CN110090139A - A kind of intelligence initiative and portable Heart-lung restoring instrument - Google Patents
A kind of intelligence initiative and portable Heart-lung restoring instrument Download PDFInfo
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- CN110090139A CN110090139A CN201910515184.8A CN201910515184A CN110090139A CN 110090139 A CN110090139 A CN 110090139A CN 201910515184 A CN201910515184 A CN 201910515184A CN 110090139 A CN110090139 A CN 110090139A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G1/00—Stretchers
- A61G1/013—Stretchers foldable or collapsible
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G1/00—Stretchers
- A61G1/04—Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H31/004—Heart stimulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3904—External heart defibrillators [EHD]
- A61N1/39044—External heart defibrillators [EHD] in combination with cardiopulmonary resuscitation [CPR] therapy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H2031/001—Artificial respiration or heart stimulation, e.g. heart massage fixed on the chest by suction
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H31/008—Supine patient supports or bases, e.g. improving air-way access to the lungs
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- Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Emergency Medicine (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Pulmonology (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Percussion Or Vibration Massage (AREA)
Abstract
The present invention relates to a kind of intelligent initiative Heart-lung restoring instruments.The technical solution adopted is that: including the cardiopulmonary resuscitation system being slidably mounted on stretcher, the cardiopulmonary resuscitation system includes support construction, control device, monitoring device, press device, defibrillation device, breathing equipment, the support construction top is provided with press device, the press device includes pressing device and the vacuum generator that connect with pressing device, the pressing device includes main pressing device and auxiliary pressing device, the auxiliary pressing device includes at least two auxiliary pressing suckers, the auxiliary pressing sucker is connect with defibrillation device, the defibrillation device includes the conversion electrode slice being set in auxiliary pressing sucker.The present invention is to solve the problems, such as that still insufficient and existing Heart-lung restoring instrument has been unable to adjust automatically pressing to common people's medical professionalism background, a kind of Heart-lung restoring instrument for carrying out medical decision making, automatic according to pressing depth adjustment and initiative decompression is devised, raising success of cardiopulmonary resuscitation rate is conducive to.
Description
Technical field
The present invention relates to field of medical device, specially a kind of intelligent initiative Heart-lung restoring instrument, in addition, further relating to one
The portable Heart-lung restoring instrument of kind.
Background technique
Sudden arrest of heart beat (CA) refers to the unexpected stopping of cardiac pumping function mechanical activity, and systemic blood circulation is caused to interrupt, exhale
Stopping and the loss of consciousness are inhaled, at present every year there are about the raw CA of 54.4 ten thousand human hairs, asymptotic developed country is horizontal for disease incidence, but entirety is robbed
It rescues horizontal far below developed countries and regions；Effective means is exactly to catch this prime time in 4-6 minutes after CA occurs, and is implemented
The cardiopulmonary resuscitation (CPR) of high quality, the external chest compression including timely electric defibrillation or high quality.But the implementation of CPR at present
Effect is simultaneously not fully up to expectations, even if being implemented by the medical worker of profession, the quality of manual chest compression only has 28% and reaches finger
South requires, and the pressing quality of layman is then lower, this may largely influence the success rate and survival of patients of recovery
Rate.
Foreign countries have some products to emerge at present, and the full-automatic external defibrillator (AED) including the exploitation of ZOLL company has
Pressing quality, automatic cardiopulmonary resuscitation system (AutoPulse) according to pressing depth can be improved with the feedback system of frequency in real time,
Automatically full thorax external chest compression, automatic external chest compression equipment LUCAS of JOLIFE AB company exploitation etc. can be carried out, and it is domestic
At present in the product or blank in this field, and the depth pressed lacks timely feedback and individualized adjustment.It is worth note
Meaning in clinical studies, is recovered although these products increase pressing quality compared to manual chest compression in patient
Advantage is not shown in the major fates such as success rate, survival rate index.This too long may lead to miss with the equipment set-up time
Best recovery time, individual difference cause according to pressing depth with frequency difference and influence to press effect, lack feedback in real time
System causes recovery program that body life index cannot be followed to change and adjusts in time, family uses shortage medical expertise shadow
Ring opportunity and the judgement of effect etc. of recovery
Therefore, to overcome the shortcomings of in the above automatic CPR, need to design that invention is a has Real-time Feedback and intelligence
The automatic Heart-lung restoring instrument of decision can be changed；Big in combination with population base of China, CPR training quality and popularity are insufficient, the people
The still insufficient problem of many medical professionalism backgrounds, need to design it is a it is easy to operate, easy to carry, without implementing deliverer's progress
The Heart-lung restoring instrument of medical decision making.
Summary of the invention
CPR training quality and popularity that the present invention is directed to are insufficient, common people's medical professionalism background still insufficient skill
Art problem provides a kind of intelligent initiative cardiopulmonary easy to operate, easy to carry, that medical decision making is carried out without implementing deliverer
Recovery instrument.
Used technical solution is the present invention to solve above-mentioned technical problem: a kind of intelligence initiative CPR
Instrument, including cardiopulmonary resuscitation system, the cardiopulmonary resuscitation system include support construction, control device, monitoring device, press device,
Defibrillation device, breathing equipment, the support construction top are provided with press device, the press device include pressing device and with by
The vacuum generator of depressor connection, the pressing device includes main pressing device and auxiliary pressing device, is connected with tune on the auxiliary pressing device
Mechanism is saved, the regulating mechanism includes up and down adjustment component and angular adjustment component, and the auxiliary pressing device includes at least two auxiliary
Pressing sucker is helped, the auxiliary pressing sucker is connect with defibrillation device, and the defibrillation device includes being set to auxiliary pressing sucker
Interior conversion electrode slice, the monitoring device include the ultrasonic probe being arranged in support construction, are connected on the ultrasonic probe
Displacement component.It is pressed by press device, in order to reach preferably pressing effect, main pressing device and secondary pressing device is set,
Pressing device uses sucked type, and conversion electrode slice is equipped in auxiliary pressing device, and is carried out by regulating mechanism to pressing position
It adjusts, pressing and defibrillation can be carried out in the accurate position of human body, be monitored by monitoring device, and signal is fed back into control
Device processed carries out the operation of next step, realizes intelligentized pressing on the whole, easily operated, easy to carry, is widely used in
First aid scene.
Further, the press device further includes cylinder, and telescopic rod, the telescopic rod housing are connected on the cylinder
Equipped with up and down adjustment component, angular adjustment component is installed on the up and down adjustment component, the angular adjustment component includes sliding
Moving part is hinged with connecting rod on the sliding part, and the connecting rod is hinged with auxiliary pressing device.By move up and down component adjust it is auxiliary by
The height of depressor adjusts the angle of auxiliary pressing device by pushing sliding part, and then adjusts width, to adapt to different human body chests
It is wide.
Further, the auxiliary pressing device includes the support rod being hinged with connecting rod, and one end of the support rod is hinged with
Fixing piece, the other end of the support rod are connected with auxiliary pressing sucker.Pass through the mesh for hingedly reaching angular adjustment of support rod
, drive sucker movement.
Further, there are four auxiliary pressing sucker settings, and after four press points head and the tail are sequentially connected with when pressing
For rectangle, be provided with conversion electrode slice in two auxiliary pressing suckers, and be provided with two auxiliary of conversion electrode slice by
Pressure sucker is located at diagonal position.Reaching sucker and conversion electrode slice can work in same accurate position, existing pressing
There is the effect of defibrillation again.
Further, the bottom of the conversion electrode slice is concordant with the auxiliary bottom of pressing sucker, the conversion electrode slice
On be connected with the internal elastic insulator that can lead to line, the elastic insulator is through auxiliary pressing sucker, and through part is provided with
Sealing element.Conversion electrode slice can be made to adapt to the hypertonic movement of sucker by the setting of elastic insulator, be held against human body chest
Wall.
Further, the breathing equipment includes respirator, and the respirator includes air intake duct and expiration road, the air inlet
It is provided with impedance threshold valve on road, the infrared detector for monitoring carbon dioxide partial pressure is provided on the expiration road.
Further, the support construction side is provided with sliding slot, and displacement component, the displacement are provided in the sliding slot
Component includes rack gear and the bevel gear of engagement connection, is connected with ultrasonic probe on the rack gear, is connected with position on the bevel gear
Handle on the outside of support construction.The intracorporal situation of people is detected by ultrasonic probe, passes the signal along to control system.
In order to facilitate popularization, solve the problems, such as that common people's medical professionalism background is still insufficient, on the basis of the above, this programme
Provide a kind of portable Heart-lung restoring instrument easy to operate, easy to carry, that medical decision making is carried out without implementing deliverer.One kind is just
Formula Heart-lung restoring instrument, including folding stretcher are taken, positioning mechanism is provided on the stretcher, the positioning mechanism includes head
Location structure and body portion positioning mechanism, body portion positioning mechanism include the boost motor and locking unit of stretcher two sides setting；Institute
Stating support construction (51) can be cooperatively connected to form an inner cavity with stretcher.Human body is shifted onto suitably by the positioning mechanism on bracket
Position and fixation adjust suitable position by sliding supporting structure, are locked human body by locking unit, then
Carry out CPR.
Further, the boost motor includes the first boost motor and the second boost motor, and the bottom of first boost motor is solid
Be connected with the first rack gear, the bottom of second boost motor is fixed with the second rack gear, first rack gear it is opposite with the second rack gear and
And if engaging connection with same gear.By pushing the boost motor of side that can make another while doing relative motion, reaches and help
Push away human body effect placed in the middle.
Further, the two sides of the stretcher are provided with track, are slidably mounted support construction on the track.
Further, the location structure of head includes a cancave cambered surface for being lower than stretcher person placement face.Make head back
It is tilted a certain angle, guarantees optimal effect of breathing, be conducive to pressing.
The invention by adopting the above technical scheme, has the advantage that
1, the present invention is portable design, is conducive to carry, and can supply family's use；The present invention is one-touch behaviour
Make, installs and using simple, it is only necessary to which operator carries out basic some operations and inflation according to voice prompting, does not need to have
Any specialty background；The present invention is carrying out defibrillation, external chest compression choice, adjusts in real time according to pressing depth during automatic external chest compression
Guarantee resuscitation effect with lifting depth, innovation formula will press the active lifting of posterior chest wall springback process increase and further increase thoracic cavity
Interior negative pressure function, real-time monitoring spontaneous circulation replys situation when resuscitation process, real-time monitoring electrocardio situation in resuscitation process, well
Spending defibrillation opportunity etc. has intelligence, so that avoiding the difference of artificial otherness bring resuscitation effect to the full extent
It is different；This research intelligent decision making system is the pioneering of CPR robot field, and intelligence has ensured that instrument uses simple
Type and generalization.
2, human body onto is shifted in suitable position and fixation by the positioning mechanism on bracket, is adjusted by sliding supporting structure
Suitable position is saved, is pressed by press device, in order to reach preferably pressing effect, main pressing device is set and pair is pressed
Depressor, pressing device uses sucked type, and conversion electrode slice is equipped in auxiliary pressing device, and by regulating mechanism to pressing position
It is adjusted, pressing and defibrillation can be carried out in the accurate position of human body, be monitored by monitoring device, and signal is fed back
The operation that next step is carried out to control device, realizes intelligentized pressing on the whole, easily operated, easy to carry, suitable extensively
For first aid scene.
3, initiative is embodied in when pressing is unclamped does not help the wall of the chest to quickly recover to the preceding state of pressing merely with force of suction cup,
Wall of the chest certain altitude is further above mentioned simultaneously, expands thorax passively.Intelligence is embodied in three aspects: not stopping by the pressure heart
Pyroelectric monitor and judge automatically can automatic electric defibrillation (this includes electrocardio and defibrillation device) after the defibrillation rhythm of the heart, according to impedance threshold valve
According to pressing depth adjusted automatically whether membrane switch (this need this impedance threshold valve for including inside breathing equipment and by
Die block maintains according to pressing depth, if do not opened, to be increased by centainly according to pressing depth if open, until fixed after open
Depth pressing, or be more than this according to pressing depth upper limit of 6cm), intelligent differentiate that spontaneous circulation restores (namely to judge to be pressed into
The profession address of function.Using do not stop by pressure cardioelectric monitor, infrared technique detection partial pressure of carbon dioxide in endexpiratory gas, near-infrared examine
It surveys Local energy ratio (these three are respectively a module)；Breathing module in the present invention includes end-expiratory carbon dioxide point
Pressure, impedance threshold valve and last positive airway pressure of ventilating.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to be briefly described, it should be apparent that, for those of ordinary skill in the art
Speech, without creative efforts, is also possible to obtain other drawings based on these drawings.
Fig. 1 is the structural schematic diagram of the specific embodiment of the invention 1.
Fig. 2 is the main view of Fig. 1.
Fig. 3 is press device partial structure diagram in Fig. 1.
Fig. 4 is the structural schematic diagram that pressing sucker and defibrillation device connection relationship are assisted in Fig. 1.
Fig. 5 is the structural schematic diagram of the specific embodiment of the invention 2.
Fig. 6 is the main view of Fig. 5.
Fig. 7 is the structural schematic diagram of boost motor in Fig. 5.
Fig. 8 is the structural schematic diagram of the specific embodiment of the invention 3.
Fig. 9 is the side view of Fig. 8.
In figure, 1, stretcher, 2, track, 3, location structure of head, 4, locking belt, 5, support construction, 6, rack, 7, breathing
Device, 8, boost motor, 9, press device, 10, control device, 11, cylinder, 12, mounting groove, 13, ultrasonic probe, 14, elasticity absolutely
Edge body, 15, conversion electrode slice, 16, hospital bed sliding rail, 17, sliding buckle, 51, support construction, 52, support construction, 801, first helps
Thruster, the 802, first rack gear, 803, gear, the 804, second rack gear, the 805, second boost motor, 901, main pressing sucker, 902, auxiliary
Help pressing sucker, 903, support rod, 904, U-shaped part, 905, connecting rod, 906, rotating member, 907, sliding part, 908, fastener,
909, outer sleeve, 910, suction pipe, 911, telescopic rod, 912, fixing piece, 913, annulus.
Specific embodiment
Technical solution in order to enable those skilled in the art to better understand the present invention, below in conjunction with of the invention real
The attached drawing in example is applied, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described implementation
Example is only a part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, this field is common
Technical staff's every other embodiment obtained without making creative work, all should belong to protection of the present invention
Range.
Specific embodiment 1
As depicted in figs. 1 and 2, a kind of intelligent initiative Heart-lung restoring instrument, including cardiopulmonary resuscitation system, CPR system
System includes support construction 51, control device 10, monitoring device, press device 9, defibrillation device, breathing equipment 7；In support construction
51 tops are provided with press device 9, and press device 9 includes pressing device and the vacuum generator connecting with pressing device, pressing device point
For main pressing device and auxiliary pressing device；As shown in figure 3, press device 9 further includes cylinder 11, telescopic rod is connected on the cylinder
911, the telescopic rod 911 is set with up and down adjustment component outside, and up and down adjustment component uses screw-drive mechanism, including is set in
Outer sleeve 909 on telescopic rod 911, the lower part of the inner sleeve being threadedly coupled with outer sleeve 909, inner sleeve are provided with rotating member
906, inner sleeve is rotated by rotation rotating member 906, outer sleeve 909 is enabled to do straight line elevating movement, it is auxiliary to adjust
The height of pressing device；Angular adjustment component is installed on outer sleeve 909, angular adjustment component includes sliding part 907, sliding part
Connecting rod 905 is hinged on 907, connecting rod 905 is hinged with auxiliary pressing device.The height of auxiliary pressing device is adjusted by moving up and down component
Degree adjusts the angle of auxiliary pressing device by pushing sliding part, using fastener 908 that it is tight after adjusting to suitable angle
Gu and then adjust width, to adapt to different human body chest breadth；Wherein, auxiliary pressing device includes the support rod being hinged with connecting rod 905
903, one end of support rod 903 is hinged with fixing piece 912, and the other end of support rod 903 is connected with auxiliary pressing sucker 902, leads to
That crosses support rod 903 hingedly achievees the purpose that angular adjustment, drives sucker movement.
It wherein, there are four the settings of auxiliary pressing sucker 902, and is square after four press points head and the tail are sequentially connected with when pressing
Shape, is provided with conversion electrode slice 15 in two auxiliary pressing suckers 902, and the fit structure relationship of conversion electrode slice 15 and sucker is such as
Shown in Fig. 4, and two auxiliary pressing suckers 902 for being provided with conversion electrode slice 15 are located at diagonal position, reach sucker and conversion
Electrode slice 15 can work in same accurate position, and existing pressing has the effect of defibrillation, the bottom of conversion electrode slice 15 again
Portion is concordant with the auxiliary bottom of pressing sucker 902, and the internal elastic insulator 14 that can lead to line, bullet are connected on conversion electrode slice 15
Property insulator 14 through auxiliary pressing sucker 902, and through part is provided with sealing element, can by the setting of elastic insulator 14
So that conversion electrode slice 15 is adapted to the hypertonic movement of sucker, is held against Human Chest Wall.
In order to preferably be monitored to body heath, 51 side of support construction is provided with sliding slot, is provided with position in sliding slot
Component is moved, displacement component includes rack gear and the bevel gear of engagement connection, is connected with ultrasonic probe 13 on rack gear, and connect on bevel gear
It is connected to the handle for being located at 51 outside of support construction, is adjusted by position of the rotational handle to ultrasonic probe 13, human body is detected
Interior situation passes the signal along to control device 10,10 external electrical connections voice module of control device and display module.
In addition, breathing equipment 7 includes respirator, the respirator includes air intake duct and expiration road, is provided on air intake duct
Impedance threshold valve is provided with the infrared detector for monitoring carbon dioxide partial pressure on expiration road.
Specific embodiment 2
As shown in Figure 5 and Figure 6, it is multiple to additionally provide a kind of portable cardiopulmonary on the basis of specific embodiment 1 for this programme
Su Yi, including folding stretcher 1 are coupled cardiopulmonary resuscitation system on stretcher, that is, the lower part of support construction 5 are set
Sliding slot is set, sliding slot is installed on the track 2 of 1 two sides of stretcher setting, and is cooperatively connected with stretcher 1 and forms an inner cavity；Stretcher 1
On be provided with positioning mechanism, positioning mechanism includes location structure of head 3 and body portion positioning mechanism, and body portion positioning mechanism includes stretcher
The boost motor and locking unit of 1 two sides setting；Wherein, location structure of head 3 includes a concave arc for being lower than 1 person placement face of stretcher
Face is tilted a certain angle head back, guarantees optimal effect of breathing, is conducive to pressing；Boost motor is tied using rigid material
Structure is designed according to human body, is cancave cambered surface with the face of human contact, is attached with elastomeric pad, to avoid when pushing to human body
Caused by hard collision；Meanwhile as shown in fig. 7, boost motor includes the first boost motor 801 and the second boost motor 805, the first boosting
The bottom of device 802 is fixed with the first rack gear 802, and the bottom of the second boost motor 805 is fixed with the second rack gear 804, the first rack gear 802
It is set relatively with the second rack gear 804, and engages connection with same gear 803.Boost motor by pushing side can make another
It is a to do relative motion simultaneously, achieve the effect that boosting human body is placed in the middle；Locking unit includes two locking belts 4, respectively to human body
Shoulder and leg are fixed.
The operation principle of the present invention is that: sudden cardiac arrest person's body is placed in robot base, after head is put into corresponding position,
It pushes boost motor that human body is placed in the middle, is fixed human body with locking belt 4, click start button；Voice prompting key " starts to monitor ",
And voice prompting shoulder and abdomen fix patient, tie up monitoring of blood pressure cuff (monitoring carries out after cardioelectric monitor), then prompt will
Respirator is placed in oral area；Press start monitoring when, machine automatic collection electrocardiosignal (10 seconds for analyze) then, is fallen
Main pressing device and auxiliary pressing device start to give sucker condition of negative pressure；After placed in the middle, ultrasonic probe 13 is moved to apex, adjusts position
It sets；(1 second) is finished to ecg analysis, decides whether defibrillation, if you need to defibrillation or conversion, then by 15 energization work of conversion electrode slice
Make, is close to the wall of the chest；Conversion is not needed such as, then carries out external chest compression；Defibrillation effect utilization Color Sonography detection cardiac output and
Cardioelectric monitor situation is judged；Pressing effect is defeated by the heart for negative pressure receptor and the Color Sonography detection plugged on respirator
Output judgement；30:2 mode is used by die pressing type, compression frequency is one minute 100-120 times, and duration of ventilation is according on respirator
Negative pressure, reach centainly when requiring negative pressure, voice prompting is inflated, and intelligence passes through ecg analysis module, monitoring of blood pressure mould
Block, cardiac output module (or this is also possible to blood pressure module, if it is in institute intentionally on the basis of catheter monitoring),
Negative pressure judgment module in thoracic cavity.In the most incipient stage, by the electrocardiosignal of acquisition in ten seconds, being classified as can defibrillation wave, synchronization
Electrical conversion wave, can not defibrillation wave；If it is can not defibrillation wave, start external chest compression, initial chest compression depth is 4.5cm,
According to negative pressure judgment module in thoracic cavity and cardiac output module, when being arranged that real-time negative pressure reaches certain value α, cardiac output is β, it is
Pressing is enough；Such as be not achieved, then can deepen 0.5cm (this numerical value is adjustable, can carry out fine tuning according to later experiments data)；It is pressing
During pressure, it still can adhere to judging, be increased and decreased according to pressing depth, reach intelligentized pressing, reduce pressing associated injury
Occur.During pressing, monitoring blood pressure can then interrupt pressing after blood pressure reaches a value γ, carry out 5 seconds cardioelectric monitors,
Joint cardiac output index judges whether to restore spontaneous circulation；The interval of each inflation will do it cardioelectric monitor and cardiac output prison
It surveys and PETCO2 monitoring is judged as that self-service circulation is restored after three reaches certain value；Carry out whether ecg analysis needs simultaneously
Defibrillation returns to the process of defibrillation if needed.There is gas suction device on force of suction cup to create condition of negative pressure, and negative pressure is big
It is small not up to then for one initial value δ of setting according to the negative pressure judgment module on the respirator at pressing chest resorption process end
Increase the negative pressure in sucker, while increasing the suction that sucker above mentions, adjustment is that a relatively small value (passes through specific experiment
Determine), real-time monitoring during pressing, cooperation reaches negative pressure in cardiac output and thoracic cavity
To the value of needs.
Specific embodiment 3
As shown in Figure 8 and Figure 9, present embodiment provides a kind of for disease on the basis of specific embodiment 1
Heart-lung restoring instrument on bed, including cardiopulmonary resuscitation system, cardiopulmonary resuscitation system provide installation site, support knot by support construction 52
The lower part of structure 52 is provided with the shackle member with certain elasticity, and shackle member cocoa and the sliding buckle 17 of mating setting carry out clamping
Installation, sliding buckle 17 can slide on hospital bed sliding rail 16, and to adapt to the chest locations of patient, hospital bed sliding rail 16 can be according to reality
Applicable cases are installed on hospital bed.Heart-lung restoring instrument in present embodiment is used for hospital, using voice interface mode, intelligence
The decision of three modules of energyization is completed by doctor, i.e., can prompt should defibrillation, recovered spontaneous circulation, needs pressing intensification
Deng then being operated and determined by doctor.
Although by reference to attached drawing and combining the mode of preferred embodiment to the present invention have been described in detail, the present invention
It is not limited to this.Without departing from the spirit and substance of the premise in the present invention, those of ordinary skill in the art can be to the present invention
Embodiment carry out various equivalent modifications or substitutions, and these modifications or substitutions all should in covering scope of the invention/appoint
What those familiar with the art in the technical scope disclosed by the present invention, can easily think of the change or the replacement, answer
It is included within the scope of the present invention.Therefore, protection scope of the present invention is answered described is with scope of protection of the claims
It is quasi-.
Claims (10)
1. a kind of intelligence initiative Heart-lung restoring instrument, which is characterized in that including cardiopulmonary resuscitation system, the cardiopulmonary resuscitation system
It is described including support construction (51), control device (10), monitoring device, press device (9), defibrillation device, breathing equipment (7)
Support construction (51) top is provided with press device (9), and the press device (9) includes pressing device and connect with pressing device true
Empty generator, the pressing device include main pressing device and auxiliary pressing device, and regulating mechanism, the tune are connected on the auxiliary pressing device
Section mechanism includes up and down adjustment component and angular adjustment component, and the auxiliary pressing device includes at least two auxiliary pressing suckers
(902), the auxiliary pressing sucker (902) connect with defibrillation device, and the defibrillation device includes being set to auxiliary pressing sucker
(902) the conversion electrode slice (15) in, the monitoring device includes the ultrasonic probe (13) being arranged on support construction (51), described
Ultrasonic probe is connected with displacement component on (13).
2. intelligence initiative Heart-lung restoring instrument according to claim 1, which is characterized in that the press device further includes
Cylinder (11) is connected with telescopic rod (911) on the cylinder (11), is set with up and down adjustment component outside the telescopic rod (911),
Angular adjustment component is installed, the angular adjustment component includes sliding part (907), the sliding on the up and down adjustment component
It is hinged on part (907) connecting rod (905), the connecting rod (905) is hinged with auxiliary pressing device.
3. intelligence initiative Heart-lung restoring instrument according to claim 2, which is characterized in that the auxiliary pressing device include with
One end of the support rod (903) that connecting rod (905) is hinged, the support rod (903) is hinged with fixing piece (912), the support
The other end of bar (903) is connected with auxiliary pressing sucker (902).
4. intelligence initiative Heart-lung restoring instrument according to claim 3, which is characterized in that the auxiliary pressing sucker
It (902) there are four setting, and is rectangle, two auxiliary pressing suckers after four press points head and the tail are sequentially connected with when pressing
(902) conversion electrode slice (15) are provided in, and two auxiliary pressing suckers (902) for being provided with conversion electrode slice (15) are located at
Diagonal position.
5. intelligence initiative Heart-lung restoring instrument according to claim 4, which is characterized in that the conversion electrode slice (15)
Bottom it is concordant with the auxiliary bottom of pressing sucker (902), the internal bullet that can lead to line is connected on the conversion electrode slice (15)
Property insulator (14), the elastic insulator (14) is through auxiliary pressing sucker (902), and through part is provided with sealing element.
6. intelligence initiative Heart-lung restoring instrument according to claim 1, which is characterized in that breathing equipment (7) packet
Respirator is included, the respirator includes air intake duct and expiration road, and impedance threshold valve, the expiration are provided on the air intake duct
The infrared detector for monitoring carbon dioxide partial pressure is provided on road.
7. portable Heart-lung restoring instrument according to claim 1, which is characterized in that support construction (51) the side setting
There is sliding slot, displacement component is provided in the sliding slot, the displacement component includes rack gear and the bevel gear of engagement connection, the tooth
It is connected on item ultrasonic probe (13), the handle being connected on the bevel gear on the outside of support construction (51).
8. a kind of portable Heart-lung restoring instrument, it is characterised in that: including intelligent initiative CPR described in claim 1
Instrument further includes folding stretcher (1), and positioning mechanism is provided on the stretcher, and the positioning mechanism includes head positioning knot
Structure (3) and body portion positioning mechanism, body portion positioning mechanism include the boost motor (8) and locking unit of stretcher (1) two sides setting；
The support construction (51) can be cooperatively connected to form an inner cavity with stretcher.
9. portable Heart-lung restoring instrument according to claim 8, which is characterized in that the boost motor (8) is helped including first
The bottom of thruster (801) and the second boost motor (805), first boost motor (801) is fixed with the first rack gear (802), described
The bottom of second boost motor (801) is fixed with the second rack gear (804), and first rack gear (802) and the second rack gear (804) are opposite
And it sets, and engage connection with same gear (803).
10. according to right want 8 described in portable Heart-lung restoring instrument, which is characterized in that rail is arranged in the two sides of the stretcher (1)
Road (2) is slidably mounted support construction (51) on the track (2), and the location structure of head (3) includes one being lower than stretcher
(1) cancave cambered surface in person placement face on.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN201910515184.8A CN110090139B (en) | 2019-06-14 | 2019-06-14 | Intelligent initiative and portable cardiopulmonary resuscitation appearance |
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| CN201910515184.8A CN110090139B (en) | 2019-06-14 | 2019-06-14 | Intelligent initiative and portable cardiopulmonary resuscitation appearance |
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| CN110090139B CN110090139B (en) | 2021-11-23 |
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| CN112618330A (en) * | 2021-01-19 | 2021-04-09 | 贾士岭 | Convenient external chest pressing device for cardio-pulmonary resuscitation |
| CN113208898A (en) * | 2021-04-15 | 2021-08-06 | 深圳市安保科技有限公司 | Cardiopulmonary resuscitation robot and interaction method thereof |
| CN114557875A (en) * | 2022-03-07 | 2022-05-31 | 中国医科大学附属盛京医院 | A negative pressure hand fixing device for assisting thorax expansion promotes respiratory training |
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