, gas injection rate △ V, gas injection pressure difference △ P are obtained Obtain Proportional coefficient K=△ V/ △ P;
Step b, cycle voltage stabilizing control, detailed process are:
Regulate and control pressure according to the magnitude relationship for being output to human body air pressure P1 and actual human body abdominal cavity air pressure P2,
If b1, P1 > P2, by described control unit obtain gas injection rate △ V1=(P1-P2)* K, described control unit are opened successively When proportioning valve, switch valve, flowmeter and flow monitoring unit, and real-time traffic V1 is obtained, and is noted according to T1=△ V/V1 Gas time T1 when reaching gas injection time T1 when flowmeter, then closes proportioning valve and switch valve by control unit,
If b2, P1 < P2, by described control unit obtain capacity △ V2=(P2-P1)* K, described control unit are opened successively When air bleeding valve, switch valve, flowmeter and flow monitoring unit, and real-time traffic V2 is obtained, and is arranged according to T2=△ V/V2 Gas time T2 when reaching evacuation time T2 when flowmeter, then closes air bleeding valve and switch valve by control unit, completes pneumoperitoneum The voltage stabilizing of machine controls.
In above-mentioned second technical solution, gas injection rate △ V=V × T-V0 in the step b3, gas injection pressure difference △ P= P1-2-P0, wherein V0 is the initial tolerance of human abdominal cavity, and V0=0, P0 are human abdominal cavity initial gas pressures, and P0=0.
In above-mentioned second technical solution, the flow monitoring unit include pressure difference filter core, third pressure sensor and 4th pressure sensor, the outlet side of the proportioning valve and the inlet end of air bleeding valve are connected with pressure difference filter core simultaneously, pressure difference filter The outlet side of core is connected with the inlet end of switch valve, and the third pressure sensor is located at what proportioning valve was connected to pressure difference filter core On pipeline, and the connecting pin electrical connection corresponding with control unit of third pressure sensor, the 4th pressure sensor are located at pressure On the pipeline that poor filter core is connected to switch valve, and the connecting pin electrical connection corresponding with control unit of the 4th pressure sensor.
In above-mentioned second technical solution, the pressure-reduction module includes one-level pressure relief valve and second depressurized valve, and described one The inlet end of grade pressure reducing valve is connected with air source, and outlet side is connected with the inlet end of second depressurized valve, the second depressurized valve Outlet side be connected with the inlet end of proportioning valve, the first pressure sensor is located at the one-level pressure relief valve and gas of pressure-reduction module On the pipeline of source connection.
Good effect possessed by the present invention is:Pneumoperitoneum apparatus using the present invention with voltage stabilizing function further includes flow prison Unit is surveyed, port corresponding with flow monitoring unit is connected respectively for the proportioning valve, switch valve and air bleeding valve, and flow monitoring Unit connecting pin electrical connection corresponding with control unit, in pneumoperitoneum apparatus in use, monitoring human abdominal cavity by flow monitoring unit Actual pressure is then sent in control unit and is handled, and by control unit according to the abdominal pressure and the practical pressure in abdominal cavity of setting Power compares, and regulates and controls the opening and closing of proportioning valve or air bleeding valve, and corresponding carries out gas injection or exhaust, it is ensured that abdominal cavity actual pressure with The abdominal pressure of setting reaches balance, it is ensured that the stability of abdominal cavity actual pressure facilitates the operation of doctor;Gas using the present invention The voltage stabilizing control method of abdomen machine, the specific steps that the pneumoperitoneum apparatus voltage stabilizing controls are successively:
Step a, gas injection for the first time, detailed process are:
A1, human body air pressure P1 is output to by described control unit setting,
A2, air source is sent to pressure-reduction module and is depressurized, the actual pressure of air source air pressure is monitored by the first pressure sensor, if gas The actual pressure of source gas pressure is less than 200Kp, then alarms, and described control unit forbids opening proportioning valve gas injection,
A3, described control unit open proportioning valve and switch valve, and start gas injection timing, are then turned on the monitoring of flow monitoring unit Real-time traffic V,
Described control unit obtains actual human body abdominal cavity air pressure P2 in real time, if air pressure P2 in actual human body abdominal cavity meets P2=P1-2, Described control unit closes proportioning valve, and closes gas injection timing, obtains gas injection time T, gas injection rate △ V, gas injection pressure difference △ P are obtained Obtain Proportional coefficient K=△ V/ △ P;
Step b, cycle voltage stabilizing control, detailed process are:
Regulate and control pressure according to the magnitude relationship for being output to human body air pressure P1 and actual human body abdominal cavity air pressure P2,
If b1, P1 > P2, by described control unit obtain gas injection rate △ V1=(P1-P2)* K, described control unit are opened successively When proportioning valve, switch valve, flowmeter and flow monitoring unit, and real-time traffic V1 is obtained, and is noted according to T1=△ V/V1 Gas time T1 when reaching gas injection time T1 when flowmeter, then closes proportioning valve and switch valve by control unit,
If b2, P1 < P2, by described control unit obtain capacity △ V2=(P2-P1)* K, described control unit are opened successively When air bleeding valve, switch valve, flowmeter and flow monitoring unit, and real-time traffic V2 is obtained, and is arranged according to T2=△ V/V2 Gas time T2 when reaching evacuation time T2 when flowmeter, then closes air bleeding valve and switch valve by control unit, completes pneumoperitoneum The voltage stabilizing of machine controls, and method of the invention is more reasonable, utilizes single baroceptor to judge operation instead of in prior art The technical solution of space air pressure size not only overcomes in prior art delay effect caused by sensor and proportioning valve, And barometric error is small, precision is high and the stability of pressure control, facilitates the operation of doctor.
Description of the drawings
Fig. 1 is a kind of structural schematic diagram of specific implementation mode of pneumoperitoneum apparatus that the present invention carries voltage stabilizing function;
Fig. 2 is the flow diagram of gas injection for the first time of the invention;
Fig. 3 is the flow diagram of present invention cycle voltage stabilizing control;
Fig. 4 is the pressure of inventive flow monitoring unit and the curve graph of discharge relation.
Specific implementation mode
Below in conjunction with attached drawing and the embodiment provided, the present invention is further illustrated, and however, it is not limited to this.
Embodiment 1
As shown in Figure 1, a kind of pneumoperitoneum apparatus with voltage stabilizing function, including pressure-reduction module 1, proportioning valve 2, control unit 3, air bleeding valve 4, switch valve 5, first pressure sensor 6 and second pressure sensor 7, the inlet end of the pressure-reduction module 1 are connected to air source, and Its outlet side is connected with the inlet end of proportioning valve 2, and the first pressure sensor 6 is located at what pressure-reduction module 1 was connected to air source On pipeline, the connection corresponding with control unit 3 respectively of the proportioning valve 2, first pressure sensor 6 and second pressure sensor 7 End electrical connection, the outlet side of the air bleeding valve 4 are connected with air, and the outlet side of switch valve 5 is connected to human abdominal cavity;
Further include flow monitoring unit 8, the proportioning valve 2, switch valve 5 and air bleeding valve 4 are corresponding with flow monitoring unit 8 respectively Port is connected, and the connecting pin electrical connection corresponding with control unit 3 of flow monitoring unit 8.
As shown in Figure 1, in order to enable structure of the invention is reasonable, the flow monitoring unit 8 includes pressure difference filter core 81, third Pressure sensor 82 and the 4th pressure sensor 83, the outlet side of the proportioning valve 2 and the inlet end of air bleeding valve 4 while and pressure difference Filter core 81 is connected, and the outlet side of pressure difference filter core 81 is connected with the inlet end of switch valve 5, and the third pressure sensor 82 is set On the pipeline that proportioning valve 2 is connected to pressure difference filter core 81, and the connecting pin electricity corresponding with control unit 3 of third pressure sensor 82 Connection, the 4th pressure sensor 83 is located on the pipeline that pressure difference filter core 81 is connected to switch valve 5, and the 4th pressure sensor 83 connecting pin electrical connections corresponding with control unit 3.
Certainly, the structure of the flow monitoring unit 8 is not limited thereto, and other structures form can also be used to realize stream Amount monitoring, for example, selection flow sensor equally can also realize monitoring flow purpose.
As shown in Figure 1, in order to enable the present invention effect of easing stress it is good, be depressured by two-stage, the pressure-reduction module 1 include one Grade pressure reducing valve 11 and second depressurized valve 12, the inlet end of the one-level pressure relief valve 11 are connected with air source, and outlet side subtracts with two level The inlet end of pressure valve 12 is connected, and the outlet side of the second depressurized valve 12 is connected with the inlet end of proportioning valve 2, and described first Pressure sensor 6 is located on the pipeline that the one-level pressure relief valve 11 of pressure-reduction module 1 is connected to air source.
Embodiment 1 is then sent in use, monitoring human abdominal cavity actual pressure by flow monitoring unit in control unit It is handled, and is compared with abdominal cavity actual pressure according to the abdominal pressure of setting by control unit, regulate and control proportioning valve or air bleeding valve Opening and closing, and corresponding carry out gas injection or exhaust, it is ensured that abdominal cavity actual pressure and the abdominal pressure of setting reach balance, really The stability for protecting abdominal cavity actual pressure, facilitates the operation of doctor.
Embodiment 2
As shown in Figure 1,2,3, 4, the voltage stabilizing control method of a kind of pneumoperitoneum apparatus, including pneumoperitoneum apparatus, the pneumoperitoneum apparatus include decompression mould Block 1, proportioning valve 2, control unit 3, air bleeding valve 4, switch valve 5, first pressure sensor 6, second pressure sensor 7 and flow prison Unit 8 is surveyed, the inlet end of the pressure-reduction module 1 is connected to air source, and its outlet side is connected with the inlet end of proportioning valve 2, institute It states first pressure sensor 6 to be located on the pipeline that pressure-reduction module 1 is connected to air source, the proportioning valve 2, first pressure sensor 6 With the connecting pin electrical connection corresponding with control unit 3 respectively of second pressure sensor 7, the outlet side of the air bleeding valve 4 and air It is connected, the outlet side of switch valve 5 is connected to human abdominal cavity, and the proportioning valve 2, switch valve 5 and air bleeding valve 4 are supervised with flow respectively It surveys 8 corresponding port of unit to be connected, and the connecting pin electrical connection corresponding with control unit 3 of flow monitoring unit 8;
The specific steps of pneumoperitoneum apparatus voltage stabilizing control are successively:
Step a, gas injection for the first time, detailed process are:
A1, human body air pressure P1 is output to by the setting of described control unit 3,
A2, air source is sent to pressure-reduction module 1 and is depressurized, the actual pressure of air source air pressure is monitored by the first pressure sensor 6, if The actual pressure of air source air pressure is less than 200Kp, then alarms, and described control unit 3 forbids opening 2 gas injection of proportioning valve,
A3, described control unit 3 open proportioning valve 2 and switch valve 5, and start gas injection timing, are then turned on flow monitoring unit 8 Real-time traffic V is monitored,
Described control unit 3 obtains actual human body abdominal cavity air pressure P2 in real time, if air pressure P2 in actual human body abdominal cavity meets P2=P1-2, Then described control unit closes proportioning valve 2, and closes gas injection timing, obtains gas injection time T, gas injection rate △ V, gas injection pressure difference △ P, Obtain Proportional coefficient K=△ V/ △ P;
Gas injection rate △ V=V × T-V0 in the step b3, gas injection pressure difference △ P=P1-2-P0, wherein V0 is that human abdominal cavity is initial Tolerance, and V0=0, P0 are human abdominal cavity initial gas pressures, and P0=0;
Step b, cycle voltage stabilizing control, detailed process are:
Regulate and control pressure according to the magnitude relationship for being output to human body air pressure P1 and actual human body abdominal cavity air pressure P2,
If b1, P1 > P2, gas injection rate △ V1=P1-P2*K are obtained by described control unit 3, described control unit 3 is opened successively When proportioning valve 2, switch valve 5, flowmeter and flow monitoring unit 8, and real-time traffic V1 is obtained, and is obtained according to T1=△ V/V1 To gas injection time T1, when reaching gas injection time T1 when flowmeter, then proportioning valve 2 and switch valve 5 are closed by control unit 3,
If b2, P1 < P2, capacity △ V2=P2-P1*K are obtained by described control unit 3, described control unit 3 is opened successively When air bleeding valve 4, switch valve 5, flowmeter and flow monitoring unit 8, and real-time traffic V2 is obtained, and is obtained according to T2=△ V/V2 To evacuation time T2, when reaching evacuation time T2 when flowmeter, then air bleeding valve 4 and switch valve 5 are closed by control unit 3, it is complete It is controlled at the voltage stabilizing of pneumoperitoneum apparatus.
As shown in Figure 1, in order to enable the present invention structure is compacter, reasonable and production cost is low, the flow prison It includes pressure difference filter core 81, third pressure sensor 82 and the 4th pressure sensor 83, the outlet side of the proportioning valve 2 to survey unit 8 It is connected simultaneously with pressure difference filter core 81 with the inlet end of air bleeding valve 4, the outlet side of pressure difference filter core 81 and the inlet end phase of switch valve 5 Connection, the third pressure sensor 82 is located on the pipeline that proportioning valve 2 is connected to pressure difference filter core 81, and third pressure sensor 82 connecting pin electrical connections corresponding with control unit 3, the 4th pressure sensor 83 are located at pressure difference filter core 81 and connect with switch valve 5 On logical pipeline, and the connecting pin electrical connection corresponding with control unit 3 of the 4th pressure sensor 83.
As shown in Figure 1, in order to enable effect of easing stress is good, the present invention is depressured using two-stage, and the pressure-reduction module 1 includes level-one Pressure reducing valve 11 and second depressurized valve 12, the inlet end of the one-level pressure relief valve 11 are connected with air source, outlet side and second depressurized The inlet end of valve 12 is connected, and the outlet side of the second depressurized valve 12 is connected with the inlet end of proportioning valve 2, first pressure Force snesor 6 is located on the pipeline that the one-level pressure relief valve 11 of pressure-reduction module 1 is connected to air source.
As shown in figure 4, the pressure difference filter core 81 of flow monitoring unit 8 is the filter bed of essence fibre web of dry state, it being capable of stop portions gas Body, can before and after filter core one draught head of generation, gas flow is bigger, and draught head is bigger.
The characteristics of according to pressure difference filter core, the size of gas flow can be detected.The range of flow of pneumoperitoneum apparatus in 50L hereinafter, According to Fig. 4, within the scope of 0~50L, the curve of pressure difference filter core is intended to straight line, and when flow is 50L, pressure 6.5kPa can To calculate proportionality coefficient k1=flow/pressure=7.7.The pressure of two pressure sensors before and after pressure difference filter core can be passed through Force difference calculates the size of flow at that time.
When inflating first time, initial volume v0=0, initial gas pressure P0=0, proportionality coefficient is in gas replenishment process K2=Δ v/ Δ p, flow monitoring unit can calculate the volume in injection abdominal cavity, both volume=flow * times.Pass through calculating again Formula can calculate the value of k2(Under same surgical environments, scalefactor value is fixed).
When Minimally Invasive Surgery, abdominal cavity is not a closed space, has exhaust situation at the uniform velocity, when intraperitoneal gas When pressure is less than setting air pressure 2mmHg, according to formula k2=Δ v/ Δs p(Δp=2mmHg), can directly calculate current needs Gas injection rate, system give abdominal cavity tonifying Qi, gas to pass through flow monitoring unit, the note specifically needed can be calculated according to uninterrupted The gas time.
It illustrates:
1, it is assumed that setting abdominal cavity, air pressure P1 are 12(mmhg), abdominal cavity gas volume is 0 at this time,
2, proportioning valve and switch valve are fully opened, gas injection is started, starts timing, according to the spy of flow monitoring unit pressure difference filter core Point, filter core Proportional coefficient K=flow/pressure difference=7.7,
3, the difference of the baroceptor of the both sides of pressure difference filter core is 5kp,
4, gas flow is V=5 × K=5*7.7=38.5L/min when proportioning valve is opened completely,
5, baroceptor, which detects, stops timing when abdominal cavity air pressure is (P1-2mmhg), close proportioning valve, i.e. 10mmhg, timing T=3.9s,
6, gas injection rate V1=T/60 × V=3.9/60*38.5=2.5L is calculated,
7, calculate abdominal cavity proportionality coefficient Q=Δ v/ Δ p, Δ v=2.5L (initial volume 0);(initial gas pressure is Δ p=10mmhg 0),
The L/mmhg of Q=2.5/10=0.25, Q is fixed value in the same surgical environments
8, our actual pressures are 10mmhg at this time, are calculated according to Q=Δ v/ Δ p apart from the also poor 2mmhg of setting value:
Δv=Δp*Q=2*0.25=0.5L
9, proportioning valve is opened, opening degree 50%, small flow gas injection, opens timing,
10, the both sides draught head of pressure difference filter core is 1.8Kp, calculates outflow V=1.8*7.7=13.86L/min=0.231/s,
11, gas injection time T=0.5/0.231=2.16s is calculated,
12, after to wait for timing time be 2.16s, proportioning valve, i.e. gas injection 0.5L are closed, abdominal cavity air pressure is 12mmhg at this time,
13, since abdominal cavity is not the environment of a sealing, the case where having gas leakage, after when abdominal cavity, air pressure drops to 11mmhg,
Proportioning valve, opening degree 50%, T=0.231 × 0.25=1.08s, i.e. after gas injection 1.08s are opened in Δ v=1 × 0.25=0.25L Proportioning valve is closed, abdominal cavity air pressure rises to 12mmhg,
14, the abdominal cavity air pressure increase when there is external force influence, after reaching 13mmhg, unlatching air bleeding valve, beginning timing, Δ v= Δ p*Q=1 × 0.25=0.25L,
15, air bleeding valve is opened, and flow monitoring unit is started to work, and the pressure difference for calculating pressure difference filter core both sides is 4kp, is calculated When exhaust flow be V=4 × 7.7=30.8L/min, i.e. 0.51L/s,
16, it is T=Δ v/V=0.25/0.51=0.49s to calculate evacuation time, that is, after being vented 0.49s, closes air bleeding valve, at this time Air pressure drops to 12mmhg.
The method of the present invention is more reasonable, judges operative space gas using single baroceptor instead of in prior art The technical solution for pressing size not only overcomes in prior art delay effect caused by sensor and proportioning valve, Er Qieqi Hold up that the small, precision of difference is high and the stability of pressure control might as well, greatly facilitate the operation of doctor.
It is enlightenment with above-mentioned desirable embodiment according to the present invention, through the above description, relevant staff is complete Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property range is not limited to the contents of the specification, it is necessary to determine its technical scope according to right.

Claims (7)

1. a kind of pneumoperitoneum apparatus with voltage stabilizing function, including pressure-reduction module(1), proportioning valve(2), control unit(3), air bleeding valve (4), switch valve(5), first pressure sensor(6)With second pressure sensor(7), the pressure-reduction module(1)Inlet end with Air source is connected to, and its outlet side and proportioning valve(2)Inlet end be connected, the first pressure sensor(6)It is located at decompression mould Block(1)On the pipeline being connected to air source, the proportioning valve(2), first pressure sensor(6)With second pressure sensor(7)Point Not and control unit(3)Corresponding connecting pin electrical connection, the air bleeding valve(4)Outlet side be connected with air, switch valve(5) Outlet side be connected to human abdominal cavity;It is characterized in that:
It further include flow monitoring unit(8), the proportioning valve(2), switch valve(5)And air bleeding valve(4)Respectively with flow monitoring list Member(8)Corresponding port is connected, and flow monitoring unit(8)With control unit(3)Corresponding connecting pin electrical connection.
2. the pneumoperitoneum apparatus according to claim 1 with voltage stabilizing function, it is characterised in that:The flow monitoring unit(8) Including pressure difference filter core(81), third pressure sensor(82)With the 4th pressure sensor(83), the proportioning valve(2)Outlet side And air bleeding valve(4)Inlet end simultaneously with pressure difference filter core(81)It is connected, pressure difference filter core(81)Outlet side and switch valve(5)'s Inlet end is connected, the third pressure sensor(82)It is located at proportioning valve(2)With pressure difference filter core(81)On the pipeline of connection, and Third pressure sensor(82)With control unit(3)Corresponding connecting pin electrical connection, the 4th pressure sensor(83)It is located at Pressure difference filter core(81)With switch valve(5)On the pipeline of connection, and the 4th pressure sensor(83)With control unit(3)Connect accordingly Connect end electrical connection.
3. the pneumoperitoneum apparatus according to claim 1 with voltage stabilizing function, it is characterised in that:The pressure-reduction module(1)Including One-level pressure relief valve(11)With second depressurized valve(12), the one-level pressure relief valve(11)Inlet end be connected with air source, outlet side With second depressurized valve(12)Inlet end be connected, the second depressurized valve(12)Outlet side and proportioning valve(2)Inlet end It is connected, the first pressure sensor(6)It is located at pressure-reduction module(1)One-level pressure relief valve(11)The pipeline being connected to air source On.
4. a kind of voltage stabilizing control method of pneumoperitoneum apparatus, including pneumoperitoneum apparatus, the pneumoperitoneum apparatus include pressure-reduction module(1), proportioning valve (2), control unit(3), air bleeding valve(4), switch valve(5), first pressure sensor(6), second pressure sensor(7)And flow Monitoring unit(8), the pressure-reduction module(1)Inlet end be connected to air source, and its outlet side and proportioning valve(2)Inlet end phase Connection, the first pressure sensor(6)It is located at pressure-reduction module(1)On the pipeline being connected to air source, the proportioning valve(2), One pressure sensor(6)With second pressure sensor(7)Respectively with control unit(3)Corresponding connecting pin electrical connection, the row Air valve(4)Outlet side be connected with air, switch valve(5)Outlet side be connected to human abdominal cavity, the proportioning valve(2), open Close valve(5)And air bleeding valve(4)Respectively with flow monitoring unit(8)Corresponding port is connected, and flow monitoring unit(8)With control Unit processed(3)Corresponding connecting pin electrical connection;
It is characterized in that:The specific steps of pneumoperitoneum apparatus voltage stabilizing control are successively:
Step a, gas injection for the first time, detailed process are:
A1, by described control unit(3)Setting is output to human body air pressure P1,
A2, air source is sent to pressure-reduction module(1)Decompression, by the first pressure sensor(6)Monitor the practical pressure of air source air pressure Power is alarmed, and described control unit if the actual pressure of air source air pressure is less than 200Kp(3)Forbid opening proportioning valve (2)Gas injection,
A3, described control unit(3)Open proportioning valve(2)And switch valve(5), and start gas injection timing, it is then turned on flow prison Survey unit(8)Real-time traffic V is monitored,
Described control unit(3)Actual human body abdominal cavity air pressure P2 is obtained in real time, if air pressure P2 in actual human body abdominal cavity meets P2=P1- 2, then described control unit close proportioning valve(2), and gas injection timing is closed, obtain gas injection time T, gas injection rate △ V, gas injection pressure difference △ P obtain Proportional coefficient K=△ V/ △ P;
Step b, cycle voltage stabilizing control, detailed process are:
Regulate and control pressure according to the magnitude relationship for being output to human body air pressure P1 and actual human body abdominal cavity air pressure P2,
If b1, P1 > P2, by described control unit(3)Acquisition gas injection rate △ V1=(P1-P2)* K, described control unit(3)According to Secondary unlatching proportioning valve(2), switch valve(5), flowmeter when and flow monitoring unit(8), and real-time traffic V1 is obtained, and according to T1=△ V/V1 obtain gas injection time T1, when reaching gas injection time T1 when flowmeter, then by control unit(3)Close proportioning valve (2)And switch valve(5),
If b2, P1 < P2, by described control unit(3)Acquisition capacity △ V2=(P2-P1)* K, described control unit(3)According to Secondary unlatching air bleeding valve(4), switch valve(5), flowmeter when and flow monitoring unit(8), and real-time traffic V2 is obtained, and according to T2=△ V/V2 obtain evacuation time T2, when reaching evacuation time T2 when flowmeter, then by control unit(3)Close air bleeding valve (4)And switch valve(5), complete the voltage stabilizing control of pneumoperitoneum apparatus.
5. the voltage stabilizing control method of pneumoperitoneum apparatus according to claim 4, it is characterised in that:Gas injection rate in the step b3 △ V=V × T-V0, gas injection pressure difference △ P=P1-2-P0, wherein V0 is the initial tolerance of human abdominal cavity, and V0=0, P0 are human abdominal cavities Initial gas pressure, and P0=0.
6. the voltage stabilizing control method of pneumoperitoneum apparatus according to claim 4, it is characterised in that:The flow monitoring unit(8) Including pressure difference filter core(81), third pressure sensor(82)With the 4th pressure sensor(83), the proportioning valve(2)Outlet side And air bleeding valve(4)Inlet end simultaneously with pressure difference filter core(81)It is connected, pressure difference filter core(81)Outlet side and switch valve(5)'s Inlet end is connected, the third pressure sensor(82)It is located at proportioning valve(2)With pressure difference filter core(81)On the pipeline of connection, and Third pressure sensor(82)With control unit(3)Corresponding connecting pin electrical connection, the 4th pressure sensor(83)It is located at Pressure difference filter core(81)With switch valve(5)On the pipeline of connection, and the 4th pressure sensor(83)With control unit(3)Connect accordingly Connect end electrical connection.
7. the voltage stabilizing control method of pneumoperitoneum apparatus according to claim 4, it is characterised in that:The pressure-reduction module(1)Including One-level pressure relief valve(11)With second depressurized valve(12), the one-level pressure relief valve(11)Inlet end be connected with air source, outlet side With second depressurized valve(12)Inlet end be connected, the second depressurized valve(12)Outlet side and proportioning valve(2)Inlet end It is connected, the first pressure sensor(6)It is located at pressure-reduction module(1)One-level pressure relief valve(11)The pipeline being connected to air source On.
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CN110464391A (en) * 2019-08-26 2019-11-19 浙江纳雄医疗器械有限公司 A kind of pneumoperitoneum apparatus calibrating installation
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CN113188054A (en) * 2021-05-19 2021-07-30 华东师范大学 Secondary gas taking device for hazardous gas
CN114403957A (en) * 2022-03-29 2022-04-29 广东欧谱曼迪科技有限公司 Pneumoperitoneum machine working mode automatic switching method, electronic equipment, device and pneumoperitoneum machine

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WO2021007766A1 (en) * 2019-07-16 2021-01-21 深圳迈瑞生物医疗电子股份有限公司 Pneumoperitoneum device and insufflation control method thereof
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CN113188054A (en) * 2021-05-19 2021-07-30 华东师范大学 Secondary gas taking device for hazardous gas
CN114403957A (en) * 2022-03-29 2022-04-29 广东欧谱曼迪科技有限公司 Pneumoperitoneum machine working mode automatic switching method, electronic equipment, device and pneumoperitoneum machine
CN114403957B (en) * 2022-03-29 2022-07-01 广东欧谱曼迪科技有限公司 Pneumoperitoneum machine working mode automatic switching method, electronic equipment, device and pneumoperitoneum machine

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