CN109431776B - Dual breathing device for cardiology department - Google Patents

Dual breathing device for cardiology department Download PDF

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CN109431776B
CN109431776B CN201811264435.1A CN201811264435A CN109431776B CN 109431776 B CN109431776 B CN 109431776B CN 201811264435 A CN201811264435 A CN 201811264435A CN 109431776 B CN109431776 B CN 109431776B
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breathing
inserting strip
rod
chest compression
hole
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CN109431776A (en
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王美玉
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A61H31/004Heart stimulation
    • A61H31/007Manual driven
    • 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. ventilators; Tracheal tubes
    • 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. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure

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  • Respiratory Apparatuses And Protective Means (AREA)
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Abstract

一种心内科双重呼吸装置,属于内科用医疗装备技术领域。其特征在于包括支撑机架、呼吸辅助器和胸压辅助器;呼吸辅助器和胸压辅助器能够安装固定在支撑机架上;所述呼吸辅助器包括呼吸基座,所述呼吸基座内设置气流通道,在呼吸基座的上部设置储气仓,在储气仓的上部设置进气装置;在气流通道上安装单向进气阀;在呼吸基座的前端设置口部呼吸罩,在口部呼吸罩上开设进气口,所述进气口联通气流通道的后端;在口部呼吸罩的前端铰接设置鼻夹。本发明能够协助医护人员进行心肺复苏抢救,通过呼吸辅助器和胸压辅助器进行人工呼吸和胸外按压,双重辅助病人恢复呼吸功能,能够能省时省力的实施高效救助。

Figure 201811264435

A cardiology double breathing device belongs to the technical field of medical equipment for internal medicine. It is characterized in that it includes a support frame, a breathing aid and a chest pressure aid; the breathing aid and the chest pressure aid can be installed and fixed on the support frame; the breathing aid comprises a breathing base, and the breathing base is inside. An air flow channel is set up, an air storage bin is set on the upper part of the breathing base, and an air inlet device is set on the upper part of the air storage bin; a one-way air inlet valve is installed on the airflow channel; An air inlet is set on the oral breathing mask, and the air inlet is communicated with the rear end of the air flow channel; a nose clip is hingedly arranged at the front end of the oral breathing mask. The present invention can assist medical staff to perform cardiopulmonary resuscitation, perform artificial respiration and chest compression through a breathing aid and a chest pressure aid, and double assist patients in recovering their breathing function, and can save time and effort to implement efficient rescue.

Figure 201811264435

Description

Dual breathing device for cardiology department
Technical Field
The invention belongs to the technical field of medical equipment for internal medicine, and particularly relates to a dual breathing device for cardiology.
Background
Once sudden cardiac arrest occurs, if resuscitation cannot be rescued immediately and timely, irreversible damage to the brain and other important organs and tissues of a patient can be caused after 4-6 min, so that cardio-pulmonary resuscitation (CPR) after sudden cardiac arrest must be performed immediately on site. The routine operation of cardiopulmonary resuscitation aid mainly involves artificial respiration and chest compressions.
Artificial respiration is a traditional medical rescue measure, and after a coma patient or a patient with heartbeat stoppage gets rid of airway foreign matters and a free-hand method is adopted to ensure that a respiratory tract is unblocked, if no spontaneous respiration is available, artificial respiration is immediately carried out so as to ensure that oxygen is supplied to the patient uninterruptedly and prevent irreversible damage to important organs caused by oxygen deficiency. Mouth-to-mouth breathing is a common artificial respiration method, an airway opening method is selected according to the condition of a patient, the patient takes a supine position, a rescuer puts one hand on the forehead of the patient, holds the nostrils of the patient with the thumb and the forefinger, holds the chin with the other hand to enable the head to lean backwards as much as possible, keeps the airway open, then deeply sucks breath, opens the mouth to close the periphery of the mouth of the patient (the infant can be wrapped together with the nose), continuously blows air for 2 times into the mouth of the patient, the air blowing time is 1-1.5 seconds each time, the air blowing amount is 1000 milliliters left and right until the thorax is lifted, stops blowing, loosens the mouth tightly attached to the patient, releases the hand holding the nostrils, turns the face aside, listens to the air flow with ears, deeply sucks one fresh air to prepare for the second air blowing, and starts the same blowing when the patient exhales. If the patient does not recover the spontaneous respiration, continuous blowing is carried out, the blowing frequency of an adult is 12 times/min, the blowing frequency of a child is 15 times/min, and the blowing frequency of an infant is 20 times/min, but the blowing capacity is more important relative to the blowing frequency during blowing, the initial two times of blowing lasts for 1-2 seconds each time, the gas is discharged completely and then blown again, and the carotid artery pulsation, the color of the pupil and the color of the skin are checked within one minute until the patient recovers the resuscitation success, or dies, or is ready to be subjected to tracheal intubation.
Chest compression (circulation, C): ensure that the patient lies on the flat ground or is padded under the shoulder and the back by an external chest pressing plate, the emergency sufferer can adopt different positions of kneeling or footstool and the like to place the palm root of one hand on the center of the chest and the lower half part of the sternum of the patient and place the palm root of the other hand on the first hand. The fingers do not touch the chest wall. During the compression, the elbow should be straightened and pressed vertically downwards, the frequency of adult compression is at least 100 times/min, the depth of pressing is at least 125px, and the thorax should be fully restored after each compression. The pressing time and the relaxing time respectively account for about 50 percent, and the palm root can not leave the chest wall when relaxing so as to avoid the displacement of the pressing point. For pediatric patients, the sternum is pressed horizontally with one or both hands at the nipple level, and for infants, the sternum is pressed horizontally with both fingers down against the nipple level. To minimize interruption of chest compressions due to ventilation, the international guidelines for cardiopulmonary resuscitation in 2010 recommend a compression-to-ventilation ratio of 30 for adults without an established artificial airway: 2. for infants and children, double CPR may be used with 15: 2, in the first step. For example, two or more rescues, the person to be compressed should be replaced every 2 minutes or 5 cycles of CPR (each cycle consisting of 30 compressions and 2 breaths) and the conversion completed within 5 seconds, since studies have shown that the quality of the compression begins to decline (as evidenced by frequency and amplitude and chest wall repositioning conditions) 1-2 minutes after the compression begins.
Because artificial respiration and chest compression are very laborious and require high skill, if the ventilation volume or chest pressure and frequency are incorrect, the patient can not be rescued in time, and further injury can be caused to the patient. When cardiopulmonary resuscitation needs to be performed on multiple people, the pressure and labor intensity of medical workers are extremely high, and effective rescue is difficult to achieve. In view of this, the applicant has designed the device to assist medical personnel in performing cardiopulmonary resuscitation.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a dual-breathing device for cardiology department, which can assist medical personnel in cardio-pulmonary resuscitation.
In order to solve the technical problems, the technical scheme of the invention is as follows: the dual breathing device for the cardiology department is characterized by comprising a supporting frame, a breathing assistor and a chest pressure assistor; the breathing assistor and the chest compression assistor can be fixedly arranged on the supporting frame;
the breathing assistor comprises a breathing base, wherein an airflow channel is arranged in the breathing base, a gas storage bin is arranged at the upper part of the breathing base, and an air inlet device is arranged at the upper part of the gas storage bin; a one-way air inlet valve is arranged on the air flow channel; the front end of the breathing base is provided with an oral breathing mask, the upper end of the oral breathing mask is provided with a hinge shaft, and the hinge shaft is hinged and fixed on the breathing base; an air inlet is formed in the mouth breathing mask and communicated with the rear end of the airflow channel; the front end of the mouth breathing mask is hinged with a nose clip;
the gas storage bin comprises a cylindrical outer bin wall, a sheet coil spring and a rubber air bag, wherein an upper end cover and a lower end cover which are provided with vent holes are respectively arranged at two ends of the cylindrical outer bin wall, an upper annular rotary groove and a lower annular rotary groove are respectively arranged on the opposite end surfaces of the upper end cover and the lower end cover, and the cylindrical outer bin wall is arranged in the annular rotary grooves and can rotate in the annular rotary grooves; the inner side vertical edge of the sheet-shaped coil spring is provided with an inner side fixing column, the outer side vertical edge of the sheet-shaped coil spring is provided with an outer side fixing column, the inner side fixing column is fixed on one side of the vent holes of the upper end cover and the lower end cover, and the outer side fixing column is fixed on the inner wall of the cylindrical outer bin wall; a rubber air bag is arranged in the sheet coil spring, an air bag inflation tube is arranged at the upper end of the rubber air bag, an air bag deflation tube is arranged at the lower end of the rubber air bag, the air bag inflation tube is connected with an air inlet device, and the air bag deflation tube is connected with the front end of an air flow channel in the respiration base.
Preferably, the air inlet device comprises a square-cylinder-shaped air inlet pipe, the lower end of the square-cylinder-shaped air inlet pipe is connected with an opening at the upper part of the cylindrical outer bin wall, an oxygen inlet is formed in the upper end of the square-cylinder-shaped air inlet pipe, an elastic oxygen conveying pipe is arranged in the square-cylinder-shaped air inlet pipe, the upper end of the elastic oxygen conveying pipe is mutually connected with the oxygen inlet, and the lower end of the elastic oxygen conveying pipe is connected with the air bag inflation pipe; an oxygen inlet flow control device is arranged on one side of the elastic oxygen conveying pipe;
the oxygen intake flow control device comprises an upper rotating shaft and a lower rotating shaft, an annular wheel belt is sleeved on the upper rotating shaft and the lower rotating shaft, and a plurality of telescopic shifting plates are arranged on the annular wheel belt; the upper rotating shaft is arranged on the left side of the central axis of the square cylindrical air inlet pipe, and the lower rotating shaft is arranged on the right side of the central axis of the square cylindrical air inlet pipe; the elastic oxygen conveying pipe is inserted from the left side of the oxygen inlet flow control device and is connected with the air bag inflation pipe; one end of the upper rotating shaft, which penetrates through the side wall of the square cylindrical air inlet pipe, is connected with an inflatable rocking handle; the telescopic shifting plate comprises a mounting base, a telescopic middle rod is sleeved on the mounting base, a shifting plate spring is sleeved outside the telescopic middle rod, an outer sleeve is sleeved outside the shifting plate spring, the lower end of the shifting plate spring is fixedly connected to the mounting base, and the other end of the shifting plate spring is fixedly connected to the inner top wall of the outer sleeve; the outer sleeve is connected with the mounting base through an elastic rubber tensile membrane; when the inflatable rocking handle is manually rocked, the telescopic shifting plate can unidirectionally convey oxygen in the elastic oxygen conveying pipe to the rubber air bag.
Preferably, the chest compression aid comprises a chest compression base, the chest compression base comprises a hollow inner cavity, the lower bottom surface of the hollow inner cavity is open, and a silica gel diaphragm is arranged at the open end; a plurality of chest compression bars are vertically arranged in the hollow inner cavity, the upper ends of the chest compression bars are connected with the upper wall of the hollow inner cavity through tension springs, the lower ends of the chest compression bars are connected with arc chest compression plates through springs, each chest compression plate forms an arc-shaped surface with the middle protruding upwards, and the middle parts of the chest compression bars are vertically embedded or attached with sheet-shaped racks; circular through rod insertion holes are respectively formed in two sides of the middle of the hollow inner cavity, a transverse through rod is transversely arranged between the two through rod insertion holes, and one side, penetrating out of the hollow inner cavity, of the transverse through rod is connected with a chest pressure rocking handle; the cross section of the middle part of the transverse rod is square, a plurality of gear ring sleeves with square through holes are sleeved on the transverse rod, ring gears are arranged outside the gear ring sleeves, the gear ring sleeves correspond to the chest compression bars one by one, one side of each gear ring sleeve is connected with the lower end of a vertically arranged ring sleeve driving lever, a plurality of driving bar holes are formed in the upper top surface of the hollow inner cavity, and the upper ends of the ring sleeve driving levers penetrate through the driving bar holes; when the ring sleeve deflector rod is transversely pulled, the gear ring sleeve can be meshed with the adjacent sheet-shaped rack; when the manual downward rocking handle is rotated, the transverse through rod can drive the chest compression rod and the arc chest compression plate engaged with the gear ring sleeve to move downwards.
Preferably, the support frame comprises a front frame and a rear frame, and the front frame and the rear frame are connected together through a telescopic connecting rod; a breathing aid slot is formed in the front frame, and a breathing base of the breathing aid is inserted and fixed into the breathing aid slot from top to bottom; the chest pressing assistor slot is arranged on the rear frame, and a chest pressing base of the chest pressing assistor is inserted and fixed in the chest pressing assistor slot from top to bottom.
Preferably, a left connecting rod and a right connecting rod at the front end are respectively arranged on two sides of a breathing aid slot of the front frame, the left connecting rod and the right connecting rod at the front end are respectively connected with a left supporting leg and a right supporting leg at the front end, and the left supporting leg and the right supporting leg at the front end are arranged in a splayed shape;
the chest compression assistor slot of back frame both sides set up rear end left and right connecting rod respectively, rear end left and right stabilizer blade is connected respectively to the left and right connecting rod of rear end, the left and right stabilizer blade of rear end is "eight" font setting.
Preferably, the left and right stabilizer blades of front end and the left and right stabilizer blades of rear end all include support sleeve and lower inserted bar, the inside cavity of last support sleeve and lower extreme are uncovered, the upper end of inserted bar inserts support sleeve down, and the one end that inserts in the support sleeve down sets up elastic airbag.
Preferably, the breathing assistor is provided with a breathing device height adjusting device, the breathing device height adjusting device comprises a side surface grading top block device, and the side surface grading top block device comprises four groups and is respectively arranged on the front side, the rear side, the left side and the right side of the breathing base;
the side grading top block device comprises an upper slotted hole, a lower slotted hole, an upper inserting strip hole and a lower inserting strip hole; an upper rotating block is hinged to the inner side of the upper part of the upper slotted hole, and the upper rotating block is in a vertically downward state when rotating downwards to a lower limit position and can be completely accommodated in the upper slotted hole; the upper rotating block is in a state of horizontally extending out of the upper slotted hole when being upwards rotated to the upper limit position, and the upper rotating block can be clamped above the slot of the breathing assistance device; the lower rotating block is hinged to the inner side of the upper part of the lower slotted hole, is in a vertically downward state when being rotated downwards to a lower limit position and can be completely accommodated in the lower slotted hole; the lower rotary block is in a state of horizontally extending out of the lower slotted hole when being upwards screwed to the upper limit position, and the lower rotary block can be clamped above the slot of the breathing aid;
the upper cutting hole and the lower cutting hole are both arranged in the breathing base, the upper cutting hole and the lower cutting hole are both L-shaped cutting holes, the upper ends of the upper cutting hole and the lower cutting hole penetrate through the upper top surface of the breathing base, and the lower ends of the upper cutting hole and the lower cutting hole are respectively communicated with the upper slotted hole and the lower slotted hole; an upper rubber inserting strip and a lower rubber inserting strip are respectively arranged in the upper inserting strip hole and the lower inserting strip hole, and the upper ends of the upper rubber inserting strip and the lower rubber inserting strip penetrate through the upper top surface of the breathing base; when the upper rubber slip or the lower rubber slip is pressed downwards, the upper rotating block or the lower rotating block can be ejected out of the upper slotted hole or the lower slotted hole to be in a horizontal state; when the upper and lower rotary blocks are manually pressed and rotated to be accommodated in the upper and lower slotted holes, the upper and lower rubber inserts can be ejected back to the original positions.
Preferably, the chest compression assistor is provided with a chest compression device height adjusting device, the chest compression device height adjusting device comprises four groups of side grading inserting strip devices, and the side grading inserting strip devices are respectively arranged on the front side, the rear side, the left side and the right side of the chest compression base;
the side grading inserting strip device comprises a side slotted hole, a fixed inserting strip plate is arranged on the inner side of the side slotted hole, four transverse inserting strip holes are formed in the fixed inserting strip plate from top to bottom, a movable inserting strip plate is arranged on the outer side of the fixed inserting strip plate in the side slotted hole, and the upper end of the movable inserting strip plate is mounted on the upper top surface of the side slotted hole through a tension spring; the movable inserting plate is provided with four transverse outer inserting strip holes from top to bottom on one side facing the fixed inserting plate, an inserting strip slide rail groove is longitudinally formed on one side of the movable inserting plate opposite to the fixed inserting plate, an inserting strip slide block is arranged in the inserting strip slide rail groove, an inserting strip sleeve is hinged to the inserting strip slide block, an inserting strip rod is inserted in the inserting strip sleeve, a retaining ring is arranged in the inserting strip sleeve, two ends of the inserting strip rod are provided with retaining blocks, and the inserting strip rod can slide along the inserting strip sleeve but the retaining rings can block the retaining blocks to prevent the inserting strip rod from being separated from the inserting strip sleeve; when the chest compression aid needs to be fixed on a chest compression aid slot of a rear frame, the slip sliding block is slid to one side of a preselected outer slip hole, the slip sleeve is transversely rotated, the slip rod is inserted into the outer slip hole, then the movable slip plate is pulled downwards to enable the slip rod to be aligned with the preselected inner slip hole, the slip sleeve is outwards and transversely extended to be capable of being clamped above the chest compression aid slot, the upward outer slip hole is selected to be aligned with the downward inner slip hole and the slip rod is inserted when the position of the chest compression aid needs to be higher, and the downward outer slip hole is selected to be aligned with the upward inner slip hole and the slip rod is inserted when the position of the chest compression aid needs to be lower.
Compared with the prior art, the invention has the beneficial effects that:
the invention can assist medical personnel in cardio-pulmonary resuscitation and rescue, artificial respiration and external chest compression are carried out through the respiration assistor and the chest compression assistor, the respiration assistor can adjust single ventilation volume according to the type of a patient, and the chest compression assistor can adjust the starting compression area and the pressing-down amplitude in real time, thereby saving time and labor and implementing high-efficiency rescue. Moreover, the breathing assistor and the chest compression assistor can freely adjust the height of the device, can adapt to patients with different body types and age groups, and are more accurate and strong in adaptability during rescue.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the mounting structure of the breathing assistance apparatus on the front frame;
FIG. 3 is a schematic diagram of a breathing assistance apparatus;
FIG. 4 is a schematic cross-sectional view of the gas storage bin;
FIG. 5 is a schematic structural diagram of an oxygen inlet flow control device;
FIG. 6 is a schematic view of a telescopic structure of the telescopic shifting plate;
FIG. 7 is a schematic view of the structure of the height adjustment device of the breathing apparatus;
FIG. 8 is a schematic view of the mounting structure of the chest compression aid on the rear frame;
FIG. 9 is a schematic view of the chest compression aid;
FIG. 10 is a schematic view of the structure of the height adjustment device of the chest compression device;
in the figure: 1. a cylindrical outer bin wall; 2. a sheet-like coil spring; 3. a rubber air bag; 4. an air flow channel; 5. a left connecting rod; 6. an upper support sleeve; 7. an elastic air bag; 8. a lower inserted link; 9. an oral respiratory mask; 10. a nose clip; 12. Hinging a shaft; 13. a respiratory base; 14. a one-way intake valve; 15. chest compression assistor; 16. an inflatable rocking handle; 17. a square tubular air inlet pipe; 18. an oxygen inlet; 19. an oxygen intake flow control device; 20. an elastic oxygen delivery tube; 21. an upper rotating shaft; 22. a retractable shifting plate; 23. an endless belt; 24. a lower rotating shaft; 25. an outer sleeve; 26. a toggle plate spring; 27. a telescopic middle rod; 28. elastic rubber film drawing; 29. mounting a base; 30. a lower insertion strip hole; 32. An upper inserting bar hole; 34. a lower insertion strip hole; 35. a lower slot; 36. a lower rotating block; 37. an upper slot; 38. an upward rotation block; 39. an upper inserting bar hole; 40. poking the bar holes; 41. a ring sleeve deflector rod; 42. a chest compression base; 43. pressing the rocking handle; 44. a tension spring; 45. a cross rod; 46. a gear ring sleeve; 47. a chest compression device height adjustment device; 48. a chest compression bar; 49. a spring; 50. an arc-shaped chest pressing plate; 51. a silica gel membrane; 52. a tension spring; 53. fixing the batten; 54. inserting a bar hole; 55. a slip block; 56. a slip sleeve; 57. a stopper; 58. a baffle ring; 59. a bar inserting rod; 60. externally inserting strip holes; 61. a slip rail groove; 62. side slotted holes.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
The invention relates to a dual breathing device for cardiology department, which comprises a supporting rack, a breathing assistor and a chest pressure assistor; the breathing assistor and the chest compression assistor can be fixedly arranged on the supporting frame.
The breathing assistor comprises a breathing base, wherein an airflow channel is arranged in the breathing base, a gas storage bin is arranged at the upper part of the breathing base, and an air inlet device is arranged at the upper part of the gas storage bin; a one-way air inlet valve is arranged on the air flow channel; the front end of the breathing base is provided with an oral breathing mask, the upper end of the oral breathing mask is provided with a hinge shaft, and the hinge shaft is hinged and fixed on the breathing base; an air inlet is formed in the mouth breathing mask and communicated with the rear end of the airflow channel; the front end of the mouth breathing mask is hinged with a nose clip.
The gas storage bin comprises a cylindrical outer bin wall, a sheet coil spring and a rubber air bag, wherein an upper end cover and a lower end cover which are provided with vent holes are respectively arranged at two ends of the cylindrical outer bin wall, an upper annular rotary groove and a lower annular rotary groove are respectively arranged on the opposite end surfaces of the upper end cover and the lower end cover, and the cylindrical outer bin wall is arranged in the annular rotary grooves and can rotate in the annular rotary grooves; the inner side vertical edge of the sheet-shaped coil spring is provided with an inner side fixing column, the outer side vertical edge of the sheet-shaped coil spring is provided with an outer side fixing column, the inner side fixing column is fixed on one side of the vent holes of the upper end cover and the lower end cover, and the outer side fixing column is fixed on the inner wall of the cylindrical outer bin wall; a rubber air bag is arranged in the sheet coil spring, an air bag inflation tube is arranged at the upper end of the rubber air bag, an air bag deflation tube is arranged at the lower end of the rubber air bag, the air bag inflation tube is connected with an air inlet device, and the air bag deflation tube is connected with the front end of an air flow channel in the respiration base.
The air inlet device comprises a square-cylindrical air inlet pipe, the lower end of the square-cylindrical air inlet pipe is connected with an upper opening of the cylindrical outer bin wall, an oxygen inlet is formed in the upper end of the square-cylindrical air inlet pipe, an elastic oxygen conveying pipe is arranged in the square-cylindrical air inlet pipe, the upper end of the elastic oxygen conveying pipe is mutually connected with the oxygen inlet, and the lower end of the elastic oxygen conveying pipe is connected with an air bag inflation pipe; one side of the elastic oxygen conveying pipe is provided with an oxygen inlet flow control device.
The oxygen intake flow control device comprises an upper rotating shaft and a lower rotating shaft, an annular wheel belt is sleeved on the upper rotating shaft and the lower rotating shaft, and a plurality of telescopic shifting plates are arranged on the annular wheel belt; the upper rotating shaft is arranged on the left side of the central axis of the square cylindrical air inlet pipe, and the lower rotating shaft is arranged on the right side of the central axis of the square cylindrical air inlet pipe; the elastic oxygen conveying pipe is inserted from the left side of the oxygen inlet flow control device and is connected with the air bag inflation pipe; one end of the upper rotating shaft, which penetrates through the side wall of the square cylindrical air inlet pipe, is connected with an inflatable rocking handle; the telescopic shifting plate comprises a mounting base, a telescopic middle rod is sleeved on the mounting base, a shifting plate spring is sleeved outside the telescopic middle rod, an outer sleeve is sleeved outside the shifting plate spring, the lower end of the shifting plate spring is fixedly connected to the mounting base, and the other end of the shifting plate spring is fixedly connected to the inner top wall of the outer sleeve; the outer sleeve is connected with the mounting base through an elastic rubber tensile membrane; when the inflatable rocking handle is manually rocked, the telescopic shifting plate can unidirectionally convey oxygen in the elastic oxygen conveying pipe to the rubber air bag.
The chest compression assistor comprises a chest compression base, the chest compression base comprises a hollow inner cavity, the lower bottom surface of the hollow inner cavity is open, and a silica gel diaphragm is arranged at the open end; a plurality of chest compression bars are vertically arranged in the hollow inner cavity, the upper ends of the chest compression bars are connected with the upper wall of the hollow inner cavity through tension springs, the lower ends of the chest compression bars are connected with arc chest compression plates through springs, each chest compression plate forms an arc-shaped surface with the middle protruding upwards, and the middle parts of the chest compression bars are vertically embedded or attached with sheet-shaped racks; circular through rod insertion holes are respectively formed in two sides of the middle of the hollow inner cavity, a transverse through rod is transversely arranged between the two through rod insertion holes, and one side, penetrating out of the hollow inner cavity, of the transverse through rod is connected with a chest pressure rocking handle; the cross section of the middle part of the transverse rod is square, a plurality of gear ring sleeves with square through holes are sleeved on the transverse rod, ring gears are arranged outside the gear ring sleeves, the gear ring sleeves correspond to the chest compression bars one by one, one side of each gear ring sleeve is connected with the lower end of a vertically arranged ring sleeve driving lever, a plurality of driving bar holes are formed in the upper top surface of the hollow inner cavity, and the upper ends of the ring sleeve driving levers penetrate through the driving bar holes; when the ring sleeve deflector rod is transversely pulled, the gear ring sleeve can be meshed with the adjacent sheet-shaped rack; when the manual downward rocking handle is rotated, the transverse through rod can drive the chest compression rod and the arc chest compression plate engaged with the gear ring sleeve to move downwards.
The supporting rack comprises a front rack and a rear rack, and the front rack and the rear rack are connected together through a telescopic connecting rod; a breathing aid slot is formed in the front frame, and a breathing base of the breathing aid is inserted and fixed into the breathing aid slot from top to bottom; the chest pressing assistor slot is arranged on the rear frame, and a chest pressing base of the chest pressing assistor is inserted and fixed in the chest pressing assistor slot from top to bottom.
The breathing assistor slot both sides of front frame set up front end left and right connecting rod respectively, front end left and right stabilizer blade is connected respectively to the front end left and right connecting rod, the front end left and right stabilizer blade is "eight" font setting.
The chest compression assistor slot of back frame both sides set up rear end left and right connecting rod respectively, rear end left and right stabilizer blade is connected respectively to the left and right connecting rod of rear end, the left and right stabilizer blade of rear end is "eight" font setting.
The left and right front-end support legs and the left and right rear-end support legs respectively comprise an upper supporting sleeve and a lower insertion rod, the inner hollow part of the upper supporting sleeve is open at the lower end, the upper end of the lower insertion rod is inserted into the upper supporting sleeve, and an elastic air bag is arranged at one end of the lower insertion rod inserted into the upper supporting sleeve.
The breathing assistor is provided with a breathing device height adjusting device, the breathing device height adjusting device comprises side grading top block devices, and the side grading top block devices comprise four groups and are respectively installed on the front side, the rear side, the left side and the right side of the breathing base.
The side grading top block device comprises an upper slotted hole, a lower slotted hole, an upper inserting strip hole and a lower inserting strip hole; an upper rotating block is hinged to the inner side of the upper part of the upper slotted hole, and the upper rotating block is in a vertically downward state when rotating downwards to a lower limit position and can be completely accommodated in the upper slotted hole; the upper rotating block is in a state of horizontally extending out of the upper slotted hole when being upwards rotated to the upper limit position, and the upper rotating block can be clamped above the slot of the breathing assistance device; the lower rotating block is hinged to the inner side of the upper part of the lower slotted hole, is in a vertically downward state when being rotated downwards to a lower limit position and can be completely accommodated in the lower slotted hole; the lower rotary block is in a state of horizontally extending out of the lower slotted hole when being upwards screwed to the upper limit position, and the lower rotary block can be clamped above the slot of the breathing assistance device.
The upper cutting hole and the lower cutting hole are both arranged in the breathing base, the upper cutting hole and the lower cutting hole are both L-shaped cutting holes, the upper ends of the upper cutting hole and the lower cutting hole penetrate through the upper top surface of the breathing base, and the lower ends of the upper cutting hole and the lower cutting hole are respectively communicated with the upper slotted hole and the lower slotted hole; an upper rubber inserting strip and a lower rubber inserting strip are respectively arranged in the upper inserting strip hole and the lower inserting strip hole, and the upper ends of the upper rubber inserting strip and the lower rubber inserting strip penetrate through the upper top surface of the breathing base; when the upper rubber slip or the lower rubber slip is pressed downwards, the upper rotating block or the lower rotating block can be ejected out of the upper slotted hole or the lower slotted hole to be in a horizontal state; when the upper and lower rotary blocks are manually pressed and rotated to be accommodated in the upper and lower slotted holes, the upper and lower rubber inserts can be ejected back to the original positions.
The chest compression assistor is provided with a chest compression device height adjusting device, the chest compression device height adjusting device comprises side grading inserting strip devices, and the side grading inserting strip devices comprise four groups and are respectively arranged on the front side, the rear side, the left side and the right side of the chest compression base.
The side grading inserting strip device comprises a side slotted hole, a fixed inserting strip plate is arranged on the inner side of the side slotted hole, four transverse inserting strip holes are formed in the fixed inserting strip plate from top to bottom, a movable inserting strip plate is arranged on the outer side of the fixed inserting strip plate in the side slotted hole, and the upper end of the movable inserting strip plate is mounted on the upper top surface of the side slotted hole through a tension spring; the activity slat orientation is seted up towards one side of fixed slat of inserting and is set up four horizontal outer insertion holes from top to bottom, and the slip slide rail groove is vertically seted up to one side of activity slat dorsad fixed slat of inserting, set up the slip slider in the slip slide rail groove, articulated slip sleeve on the slip slider inserts the stick pole in the slip sleeve, sets up the fender ring in the slip sleeve, sets up the dog at the both ends of slip pole, the slip pole can be followed the slip sleeve and slided but keep off the ring and can block the dog and prevent that the slip pole from deviating from the slip sleeve.
When the device is used, the height adjusting device of the breathing device and the height adjusting device of the chest pressing device are adjusted according to the head position and the chest position of a patient when the patient lies down, so that the position of the breathing assistor, particularly the mouth breathing mask, and the height of the chest pressing assistor are adjusted.
Firstly, confirming that no foreign matter exists in the mouth of a patient, then opening the mouth of the patient, tightly buckling the mouth breathing mask on the mouth of the patient, and then rotating the nose clip to clamp the nasal wing part of the patient to prevent the airflow in the charging port from directly discharging from the nose without entering the lung. The maximum amount of the single air is roughly judged according to the age and the weight of the patient, the single air volume of the single air volume is about 500-800 ml for an adult, and the air volume of the infant is measured according to 10 ml/KG. After the single inflation amount is judged, the cylindrical outer bin wall of the gas storage bin is rotated, the sheet coil spring is made to rotate to adjust the amount of the inner containing cavity, and then the maximum inflation amount of the rubber air bag is controlled. For convenient operation, the scale value of the inflation amount can be marked on the upper end cover or the lower end cover. The gas filling pipe of the compressed oxygen cylinder is connected with the oxygen inlet of the gas inlet device. The rotary inflatable rocking handle quantitatively dials oxygen entering the elastic oxygen conveying pipe to the rubber air bag in sections through the telescopic shifting plate until the rubber air bag is completely full, the rotary resistance of the inflatable rocking handle is obviously increased at the moment, and the rocking can be stopped. The one-way air inlet valve is opened, so that oxygen in the rubber air bag enters the mouth of the patient through the air flow channel and the respiratory mask at the inlet part, single quantitative ventilation is realized, and the observation that the chest of the patient has obvious fluctuation proves that the oxygen is effectively filled into the lung. The oral mask is then rotated and the patient's head is rotated to one side, exhaling the flow of gas.
The area to be pressed is determined according to the chest circumference of a patient, and then the gear ring sleeve can be meshed with the adjacent sheet-shaped rack through the transverse corresponding poking ring sleeve poking rod. The manual swing of chest presses the rocking handle, and the horizontal through-rod can drive chest depression bar and the arc chest clamp plate that mesh mutually with the gear ring cover and move down, and the arc chest clamp plate is exerted pressure to patient's chest through the silica gel diaphragm.
The artificial respiration and the chest pressure massage are alternately carried out according to the cardio-pulmonary resuscitation requirement, the real-time rescue of the patient is realized, the time and the labor are saved, the efficiency and the accuracy are high, and the adaptability is strong.
The adjusting method of the breathing device height adjusting device comprises the following steps: if the height of the breathing aid is required to be increased, the lower rubber inserting strip is pressed downwards, the lower rotating block can be ejected out of the lower slotted hole to be in a horizontal state, then a breathing base of the breathing aid is inserted and fixed into a slot of the breathing aid from top to bottom, and the lower rotating block is supported at the upper part of the slot of the breathing aid; if need reduce the height of breathing assistor, press down the rubber cutting, can be ejecting to the horizontality from last slotted hole with the upper rotating block, then fix breathing assistor's breathing base cartridge from top to bottom in breathing assistor slot, the upper rotating block supports the upper portion at breathing assistor slot.
The adjusting method of the chest compression device height adjusting device comprises the following steps: when the chest compression aid needs to be fixed on a chest compression aid slot of a rear frame, the slip sliding block is slid to one side of a preselected outer slip hole, the slip sleeve is transversely rotated, the slip rod is inserted into the outer slip hole, then the movable slip plate is pulled downwards to enable the slip rod to be aligned with the preselected inner slip hole, the slip sleeve is outwards and transversely extended to be capable of being clamped above the chest compression aid slot, the upward outer slip hole is selected to be aligned with the downward inner slip hole and the slip rod is inserted when the position of the chest compression aid needs to be higher, and the downward outer slip hole is selected to be aligned with the upward inner slip hole and the slip rod is inserted when the position of the chest compression aid needs to be lower.
The foregoing is directed to preferred embodiments of the present invention, other and further embodiments of the invention may be devised without departing from the basic scope thereof, and the scope thereof is determined by the claims that follow. Any simple modification, equivalent change and modification of the above embodiments according to the technical essence of the present invention, without departing from the technical solution of the present invention, still belong to the protection scope of the technical solution of the present invention.

Claims (6)

1. The dual breathing device for the cardiology department is characterized by comprising a supporting rack, a breathing assistor and a chest pressure assistor; the breathing assistor and the chest compression assistor can be fixedly arranged on the supporting frame;
the breathing assistor comprises a breathing base, wherein an airflow channel is arranged in the breathing base, a gas storage bin is arranged at the upper part of the breathing base, and an air inlet device is arranged at the upper part of the gas storage bin; a one-way air inlet valve is arranged on the air flow channel; the front end of the breathing base is provided with an oral breathing mask, the upper end of the oral breathing mask is provided with a hinge shaft, and the hinge shaft is hinged and fixed on the breathing base; an air inlet is formed in the mouth breathing mask and communicated with the rear end of the airflow channel; the front end of the mouth breathing mask is hinged with a nose clip;
the gas storage bin comprises a cylindrical outer bin wall, a sheet coil spring and a rubber air bag, wherein an upper end cover and a lower end cover which are provided with vent holes are respectively arranged at two ends of the cylindrical outer bin wall, an upper annular rotary groove and a lower annular rotary groove are respectively arranged on the opposite end surfaces of the upper end cover and the lower end cover, and the cylindrical outer bin wall is arranged in the annular rotary grooves and can rotate in the annular rotary grooves; the inner side vertical edge of the sheet-shaped coil spring is provided with an inner side fixing column, the outer side vertical edge of the sheet-shaped coil spring is provided with an outer side fixing column, the inner side fixing column is fixed on one side of the vent holes of the upper end cover and the lower end cover, and the outer side fixing column is fixed on the inner wall of the cylindrical outer bin wall; a rubber air bag is arranged in the sheet coil spring, an air bag inflation tube is arranged at the upper end of the rubber air bag, an air bag deflation tube is arranged at the lower end of the rubber air bag, the air bag inflation tube is connected with an air inlet device, and the air bag deflation tube is connected with the front end of an air flow channel in the respiration base;
the air inlet device comprises a square-cylindrical air inlet pipe, the lower end of the square-cylindrical air inlet pipe is connected with an upper opening of the cylindrical outer bin wall, an oxygen inlet is formed in the upper end of the square-cylindrical air inlet pipe, an elastic oxygen conveying pipe is arranged in the square-cylindrical air inlet pipe, the upper end of the elastic oxygen conveying pipe is mutually connected with the oxygen inlet, and the lower end of the elastic oxygen conveying pipe is connected with an air bag inflation pipe; an oxygen inlet flow control device is arranged on one side of the elastic oxygen conveying pipe;
the oxygen intake flow control device comprises an upper rotating shaft and a lower rotating shaft, an annular wheel belt is sleeved on the upper rotating shaft and the lower rotating shaft, and a plurality of telescopic shifting plates are arranged on the annular wheel belt; the upper rotating shaft is arranged on the left side of the central axis of the square cylindrical air inlet pipe, and the lower rotating shaft is arranged on the right side of the central axis of the square cylindrical air inlet pipe; the elastic oxygen conveying pipe is inserted from the left side of the oxygen inlet flow control device and is connected with the air bag inflation pipe; one end of the upper rotating shaft, which penetrates through the side wall of the square cylindrical air inlet pipe, is connected with an inflatable rocking handle; the telescopic shifting plate comprises a mounting base, a telescopic middle rod is sleeved on the mounting base, a shifting plate spring is sleeved outside the telescopic middle rod, an outer sleeve is sleeved outside the shifting plate spring, the lower end of the shifting plate spring is fixedly connected to the mounting base, and the other end of the shifting plate spring is fixedly connected to the inner top wall of the outer sleeve; the outer sleeve is connected with the mounting base through an elastic rubber tensile membrane; when the inflatable rocking handle is manually rocked, the telescopic shifting plate can unidirectionally convey oxygen in the elastic oxygen conveying pipe to the rubber air bag;
the chest compression assistor comprises a chest compression base, the chest compression base comprises a hollow inner cavity, the lower bottom surface of the hollow inner cavity is open, and a silica gel diaphragm is arranged at the open end; a plurality of chest compression bars are vertically arranged in the hollow inner cavity, the upper ends of the chest compression bars are connected with the upper wall of the hollow inner cavity through tension springs, the lower ends of the chest compression bars are connected with arc chest compression plates through springs, each chest compression plate forms an arc-shaped surface with the middle protruding upwards, and the middle parts of the chest compression bars are vertically embedded or attached with sheet-shaped racks; circular through rod insertion holes are respectively formed in two sides of the middle of the hollow inner cavity, a transverse through rod is transversely arranged between the two through rod insertion holes, and one side, penetrating out of the hollow inner cavity, of the transverse through rod is connected with a chest pressure rocking handle; the cross section of the middle part of the transverse rod is square, a plurality of gear ring sleeves with square through holes are sleeved on the transverse rod, ring gears are arranged outside the gear ring sleeves, the gear ring sleeves correspond to the chest compression bars one by one, one side of each gear ring sleeve is connected with the lower end of a vertically arranged ring sleeve driving lever, a plurality of driving bar holes are formed in the upper top surface of the hollow inner cavity, and the upper ends of the ring sleeve driving levers penetrate through the driving bar holes; when the ring sleeve deflector rod is transversely pulled, the gear ring sleeve can be meshed with the adjacent sheet-shaped rack; when the manual downward rocking handle is rotated, the transverse through rod can drive the chest compression rod and the arc chest compression plate engaged with the gear ring sleeve to move downwards.
2. The dual cardiology breathing apparatus of claim 1, wherein: the supporting rack comprises a front rack and a rear rack, and the front rack and the rear rack are connected together through a telescopic connecting rod; a breathing aid slot is formed in the front frame, and a breathing base of the breathing aid is inserted and fixed into the breathing aid slot from top to bottom; the chest pressing assistor slot is arranged on the rear frame, and a chest pressing base of the chest pressing assistor is inserted and fixed in the chest pressing assistor slot from top to bottom.
3. The cardiology department dual breathing apparatus of claim 2, wherein: the left connecting rod and the right connecting rod at the front end are respectively connected with the left supporting leg and the right supporting leg at the front end, and the left supporting leg and the right supporting leg at the front end are arranged in a splayed shape;
the chest compression assistor slot of back frame both sides set up rear end left and right connecting rod respectively, rear end left and right stabilizer blade is connected respectively to the left and right connecting rod of rear end, the left and right stabilizer blade of rear end is "eight" font setting.
4. A dual cardiology breathing apparatus according to claim 3, wherein: the left and right front-end support legs and the left and right rear-end support legs respectively comprise an upper supporting sleeve and a lower insertion rod, the inner hollow part of the upper supporting sleeve is open at the lower end, the upper end of the lower insertion rod is inserted into the upper supporting sleeve, and an elastic air bag is arranged at one end of the lower insertion rod inserted into the upper supporting sleeve.
5. The dual cardiology breathing apparatus of claim 4, wherein: the breathing assistor is provided with a breathing device height adjusting device, the breathing device height adjusting device comprises side surface grading top block devices, and the side surface grading top block devices comprise four groups and are respectively arranged on the front side, the rear side, the left side and the right side of the breathing base;
the side grading top block device comprises an upper slotted hole, a lower slotted hole, an upper inserting strip hole and a lower inserting strip hole; an upper rotating block is hinged to the inner side of the upper part of the upper slotted hole, and the upper rotating block is in a vertically downward state when rotating downwards to a lower limit position and can be completely accommodated in the upper slotted hole; the upper rotating block is in a state of horizontally extending out of the upper slotted hole when being upwards rotated to the upper limit position, and the upper rotating block can be clamped above the slot of the breathing assistance device; the lower rotating block is hinged to the inner side of the upper part of the lower slotted hole, is in a vertically downward state when being rotated downwards to a lower limit position and can be completely accommodated in the lower slotted hole; the lower rotary block is in a state of horizontally extending out of the lower slotted hole when being upwards screwed to the upper limit position, and the lower rotary block can be clamped above the slot of the breathing aid;
the upper cutting hole and the lower cutting hole are both arranged in the breathing base, the upper cutting hole and the lower cutting hole are both L-shaped cutting holes, the upper ends of the upper cutting hole and the lower cutting hole penetrate through the upper top surface of the breathing base, and the lower ends of the upper cutting hole and the lower cutting hole are respectively communicated with the upper slotted hole and the lower slotted hole; an upper rubber inserting strip and a lower rubber inserting strip are respectively arranged in the upper inserting strip hole and the lower inserting strip hole, and the upper ends of the upper rubber inserting strip and the lower rubber inserting strip penetrate through the upper top surface of the breathing base; when the upper rubber slip or the lower rubber slip is pressed downwards, the upper rotating block or the lower rotating block can be ejected out of the upper slotted hole or the lower slotted hole to be in a horizontal state; when the upper and lower rotary blocks are manually pressed and rotated to be accommodated in the upper and lower slotted holes, the upper and lower rubber inserts can be ejected back to the original positions.
6. The dual cardiology breathing apparatus of claim 5, wherein: the chest compression assistor is provided with a chest compression device height adjusting device, the chest compression device height adjusting device comprises side surface grading inserting strip devices, and the side surface grading inserting strip devices comprise four groups and are respectively arranged on the front side, the rear side, the left side and the right side of the chest compression base;
the side grading inserting strip device comprises a side slotted hole, a fixed inserting strip plate is arranged on the inner side of the side slotted hole, four transverse inserting strip holes are formed in the fixed inserting strip plate from top to bottom, a movable inserting strip plate is arranged on the outer side of the fixed inserting strip plate in the side slotted hole, and the upper end of the movable inserting strip plate is mounted on the upper top surface of the side slotted hole through a tension spring; the movable inserting plate is provided with four transverse outer inserting strip holes from top to bottom on one side facing the fixed inserting plate, an inserting strip slide rail groove is longitudinally formed on one side of the movable inserting plate opposite to the fixed inserting plate, an inserting strip slide block is arranged in the inserting strip slide rail groove, an inserting strip sleeve is hinged to the inserting strip slide block, an inserting strip rod is inserted in the inserting strip sleeve, a retaining ring is arranged in the inserting strip sleeve, two ends of the inserting strip rod are provided with retaining blocks, and the inserting strip rod can slide along the inserting strip sleeve but the retaining rings can block the retaining blocks to prevent the inserting strip rod from being separated from the inserting strip sleeve; when the chest compression aid needs to be fixed on a chest compression aid slot of a rear frame, the slip sliding block is slid to one side of a preselected outer slip hole, the slip sleeve is transversely rotated, the slip rod is inserted into the outer slip hole, then the movable slip plate is pulled downwards to enable the slip rod to be aligned with the preselected inner slip hole, the slip sleeve is outwards and transversely extended to be capable of being clamped above the chest compression aid slot, the upward outer slip hole is selected to be aligned with the downward inner slip hole and the slip rod is inserted when the position of the chest compression aid needs to be higher, and the downward outer slip hole is selected to be aligned with the upward inner slip hole and the slip rod is inserted when the position of the chest compression aid needs to be lower.
CN201811264435.1A 2018-10-29 2018-10-29 Dual breathing device for cardiology department Expired - Fee Related CN109431776B (en)

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CN113069343B (en) * 2021-02-24 2022-12-27 河南科技大学第一附属医院 Severe patient breathes recovery auxiliary device
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US8591439B1 (en) * 2012-08-13 2013-11-26 AutoCPR Extended term patient resuscitation/ventilation system
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