CN109621125A - Breathing Suppotion equipment - Google Patents

Breathing Suppotion equipment Download PDF

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Publication number
CN109621125A
CN109621125A CN201811649834.XA CN201811649834A CN109621125A CN 109621125 A CN109621125 A CN 109621125A CN 201811649834 A CN201811649834 A CN 201811649834A CN 109621125 A CN109621125 A CN 109621125A
Authority
CN
China
Prior art keywords
breathing
pressure
breathing suppotion
suppotion equipment
ipap
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201811649834.XA
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Chinese (zh)
Inventor
戴征
黄皓轩
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hunan Micomme Zhongjin Medical Technology Development Co Ltd
Original Assignee
Hunan Micomme Zhongjin Medical Technology Development Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hunan Micomme Zhongjin Medical Technology Development Co Ltd filed Critical Hunan Micomme Zhongjin Medical Technology Development Co Ltd
Priority to CN201811649834.XA priority Critical patent/CN109621125A/en
Publication of CN109621125A publication Critical patent/CN109621125A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • A61M2230/42Rate

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The present invention discloses a kind of Breathing Suppotion equipment, according to preset respiratory rate, inspiratory duration and expiratory duration, carry out the switching of pressure of inspiration(Pi) and breath pressure, it is IPAP that reference pressure, which is arranged, in the Breathing Suppotion equipment in the inspiratory duration, it is EPAP that reference pressure is arranged in the expiratory duration, in the inspiratory duration, in user's spontaneous expiration, pressure is dropped to IPAP*2/3 by the Breathing Suppotion equipment, in the autonomous air-breathing of user, the Breathing Suppotion equipment pressure is increased to IPAP*5/4;In the expiratory duration, in the autonomous air-breathing of user, the Breathing Suppotion equipment is by boost in pressure to IPAP*2/3, and when there is user's spontaneous expiration, the Breathing Suppotion equipment is by pressure reduction to EPAP*2/3.Compared with the relevant technologies, Breathing Suppotion equipment man-machine confrontation of the invention is small.

Description

Breathing Suppotion equipment
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of Breathing Suppotion equipment.
Background technique
Refering to fig. 1, noninvasive double horizontal Breathing Suppotion equipment, the IPAP pressure kept constant when air-breathing are being exhaled When the EPAP pressure that keeps constant, when machine control, Breathing Suppotion equipment is according to the respiratory rate set, when air-breathing Between and expiratory duration, the automatic switching for carrying out pressure of inspiration(Pi) and breath pressure, and insist on and continue in IPAP in inspiratory duration internal pressure Level is insisted in expiratory duration internal pressure and is continued in EPAP level.
But noninvasive double horizontal Breathing Suppotion equipment in the related technology are usually referring to when carrying out machine control ventilation Determine to keep a higher single IPAP pressure when air-breathing, holding one is lower single when specified exhale EPAP pressure occurs certainly when user autonomous air-breathing occurs in specified inspiratory duration, or in specified expiratory duration When main air-breathing, since IPAP or EPAP pressure remains unchanged, more serious man-machine confrontation can be generated.
Therefore, it is necessary to provide a kind of new Breathing Suppotion equipment solution above-mentioned technical problem.
Summary of the invention
The purpose of the present invention is overcoming above-mentioned technical problem, a kind of Breathing Suppotion equipment that man-machine confrontation is small is provided.
The present invention provides a kind of Breathing Suppotion equipment, according to preset respiratory rate, inspiratory duration and expiratory duration, carries out The switching of pressure of inspiration(Pi) and breath pressure, it is IPAP that reference pressure, which is arranged, in the Breathing Suppotion equipment in the inspiratory duration, Reference pressure is set in the expiratory duration for EPAP, in the inspiratory duration, in user's spontaneous expiration, the breathing is propped up Pressure is dropped to IPAP*2/3 by holding equipment, and in the autonomous air-breathing of user, the Breathing Suppotion equipment pressure is increased to IPAP* 5/4;In the expiratory duration, in the autonomous air-breathing of user, the Breathing Suppotion equipment is going out boost in pressure to IPAP*2/3 When current family spontaneous expiration, the Breathing Suppotion equipment is by pressure reduction to EPAP*2/3.
Preferably, in the inspiratory duration, in user's spontaneous expiration, the Breathing Suppotion equipment is by pressure in 200ms It inside linearly decreases to IPAP*2/3 and keeps 100ms, IPAP is then linearly revert in 200ms, in the autonomous air-breathing of user, Pressure is linearly increased to IPAP*5/4 in 200ms by the Breathing Suppotion equipment, and IPAP is then linearly revert in 200ms; In the expiratory duration, in the autonomous air-breathing of user, the Breathing Suppotion equipment linearly promotes pressure to IPAP* in 200ms 2/3, EPAP is then linearly revert in 200ms, when there is user's spontaneous expiration, the Breathing Suppotion equipment exists pressure It is linearly reduced to EPAP*2/3 in 200ms and keeps 100ms, EPAP is then linearly revert in 200ms.
Preferably, within 10 machine control periods of the Breathing Suppotion equipment, occur more than 5 man-machine confrontations and 60% with On man-machine confrontation when the inspiratory duration occurs, the preset inspiratory duration is reduced by 1/3 work by the Breathing Suppotion equipment For new inspiratory duration;Within 10 machine control periods of the breathing, occur more than 5 man-machine confrontations and 60% or more it is man-machine When the expiratory duration occurs for confrontation, the preset expiratory duration is reduced 1/3 as new and exhaled by the Breathing Suppotion equipment The gas time.
Preferably, the Breathing Suppotion equipment passes through 3 times or more the adjustment to the expiratory duration or the inspiratory duration Afterwards, when still occurring more than 5 man-machine confrontations, the Breathing Suppotion equipment reduces the respiratory rate, declines 1 every time.
Preferably, it is described to exhale when the Breathing Suppotion equipment reduces respiratory rate to the preset respiratory rate half Inhale holding equipment prompt switching treatment mode.
Compared with prior art, Breathing Suppotion equipment provided by the invention, in the inspiratory duration, in user's spontaneous expiration When, the Breathing Suppotion equipment declines pressure, and in the autonomous air-breathing of user, the Breathing Suppotion equipment improves pressure;Institute It states in expiratory duration, in the autonomous air-breathing of user, boost in pressure user's spontaneous expiration is being occurred by the Breathing Suppotion equipment When, the Breathing Suppotion equipment by pressure reduction, thus the machine control stage also to user's autonomous respiration carried out by a small margin with With during IPAP and EPAP continues, if there is man-machine confrontation, then the Breathing Suppotion equipment also be can be carried out by a small margin Pressure switching also has double levels during IPAP and EPAP continues, to reach four horizontal performances, considerably reduces man-machine Confrontation.
Detailed description of the invention
To describe the technical solutions in the embodiments of the present invention more clearly, make required in being described below to embodiment Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for For those of ordinary skill in the art, without creative efforts, it can also be obtained according to these attached drawings other Attached drawing, in which:
Fig. 1 is the pressure and time relationship schematic diagram of the relevant technologies Breathing Suppotion equipment;
Fig. 2 is the pressure and time relationship schematic diagram of Breathing Suppotion equipment of the present invention.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that the described embodiments are merely a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts all other Embodiment shall fall within the protection scope of the present invention.
It please refers to shown in Fig. 2, the present invention provides a kind of Breathing Suppotion equipment, according to preset respiratory rate, inspiratory duration And expiratory duration, carry out the switching of pressure of inspiration(Pi) and breath pressure.The Breathing Suppotion equipment is arranged in the inspiratory duration Reference pressure is IPAP, and it is EPAP that reference pressure is arranged in the expiratory duration.
In the inspiratory duration, pressure is relatively high, and user is if there is autonomous respiration at this time, it will usually generate more serious Man-machine confrontation, Breathing Suppotion equipment should actively reduce partial pressure, allow user can normal exhalation, be then returned to again IPAP, it is ensured that pressure support ventilation is enough.In present embodiment, in the inspiratory duration, in user's spontaneous expiration, the breathing branch Pressure is dropped to IPAP*2/3 from IPAP by holding equipment, in the autonomous air-breathing of user, the Breathing Suppotion equipment by pressure from IPAP is increased to IPAP*5/4.
In the expiratory duration, pressure is relatively low, and user generally means that ventilatory capacity not if there is autonomous respiration at this time Foot, needs to supplement as early as possible.In present embodiment, in the expiratory duration, in the autonomous air-breathing of user, the Breathing Suppotion equipment Pressure is promoted from EPAP to IPAP*2/3, when there is user's spontaneous expiration, the Breathing Suppotion equipment is by pressure from EPAP It is reduced to EPAP*2/3.
It is man-machine in generation since the reference pressure IPAP and EPAP that set when machine control need prolonged use When confrontation, even if pressure changes with user's respiratory state, can only also continue one shorter time is then restored to setting Pressure, further, the Breathing Suppotion equipment is when occurring man-machine confrontation, using pulsed pressure change, i.e., in the short time It is interior that pressure is increased or decreased into specified level, it is then returned to IPAP or EPAP.
In the inspiratory duration, in user's spontaneous expiration, the Breathing Suppotion equipment by pressure in 200ms it is linear under It drops to IPAP*2/3 and keeps 100ms, IPAP is then linearly revert in 200ms, in the autonomous air-breathing of user, the breathing Pressure is linearly increased to IPAP*5/4 in 200ms by holding equipment, and IPAP is then linearly revert in 200ms;The expiration In time, in the autonomous air-breathing of user, to IPAP*2/3, then the Breathing Suppotion equipment linearly promotes pressure in 200ms EPAP is linearly revert in 200ms, when there is user's spontaneous expiration, the Breathing Suppotion equipment is by pressure in 200ms Linear reduction is to EPAP*2/3 and keeps 100ms, and EPAP is then linearly revert in 200ms.
Further, within 10 machine control periods of the Breathing Suppotion equipment, 5 man-machine confrontations and 60% are occurred more than When the inspiratory duration occurs for above man-machine confrontation, the preset inspiratory duration is reduced 1/3 by the Breathing Suppotion equipment As new inspiratory duration;Within 10 machine control periods of the breathing, the people of 5 man-machine confrontations and 60% or more is occurred more than When the expiratory duration occurs for machine confrontation, the preset expiratory duration is reduced 1/3 as newly by the Breathing Suppotion equipment Expiratory duration.
Further, the Breathing Suppotion equipment is by 3 times or more to the expiratory duration or the inspiratory duration After adjustment, when still occurring more than 5 man-machine confrontations within 10 machine control periods of the Breathing Suppotion equipment, the breathing branch Holding equipment reduces the respiratory rate, declines 1 every time.
Further, it when the Breathing Suppotion equipment reduces respiratory rate to the preset respiratory rate half, exhales Inhaling holding equipment will be prompted to switching treatment mode, to remind user, if consideration is switched to the mode followed automatically, because at this time User should have stronger autonomous respiration ability, and ventilator should be at secondary status, rather than actively force user Ventilation.
Compared with prior art, Breathing Suppotion equipment provided by the invention, in the inspiratory duration, in user's spontaneous expiration When, the Breathing Suppotion equipment declines pressure, and in the autonomous air-breathing of user, the Breathing Suppotion equipment improves pressure;Institute It states in expiratory duration, in the autonomous air-breathing of user, boost in pressure user's spontaneous expiration is being occurred by the Breathing Suppotion equipment When, the Breathing Suppotion equipment by pressure reduction, thus the machine control stage also to user's autonomous respiration carried out by a small margin with With during IPAP and EPAP continues, if there is man-machine confrontation, then the Breathing Suppotion equipment also be can be carried out by a small margin Pressure switching also has double levels during IPAP and EPAP continues, to reach four horizontal performances, considerably reduces man-machine Confrontation.
The above description is only an embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills Art field, is included within the scope of the present invention.

Claims (5)

1. a kind of Breathing Suppotion equipment carries out pressure of inspiration(Pi) and exhales according to preset respiratory rate, inspiratory duration and expiratory duration The switching of atmospheric pressure, which is characterized in that it is IPAP that reference pressure, which is arranged, in the Breathing Suppotion equipment in the inspiratory duration, The interior reference pressure that is arranged of the expiratory duration is EPAP, in the inspiratory duration, in user's spontaneous expiration, and the Breathing Suppotion Pressure is dropped to IPAP*2/3 by equipment, and in the autonomous air-breathing of user, the Breathing Suppotion equipment pressure is increased to IPAP*5/ 4;In the expiratory duration, in the autonomous air-breathing of user, is there is boost in pressure to IPAP*2/3 in the Breathing Suppotion equipment When user's spontaneous expiration, the Breathing Suppotion equipment is by pressure reduction to EPAP*2/3.
2. Breathing Suppotion equipment according to claim 1, which is characterized in that in the inspiratory duration, independently exhaled in user When gas, pressure is linearly decreased to IPAP*2/3 in 200ms and keeps 100ms by the Breathing Suppotion equipment, then in 200ms Interior linearly to revert to IPAP, in the autonomous air-breathing of user, pressure is linearly increased to by the Breathing Suppotion equipment in 200ms Then IPAP*5/4 linearly revert to IPAP in 200ms;In the expiratory duration, in the autonomous air-breathing of user, the breathing Holding equipment linearly promotes pressure to IPAP*2/3 in 200ms, and EPAP is then linearly revert in 200ms, is being used When the spontaneous expiration of family, pressure is linearly reduced to EPAP*2/3 in 200ms and keeps 100ms by the Breathing Suppotion equipment, so EPAP is linearly revert in 200ms afterwards.
3. Breathing Suppotion equipment according to claim 2, which is characterized in that in 10 machine controls of the Breathing Suppotion equipment In period, when occurring more than 5 man-machine confrontations and 60% or more the man-machine confrontation generation inspiratory duration, the Breathing Suppotion The preset inspiratory duration is reduced 1/3 as new inspiratory duration by equipment;Within 10 machine control periods of the breathing, out When now the expiratory duration occurs for the man-machine confrontation more than 5 man-machine confrontations and 60% or more, the Breathing Suppotion equipment will be pre- If the expiratory duration reduce 1/3 as new expiratory duration.
4. Breathing Suppotion equipment according to claim 3, which is characterized in that the Breathing Suppotion equipment is passed through 3 times or more After the adjustment of the expiratory duration or the inspiratory duration, when still occurring more than 5 man-machine confrontations, the Breathing Suppotion is set It makes preparation for dropping the low respiratory rate, declines 1 every time.
5. Breathing Suppotion equipment according to claim 4, which is characterized in that the Breathing Suppotion equipment reduces respiratory rate When to the preset respiratory rate half, the Breathing Suppotion device prompts switch treatment mode.
CN201811649834.XA 2018-12-30 2018-12-30 Breathing Suppotion equipment Pending CN109621125A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811649834.XA CN109621125A (en) 2018-12-30 2018-12-30 Breathing Suppotion equipment

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811649834.XA CN109621125A (en) 2018-12-30 2018-12-30 Breathing Suppotion equipment

Publications (1)

Publication Number Publication Date
CN109621125A true CN109621125A (en) 2019-04-16

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201811649834.XA Pending CN109621125A (en) 2018-12-30 2018-12-30 Breathing Suppotion equipment

Country Status (1)

Country Link
CN (1) CN109621125A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022053043A1 (en) * 2020-09-14 2022-03-17 湖南明康中锦医疗科技发展有限公司 Respiratory support method for dynamically adjusting flow, and respiratory support device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022053043A1 (en) * 2020-09-14 2022-03-17 湖南明康中锦医疗科技发展有限公司 Respiratory support method for dynamically adjusting flow, and respiratory support device

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Application publication date: 20190416