CN113209440A - Breathing machine pipeline comdenstion water collection device - Google Patents

Breathing machine pipeline comdenstion water collection device Download PDF

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Publication number
CN113209440A
CN113209440A CN202011585861.2A CN202011585861A CN113209440A CN 113209440 A CN113209440 A CN 113209440A CN 202011585861 A CN202011585861 A CN 202011585861A CN 113209440 A CN113209440 A CN 113209440A
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China
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pipeline
capsule
condensed water
disposable
liquid
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CN202011585861.2A
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Chinese (zh)
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郭梦岩
韩雪莹
吴彦廷
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Peking University
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Peking University
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Priority to CN202011585861.2A priority Critical patent/CN113209440A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0808Condensation traps
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm

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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)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a condensed water collecting device for a breathing machine pipeline, which comprises: drainage system, stock solution system, monitoring system. Two channels above the three-way connector of the liquid drainage system are connected with a breathing machine pipeline, a condensed water pipeline is arranged below the three-way connector and is connected with a conical drainage tube, and a one-way valve is connected below the three-way connector; a disposable liquid storage capsule storage bin in the liquid storage system is connected with a one-way valve, and the disposable liquid storage capsule is arranged in the storage bin; the liquid fluctuation sensor in the monitoring system is positioned on the inner side surface of the lower opening of the three-way interface and is electrically connected with the oscilloscope and the alarm on the outer wall of the three-way interface; a trigger circuit is arranged at the bottom of the disposable liquid storage capsule storage bin and is electrically connected with an alarm and a one-way valve on the outer wall of the three-way connector. The device is designed to flow in one direction, so that air pressure fluctuation caused by backflow and pipeline opening is avoided; an external pipeline is not additionally arranged; has the functions of monitoring, reminding, timing and counting, and the liquid storage capsule is disposable, which can meet the use requirements of respiratory tract infectious disease patients.

Description

Breathing machine pipeline comdenstion water collection device
Technical Field
The invention relates to the field of medical equipment, and is used for collecting condensed water in a breathing machine pipeline.
Background
The correct collection of the condensed water in the pipeline of the breathing machine is a key link for reducing the backflow of the condensed water, ensuring the ventilation effect of a patient, reducing the incidence rate of relevant pneumonia of the breathing machine and reducing the infection risk of nursing staff. The production of condensed water comprises two parts: (1) and condensing water vapor in the air supply pipeline of the respirator. Because a certain distance is reserved between the artificial air passage and the humidifying tank, liquid is formed in the pipeline due to the fact that the room temperature is relatively low before the heated and humidified air is sent into the air passage of the patient, and therefore water is formed in the pipeline. (2) The patient exhales, i.e., water vapor in the ventilator circuit condenses. Machine for workingDuring mechanical ventilation, the temperature of the gas in the alveoli is 37 ℃ (the saturated water vapor pressure is 47mm Hg, and 1mm Hg is 0.133k Pa), the temperature is reduced to about 20 ℃ when the patient is exhaled to the outside (the saturated water vapor pressure is 20mm Hg), and the excessive moisture is aggregated in the breathing machine pipeline to form condensed water. And the condensed water is mainly generated because the respiratory tract gas of the patient is condensed on the tube wall and is gradually kept in the respiratory tube, so that a certain amount of pathogenic bacteria exist in the condensed water. Traditional comdenstion water collection device connects the cup that catchments for Y type tee bend interface down, catchments the cup position and is less than humidifier and patient's gas channel mouth level, and the nursing staff empties cool comdenstion water according to the water level in the cup that catchments. Therefore, nursing staff need to pay special attention to adjust the breathing machine pipeline and enable the water collecting cup to be in a vertical state, and accumulation of condensed water in the breathing machine pipeline is reduced. Multiple researches show that the condensed water in the breathing machine pipeline and the water collecting cup is an important place for bacterial reproduction, the bacteria detection positive rate of the condensed water is 71.43-85.71%, and the bacteria count in the condensed water can reach 105cfu/mLt. The forming speed of the condensed water can reach 20-40ml/h, and the longer the breathing machine pipeline is, the more the cool condensed water is generated. In addition, the inner diameter of the pipeline can be reduced by the condensed water in the pipeline of the breathing machine, so that the resistance of the airway is increased, the inspiratory work of a patient is increased, and the tidal volume is reduced; meanwhile, liquid moves along with airflow, so that the respirator is easy to trigger mistakenly, the ventilation frequency rises, and iatrogenic injury is caused, and therefore, condensed water must be poured in time. Untimely dumping can cause the condensed water containing bacteria to directly flow back into the airway, which is very easy to cause Ventilator Associated Pneumonia (VAP). Most researches show that the incidence rate of VAP is in positive correlation with the accumulation of condensate water in the pipeline and the backflow rate of the condensate water, and the condensate water is one of high-risk factors of the VAP. Managing and processing the condensed water can reduce or prevent the occurrence of VAP, wherein timely pouring of the condensed water within the water collection cup is one of the most important influencing factors for preventing the occurrence of VAP.
The common treatment method for nursing staff in clinic comprises the steps of observing the water level height in the water collecting cup, wearing gloves, manually detaching the water collecting cup, pouring a plastic bucket with a cover to collect condensed water, and connecting the water collecting cup below a Y-shaped three-way connector of a respirator. In the operation process, the condensed water is exposed in the air, so that the environment is polluted, and the exposure risk of medical personnel is increased. And the patient needs to be dumped for 1 time in 1-3 hours generally according to the application states of the breathing machine, humidification and the like, and the workload is extremely large; if the condensed water is not poured in time, the condensed water can be accumulated, the risk of related pneumonia of a respirator is increased, and the inner diameter of a pipeline is reduced, so that the airway resistance is increased (the tube diameter is reduced by 1 time, the airway resistance is increased by 6 times), ventilation is affected, and suffocation can be caused in serious cases. When the water collecting bottle is opened improperly (such as position deviation and the like), air pressure fluctuation in the breathing machine pipeline can be caused, a patient is choked to have a cough reflex, and secretion of the breathing machine pipeline can pollute the whole breathing machine pipeline.
Therefore, the existing water collecting cup collecting device for the breathing machine pipeline condensed water needs to observe the liquid level height of the condensed water in the water collecting cup for many times, and the workload of nursing staff is increased; when the medical staff is poured, the water collecting cup needs to be opened, the condensate is exposed in the air, and the possibility of scattering, improper treatment and the like exists, so that the risk of infection of the medical staff is increased; and the liquid accumulation condition in the pipeline of the respirator cannot be monitored and cannot be processed in time.
In the prior art, a water collecting cup is connected with a water collecting tank through a water pipe by an air pressure balance structure, so that the problem of multiple dumping (such as CN 209916968U) is avoided; a collection device (such as CN 109893735A) which is externally connected with a drainage bag and controls the upper and lower pipelines not to be opened at the same time through a linkage structure of a built-in valve body and a valve core; there is a pre-warning device (e.g. CN 210301969U) for monitoring the water level change inside the water collecting cup by an infrared sensor. However, the problem that accumulated liquid in a breathing machine pipeline cannot be monitored and timely treated, the problem that the water collecting device is exposed when being detached and the risk that the additional pipeline excessively increases a patient pipeline to break away from exist, the pipeline is complicated, bacteria breeding is increased, and nursing staff increase the management link of the breathing machine pipeline, and the difficulty of disinfection and cleaning is increased. Especially during respiratory infectious disease outbreaks, a large number of patients need to use ventilators, and medical staff is in short supply, and the prior art still has difficulty meeting the practical requirements. Therefore, the treatment of the condensate needs to be integrated in a closed manner, and the device has the functions of monitoring the accumulated liquid in the pipeline and reminding, so that the defects of the conventional clinical application device are overcome. The problem that the medical staff topples over repeatedly under the open state is solved, exposure of condensed water is reduced, the workload of the medical staff is reduced, and the working efficiency is improved. In addition, the water collecting cup is a necessary device of the respirator, and a method for pouring condensed water is needed to be improved, particularly the treatment of the condensed water when the respirator is applied to patients with respiratory infectious diseases (such as new coronary pneumonia).
Disclosure of Invention
The invention aims to solve the problems and provides a breathing machine pipeline condensate water collecting device which is characterized by being closed in the whole process, integrating the functions of monitoring, reminding and discharging, meeting the requirements, ensuring the safety of breathing machine patients, reducing the workload of nursing staff and reducing the risk of infection.
In order to achieve the above object, the present invention provides an automatic discharge device for condensed water in a ventilator circuit, comprising: drainage system, stock solution system, monitoring system. Two channels above a three-way connector in the liquid drainage system are connected with a breathing machine pipeline, a channel below the three-way connector is a condensed water pipeline and is connected with a conical drainage tube, and a one-way valve is connected below the three-way connector; wherein, a disposable liquid storage capsule storage bin in the liquid storage system is connected with a one-way valve, and the disposable liquid storage capsule is arranged in the storage bin; the monitoring system comprises a microcontroller, a liquid fluctuation sensor, a liquid level sensor and an alarm device, wherein the microcontroller is positioned above the outer wall of a three-way interface connecting cavity; a trigger circuit is arranged at the bottom of the disposable liquid storage capsule storage bin and is electrically connected with a one-way valve trigger device and an alarm device and a counting device in the microcontroller.
Wherein, two passageways above the tee bend interface are connected with the breathing machine pipeline, and the passageway below the tee bend interface is condensed water pipeline, and the liquid fluctuation sensor of tee bend interface under mouthful medial surface installation is connected to microcontroller. When effusion exists in the breathing machine pipeline, the liquid level fluctuation can be caused by the breathing change of a patient, so that the voltage vibration amplitude and the frequency are changed, and the voltage vibration amplitude and the frequency are displayed on a screen through an oscilloscope in the microcontroller.
The disposable liquid storage capsule storage bin is characterized in that a trigger circuit is installed at the bottom of the disposable liquid storage capsule storage bin, the principle of a relay is applied, a metal sheet moves down along with the increase of the amount of liquid in the disposable liquid storage capsule, when a certain amount of water is stored, the metal sheet is connected with a circuit to trigger a trigger in a one-way valve, so that the one-way valve is temporarily closed, and meanwhile, an acousto-optic-electric alarm device in a microcontroller is connected to prompt a caregiver to replace the disposable liquid storage capsule. At the moment, condensed water is temporarily stored in the conical drainage tube, when the overhead disposable liquid storage capsule is taken down and replaced, the trigger circuit is disconnected, the one-way valve is opened, and the condensed liquid is continuously poured into the disposable liquid storage capsule, so that the whole-process closed state is ensured.
The microcontroller in the monitoring system comprises an oscilloscope display panel, an acousto-optic-electric alarm device and a counting device and has a timing function. When the disposable stock solution capsule was changed to the nursing staff, the trigger circuit disconnection of disposable stock solution capsule storage silo bottom turned into the count number signal through microcontroller, can take notes the number of times of changing within a day, and the nursing staff can calculate the change time in view of the above, and the time of additionally setting is regularly reminded.
Wherein, the condensed water pipeline below is handstand conical drainage tube, and the bottom opening connects the check valve. The inverted conical drainage tube can reduce liquid accumulation at the corners of the condensed water pipeline caused by incomplete vertical placement, and can temporarily store condensed water when a disposable liquid storage capsule is replaced.
Wherein, disposable stock solution capsule storage bin passes through annular buckle recess and check valve edge connection, and disposable liquid capsule is placed in storage bin, easily dismantles when keeping firm. The opening below the one-way valve is connected with the disposable liquid capsule through the jack. The disposable liquid storage capsule is in a vacuum state when not used, and the gas is prevented from occupying an invalid space of the liquid storage capsule. And the material of the disposable liquid storage capsule has certain elasticity, so that the rupture is avoided.
Compared with the prior art, the condensing and collecting device for the breathing machine pipeline has the advantages that:
1. when effusion exists in the breathing machine pipeline, the liquid level fluctuation is caused by the breathing change of a patient, so that the voltage vibration amplitude and the frequency are changed, and the effusion in the pipeline 4 can be monitored in time through an oscilloscope and a acousto-optic electric alarm device in a microcontroller;
2. the triggering circuit is arranged at the bottom of the disposable liquid storage capsule storage bin, so that the air pressure fluctuation in the pipeline is avoided when the disposable liquid storage capsule is replaced, namely the whole-process closed state is ensured, and the counting device can be started when the disposable liquid storage capsule is replaced;
3. the conical drainage tube can reduce liquid accumulation at the corners of a condensed water pipeline caused by incomplete vertical placement, and can temporarily store condensed water when a disposable liquid storage capsule is replaced, so that the ventilation state of a breathing machine is not influenced;
4. the one-way valve structure of the invention ensures that the device is not easy to generate condensate backflow, and reduces the risk of the related pneumonia of the respirator;
5. the disposable liquid storage capsule is in a vacuum state when not used, so that gas is prevented from occupying an invalid space of the liquid storage capsule, and the material of the disposable liquid storage capsule has certain elasticity, so that the disposable liquid storage capsule is prevented from being broken and the safety is ensured;
6. the disposable liquid storage capsule storage bin is connected with the one-way valve through the annular buckle groove, and the disposable liquid capsule is placed in the storage bin, so that the storage bin is stable and easy to detach;
7. when the disposable liquid storage capsule is replaced, condensed water does not need to be exposed, and the liquid storage capsule is discarded at one time, so that the risk of infection of nursing personnel is reduced, and the risk of cross infection among patients is reduced;
8. the one-way valve comprises the sealing gasket and the sealing gasket pressing plate, so that the air tightness of the whole device is ensured to be good;
9. the outer layers of the devices such as the liquid fluctuation sensor, the one-way valve and the like contacting with the condensed water are coated with the waterproof isolation layer, so that the soaking and disinfection treatment is convenient;
10. the disposable liquid storage capsule collects liquid, can be used as a noninvasive sampling method for collecting expired air condensate (EBC), and assists in research.
Drawings
The invention is further described with reference to the following figures and embodiments.
FIG. 1 is a schematic structural diagram of a condensate water collecting device of a respirator of the present invention;
FIG. 2 is a schematic view of a disposable liquid storage capsule according to the present invention;
the device comprises an exhalation pipeline 1, an inhalation pipeline 2, a microcontroller 4, a liquid fluctuation sensor 8, a non-return fixing plate 9, a condensed water pipeline 10, a conical drainage tube 11, a one-way valve 12, an annular buckle groove 15, a disposable liquid storage capsule storage bin 16, a disposable liquid capsule 17 and a trigger circuit metal sheet 18. Wherein, contain the joint chamber 3 between the tee bend pipeline, microcontroller 4 includes display panel 5, reputation electric alarm device 6, count device 7, and check valve 12 includes sealed pad 13, sealed pad clamp plate 14, and disposable liquid capsule 17 includes disposable liquid capsule jack 19, disposable liquid capsule cavity 20, and the liquid fluctuation sensor of contact condensate, the check valve outer layer scribble waterproof isolation layer 21.
Detailed Description
As shown in figure 1, the automatic drainage device for the condensed water in the breathing machine pipeline. A connecting cavity 3 is arranged among the exhalation pipeline 1, the inhalation pipeline 2 and the condensed water pipeline 10, a microcontroller 4 is fixed above the outer wall of the connecting cavity 3, and the microcontroller 4 is provided with a display panel 5 and an acousto-optic alarm device 6. The liquid fluctuation sensors 8 on both sides of the inner wall of the condensed water pipeline 10 feed back signals to the microcontroller 4, so that information is displayed on the display panel 5, and changes of the acoustic-optical-electric alarm device 6 are caused to reflect whether accumulated liquid exists in the pipeline. The channel below the three-way connector is a condensed water pipeline 10, a conical drainage tube 11, a one-way valve 12, a sealing gasket 13 and a sealing gasket pressing plate 14 are arranged below the three-way connector, and the sealing state can be ensured. The main body of the one-way valve 12 is connected with a disposable liquid storage capsule storage bin 16 through an annular buckle groove 15, a disposable liquid capsule 17 is installed in a cavity of the storage bin, and a trigger circuit metal sheet 18 is installed at the bottom of the storage bin.
The condensed water flows into the condensed water pipeline 10 through the breathing machine pipelines 1 and 2, then flows into the disposable liquid capsule cavity 20 through the conical drainage tube 11, the one-way valve 12 and the disposable capsule jack 19, and is sealed and stored. In the process, when liquid is accumulated in the breathing machine pipeline, the liquid in the breathing machine pipeline fluctuates along with the change of the breathing frequency of a patient, and the liquid fluctuation sensor 8 transmits a signal to a display screen of the microcontroller, triggers the acousto-optic-electric alarm device 6 and reminds nursing staff. Along with the stock solution increase in disposable liquid capsule 17, disposable liquid capsule 17 oppresses trigger circuit sheetmetal 18 of storehouse bottom, and the sheetmetal switch-on circuit to trigger the trigger in the check valve, make the check valve temporarily close, switch on the reputation electric alarm device in the microcontroller simultaneously, the suggestion nursing staff changes disposable stock solution capsule, and the comdenstion water is stored temporarily in conical drainage tube this moment. When the nursing staff opens the annular buckle groove 15, takes down the disposable liquid storage capsule with full liquid storage, and changes the disposable liquid storage capsule, the trigger circuit metal sheet 18 moves upwards to disconnect the trigger circuit, and simultaneously, the acousto-optic alarm device 6 and the counting device 7 of the microcontroller are started, the one-way valve is opened, and the condensate is continuously poured into the disposable liquid storage capsule to ensure the whole-course closed state.
The nursing staff can estimate the liquid capsule replacement time according to the counted number, and an additional timing reminding device is arranged in the microcontroller.

Claims (9)

1. The utility model provides a breathing machine pipeline comdenstion water collection device, includes exhalation pipeline 1, inhalation pipeline 2, condensation water pipeline 11, its characterized in that microcontroller 4, liquid fluctuation sensor 8, stopping fixed plate 9, conical drainage tube 11, check valve 12, annular buckle recess 15, disposable stock solution capsule storage bin 16, disposable liquid capsule 17, trigger circuit sheetmetal 18. Wherein, contain the joint chamber 3 between the tee bend pipeline, microcontroller 4 includes display panel 5, reputation electric alarm device 6, count device 7, and check valve 12 includes sealed pad 13, sealed pad clamp plate 14, and disposable liquid capsule 17 includes disposable liquid capsule jack 19, disposable liquid capsule cavity 20, and the liquid fluctuation sensor of contact condensate, the check valve outer layer scribble waterproof isolation layer 21. The connection mode is that a connection cavity 3 is arranged among the exhalation pipeline 1, the inhalation pipeline 2 and the condensed water pipeline 10, and a microcontroller 4 is fixed above the outer wall of the connection cavity 3. Liquid fluctuation sensors 8 and a retaining fixing plate 9 are arranged on two sides of the inner wall of a condensed water pipeline 10, and a conical drainage tube 11, a one-way valve 12, a sealing gasket 13 and a sealing gasket pressing plate 14 are sequentially connected below the condensed water pipeline. The main body of the one-way valve 12 is connected with a disposable liquid storage capsule storage bin 16 through an annular buckle groove 15, a disposable liquid capsule 17 is installed in a cavity of the storage bin, and a trigger circuit metal sheet 18 is installed at the bottom of the storage bin.
2. The device for collecting condensed water in a breathing machine pipeline according to claim 1, wherein a liquid fluctuation sensor is installed on the inner side wall of the lower opening of the three-way pipeline, and an oscilloscope and an acousto-optic electric alarm device inside the microcontroller are electrically connected so as to monitor accumulated liquid in the pipeline in time.
3. The device for collecting condensate water in a breathing machine pipeline according to claim 1, wherein a trigger circuit is arranged at the bottom of the disposable liquid storage capsule storage bin, controls the on-off state of the one-way valve, and is simultaneously connected with an acousto-optic and electric alarm device and a counting device of the microcontroller.
4. The device for collecting condensed water in a ventilator circuit according to claim 1, wherein the inverted conical drainage tube can reduce the liquid accumulation at the corners of the condensed water pipeline caused by incomplete vertical placement, and can temporarily store the condensed water without affecting the ventilation state of the ventilator when the disposable liquid storage capsule is replaced.
5. The device for collecting condensed water in a pipeline of a respirator as claimed in claim 1, wherein the structure of the one-way valve makes the device difficult to cause backflow of condensed liquid, and a sealing gasket pressing plate are arranged at the joint of the one-way valve, so that good air tightness of the whole device is ensured.
6. The device for collecting condensed water in a ventilator circuit according to claim 1, wherein the disposable liquid storage capsule is in a vacuum state when not in use, so as to prevent gas from occupying an ineffective space of the liquid storage capsule, and the material of the disposable liquid storage capsule has a certain elasticity (such as environment-friendly ethylene-vinyl acetate, polypropylene, and copolyester ether), so as to prevent breakage and ensure safety.
7. The device of claim 1, wherein the reservoir of the disposable liquid capsule is connected to the one-way valve via an annular snap groove, and the disposable liquid capsule is placed in the reservoir and held firmly while being easily removed.
8. The device for collecting condensate from a ventilator circuit according to claim 1 or 7, wherein the disposable reservoir capsule is replaced without exposing the condensate, and the reservoir capsule is disposable.
9. The device for collecting condensed water in a breathing machine pipeline according to claim 1, wherein the outer layer of the device such as the liquid fluctuation receptor and the one-way valve which are contacted with the condensed water is coated with a waterproof isolation layer, so that the generation of bacteria is reduced by preventing rusting, and the subsequent soaking and disinfection treatment is facilitated.
CN202011585861.2A 2020-12-29 2020-12-29 Breathing machine pipeline comdenstion water collection device Pending CN113209440A (en)

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CN202011585861.2A CN113209440A (en) 2020-12-29 2020-12-29 Breathing machine pipeline comdenstion water collection device

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Application Number Priority Date Filing Date Title
CN202011585861.2A CN113209440A (en) 2020-12-29 2020-12-29 Breathing machine pipeline comdenstion water collection device

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114010905A (en) * 2021-11-05 2022-02-08 首都医科大学宣武医院 Condensed water discharging device of breathing machine
CN115164515A (en) * 2022-07-14 2022-10-11 哈尔滨学院 Microwave vacuum drying equipment
CN115770342A (en) * 2023-02-02 2023-03-10 天津医科大学 Safety treatment equipment for anesthesia waste gas

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114010905A (en) * 2021-11-05 2022-02-08 首都医科大学宣武医院 Condensed water discharging device of breathing machine
CN114010905B (en) * 2021-11-05 2024-05-14 首都医科大学宣武医院 Condensed water discharge device of breathing machine
CN115164515A (en) * 2022-07-14 2022-10-11 哈尔滨学院 Microwave vacuum drying equipment
CN115770342A (en) * 2023-02-02 2023-03-10 天津医科大学 Safety treatment equipment for anesthesia waste gas

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Application publication date: 20210806