CN116942974A - Continuous positive airway pressure device for single-lung ventilation operation - Google Patents

Continuous positive airway pressure device for single-lung ventilation operation Download PDF

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Publication number
CN116942974A
CN116942974A CN202310840275.5A CN202310840275A CN116942974A CN 116942974 A CN116942974 A CN 116942974A CN 202310840275 A CN202310840275 A CN 202310840275A CN 116942974 A CN116942974 A CN 116942974A
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CN
China
Prior art keywords
air pressure
air
positive airway
continuous positive
lung ventilation
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Application number
CN202310840275.5A
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Chinese (zh)
Inventor
郑宇欣
喻竹
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Tianjin Medical University General Hospital
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Tianjin Medical University General Hospital
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Priority to CN202310840275.5A priority Critical patent/CN116942974A/en
Publication of CN116942974A publication Critical patent/CN116942974A/en
Pending legal-status Critical Current

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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
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • 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
    • A61M16/0057Pumps therefor
    • A61M16/0084Pumps therefor self-reinflatable by elasticity, e.g. resuscitation squeeze bags
    • 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
    • A61M16/04Tracheal 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

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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)
  • Critical Care (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention provides a continuous positive airway pressure device for single-lung ventilation operation, which comprises a pneumatic bellows and a three-way component connected with the bottom of the pneumatic bellows; an elastic membrane dividing the inner space into an upper space communicated with the atmosphere and a lower space communicated with the lung of the patient is arranged in the pneumatic diaphragm box, and an indicator needle which moves synchronously with the elastic membrane is arranged on the elastic membrane and is used for displaying the output air pressure value of the patient. The continuous positive airway pressure device for the single-lung ventilation operation can realize accurate regulation and control of the output air pressure of a patient through accurate regulation of the flow of the exhaust valve.

Description

Continuous positive airway pressure device for single-lung ventilation operation
Technical Field
The invention belongs to the field of medical equipment, and particularly relates to a continuous positive airway pressure device for single-lung ventilation operation.
Background
With the popularization of CT screening, the occupation of the lung and the number of patients with operation are obviously increased, and the double-cavity bronchial intubation and single-lung ventilation are the conventional anesthesia ventilation modes of the lung operation. In the single-lung ventilation mode, the patient often has adverse phenomena such as oxygen saturation reduction, arterial blood oxygen partial pressure reduction and the like, and oxygen supply of each organ tissue is affected. Administration of continuous positive airway pressure (continuous positive airway pressure, CPAP) to the non-ventilated pulmonary side is currently the most commonly used effective method of improving oxygenation. The principle of CPAP is by administering a very small positive pressure (2-5 cmH) 2 O has been shown to be effective) to increase pulmonary vascular resistance of non-ventilated lungs, to allow more blood flow to the ventilated lung side, to improve the proportion of ventilated blood flow and oxygenation.
At present, a commercialized disposable continuous positive airway pressure device consists of an air inlet, an adjustable exhaust valve and an elastic storage air bag, wherein the input end is used for inputting oxygen (5L/min) with fixed flow, and different air pressures are generated by adjusting the flow of the exhaust valve. The existing disposable continuous positive airway pressure device needs import, has high cost, can not display the airway pressure, and is easy to cause safety threat to patients only by estimation. Therefore, we have devised a disposable continuous positive airway pressure device that is capable of regulating airway pressure, and displaying airway pressure in real time.
Disclosure of Invention
In view of the above, the present invention aims to overcome the drawbacks of the prior art and proposes a continuous positive airway pressure device for single lung ventilation surgery.
In order to achieve the above purpose, the technical scheme of the invention is realized as follows:
a continuous positive airway pressure device for single-lung ventilation operation comprises an air pressure diaphragm capsule and a three-way member connected with the bottom of the air pressure diaphragm capsule; an elastic membrane dividing the inner space into an upper space communicated with the atmosphere and a lower space communicated with the lung of the patient is arranged in the pneumatic diaphragm box, and an indicator needle which moves synchronously with the elastic membrane is arranged on the elastic membrane and is used for displaying the output air pressure value of the patient.
Further, the gas pressure diaphragm capsule comprises a gas pressure diaphragm capsule cover and a gas pressure diaphragm capsule seat which are in sealing connection, an oxygen output port, a gas pressure adjusting mechanism and a connecting port connected with a three-way member are arranged on the gas pressure diaphragm capsule seat, and an oxygen input port is arranged on the three-way member.
Further, an air pressure diaphragm capsule exhaust hole communicated with the atmosphere is arranged on the air pressure diaphragm capsule cover.
Further, an air pressure scale tube for the indicator needle to move up and down is arranged on the air pressure bellows cover, and scale marks are arranged on the air pressure scale tube.
Further, the air pressure regulating mechanism comprises an air pressure regulating tube communicated with the air pressure bellows seat, the air pressure bellows seat is hollow, an air vent is arranged on the air pressure bellows seat, the air pressure regulating tube is communicated with the air pressure bellows seat through the air vent, the side wall of the air pressure regulating tube is provided with a pressure regulating exhaust hole, and an air pressure regulating knob for controlling the air vent to open and close is arranged in the air pressure regulating tube.
Further, the first connecting port of the three-way member is connected with the gas pressure bellows seat, the second connecting port is connected with the gas inlet conduit to serve as an oxygen input port, and the third connecting port is connected with an elastic air bag.
Further, the air pressure adjusting knob is in threaded connection with the air pressure adjusting pipe.
Further, the air pressure film box cover is connected with the air pressure film box seat in a sealing way, and the elastic film is arranged between the air pressure film box cover and the air pressure film box seat.
Further, the air pressure membrane box cover, the elastic membrane and the air pressure membrane box seat are sealed through sealing adhesives.
Further, the bottom of the indicating needle is fixed on the upper surface of the elastic membrane, and the top of the indicating needle stretches into the air pressure scale tube.
Compared with the prior art, the invention has the following advantages:
(1) The continuous positive airway pressure device for the single-lung ventilation operation can realize accurate regulation and control of the output air pressure of a patient through accurate regulation of the flow of the exhaust valve.
(2) The continuous positive airway pressure device for the single-lung ventilation operation can display the output air pressure of a patient in real time, avoid the phenomenon that the effect cannot be achieved due to the fact that the air pressure is too small, avoid the effect of lung expansion on the operation or the air pressure damage caused by the fact that the air pressure is too large, and change the current situation that the existing product cannot display the real-time air airway pressure only by estimation.
(3) The continuous positive airway pressure device for the single-lung ventilation operation has controllable cost, reduces the economic burden of patients, can be used once by one person, and prevents cross infection of respiratory infectious diseases.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the invention. In the drawings:
fig. 1 is a schematic diagram of a continuous positive airway pressure device for single lung ventilation surgery according to an embodiment of the present invention;
fig. 2 is a schematic diagram of an exploded structure of a continuous positive airway pressure device for single lung ventilation surgery according to an embodiment of the present invention;
fig. 3 is a schematic view of an internal structure of an air pressure adjusting mechanism of a continuous positive airway pressure device for single lung ventilation surgery according to an embodiment of the present invention in a closed state;
fig. 4 is a schematic diagram showing an internal structure of an air pressure adjusting mechanism of the continuous positive airway pressure device for single lung ventilation according to an embodiment of the present invention in an air-out state.
Reference numerals illustrate:
1. a pneumatic membrane box cover; 2. a pneumatic diaphragm capsule seat; 3. an elastic film; 4. an indicator needle; 5. silica gel; 6. an oxygen inlet; 7. an oxygen outlet; 8. an air intake duct; 9. an output conduit; 10. a three-way member; 11. sealing glue; 12. an air pressure scale tube; 13. an exhaust hole of the gas pressure diaphragm capsule; 14. a scale tube scale; 15. a staff gauge pipe vent hole; 16. an air pressure adjusting knob; 17. pressure regulating exhaust holes; 18. an elastic air bag; 19. an air pressure adjusting tube; 20. and a vent hole.
Detailed Description
It should be noted that, without conflict, the embodiments of the present invention and features of the embodiments may be combined with each other.
In the description of the present invention, it should be understood that the terms "center", "longitudinal", "lateral", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art in a specific case.
The invention will be described in detail below with reference to the drawings in connection with embodiments.
Example 1
This embodiment provides a continuous positive airway pressure device for single lung ventilation surgery, as shown in figures 1-3. The device comprises an air pressure diaphragm capsule and a three-way member 10 connected with the bottom of the air pressure diaphragm capsule; the air pressure diaphragm box comprises an air pressure diaphragm box cover 1 and an air pressure diaphragm box seat 2 which are in sealing connection, an elastic diaphragm 3 which divides the inner space of the air pressure diaphragm box into an upper space communicated with the atmosphere and a lower space communicated with the lung of a patient is arranged in the air pressure diaphragm box, as one implementation mode of the embodiment, the air pressure diaphragm box cover 1, the elastic diaphragm 3 and the air pressure diaphragm box seat 2 are three independent components, and the air pressure diaphragm box cover 1, the elastic diaphragm 3 and the air pressure diaphragm box seat 2 are bonded and sealed through a sealant 11 to form a main body structure of air pressure detection.
The elastic membrane 3 is provided with an indicator needle 4 which moves synchronously with the elastic membrane 3 to display the output air pressure value to the patient. The bottom of the indicator 4 may be fixed to the upper surface of the elastic film 3, for example, by being fixed to the elastic film 3 by adhesion, insertion, or the like.
The air pressure film box cover 1 is provided with an air pressure scale tube 12 for the indicator needle 4 to move up and down, and the air pressure scale tube 12 is provided with scale marks. As an implementation of the present embodiment, the indicator needle 4 is fixed at the center of the elastic membrane 3, and the air pressure gauge tube 12 is coaxial with the indicator needle 4. The top of the indicator needle 4 extends into the air pressure scale tube 12 and is movable up and down along the air pressure scale tube 12. The corresponding air pressure value can be read out according to the staff gauge 14 of the staff gauge pipe, so that the forward air pressure given to the lung of a patient can be accurately regulated, the phenomenon that the operation and the high air pressure damage of the lung are influenced by the expansion of the lung caused by too small air pressure and too large air pressure can be avoided, and the life safety of the patient is ensured.
The gas pressure diaphragm capsule seat 2 is provided with an oxygen outlet 7, a gas pressure regulating mechanism and a connecting port connected with a three-way member 10, and the three-way member 10 is provided with an oxygen inlet 6. Oxygen enters the air pressure diaphragm capsule seat 2 from the oxygen input port 6, is discharged from the oxygen output port 7, and is regulated by the air pressure regulating mechanism to achieve the effect of controlling the air pressure in the system.
The air pressure film box cover 1 is provided with an air pressure film box exhaust hole 13 communicated with the atmosphere. So that the upper side of the elastic membrane 3 is vented to the atmosphere. Therefore, when a positive pressure greater than atmospheric pressure occurs below the elastic membrane 3, deformation of the elastic membrane 3 is caused, and this deformation causes up-and-down movement of the indicator needle 4 bonded to the elastic membrane 3 through the silica gel 5, thereby realizing visual output of the air pressure.
Fig. 3 to 4 are schematic structural views of the air pressure adjusting mechanism. The air pressure regulating mechanism comprises an air pressure regulating tube 19 communicated with the air pressure bellows seat 2, the inside of the air pressure regulating tube 19 is hollow, an air vent 20 is arranged on the air pressure bellows seat 2, the air pressure regulating tube 19 is in air communication with the air pressure bellows seat 2 through the air vent 20, the side wall of the air pressure regulating tube 19 is provided with a pressure regulating exhaust hole 17, and an air pressure regulating knob 16 for controlling the air vent 20 to open and close is arranged in the air pressure regulating tube 19. As an implementation of this embodiment, the air pressure adjusting knob 16 is screwed with the air pressure adjusting tube.
The air pressure adjusting knob 16 is moved to control the air exhausting smoothness of the vent hole through the pressure adjusting vent hole 17, so that the effect of controlling the air pressure in the system is achieved. When the air pressure regulating knob is used, the air pressure regulating knob 16 is rotated outwards, so that the ventilation hole and the pressure regulating exhaust hole 17 reach the maximum exhaust smoothness, and the air pressure in the system is the lowest. Then, according to the patient's condition, the air pressure adjusting knob 16 is rotated and moved slowly inwards to increase the exhaust resistance of the exhaust hole A and the pressure adjusting exhaust hole 17, so that the air pressure in the system and the air pressure of the output port are increased slowly, when the expected air pressure is reached, the movement of the air pressure adjusting knob 16 is stopped, and at the moment, the air pressure in the system is constant and the appointed air pressure is output to the lung of the patient through the output port.
The application method of the invention comprises the following steps: oxygen with certain flow (0-10L/min) is communicated with the oxygen input port 6, the oxygen output port 7 at the output end is communicated with the tracheal intubation of a patient, and the internal air pressure of the system is regulated by changing the exhaust smoothness degree through the regulating air pressure regulating knob 16, so that the oxygen output air pressure of the oxygen output port 7 is regulated, and the effect of outputting positive air pressure to the lung of the patient is realized. At the same time, the output air pressure causes the pointer to move up and down through the deformation of the elastic membrane 3, and the value of the positive air pressure can be read out through the scale tube scale 14.
Example 2
The present embodiment provides a continuous positive airway pressure device for single lung ventilation surgery, which has the same structure as that of embodiment 1, except that the first connecting port of the three-way member 10 is connected with the bellows seat 2, the second connecting port is connected with the air inlet conduit 8 as the oxygen inlet 6, and the third connecting port is connected with the elastic air bag 18. The air pressure inside the system may be conducted to the elastic balloon 18. The elastic air bag 18 can enable a doctor to sense the air pressure in the system, avoid injuries caused by excessive air pressure, and can achieve the effect of expanding the lung to assist operation by pressing the air bag.
When the pressure regulating knob 16 is regulated to gradually increase the output air pressure of the oxygen output port 7, the pressure can be transmitted to the elastic air bag 18 through the three-way component 10 at the moment, so that the elastic air bag 18 is gradually expanded, when the air pressure in the elastic air bag 18 is equal to the output air pressure, the expansion of the elastic air bag 18 is stopped, the expansion degree of the elastic air bag 18 and the pressure in the elastic air bag 18 can be visually observed, the pressure in the finger touch sense is sensed, adverse effects caused by overlarge air pressure are avoided, and the safety coefficient of a patient is increased.
Another effect of the flexible bladder 18 is that when the surgeon needs to inflate the lungs for operation, he or she can quickly press the bladder by hand to increase the pressure within the system, thereby increasing the pressure output from the oxygen output port 7 to the lungs and inflating the patient's lungs to assist in the surgical procedure. Similarly, when the surgeon no longer needs to inflate the lungs, the anesthesiologist stops pressing on the elastic balloon 18 and the output air pressure is gradually reduced to the original set air pressure, facilitating further surgical procedures by the surgeon.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, alternatives, and improvements that fall within the spirit and scope of the invention.

Claims (10)

1. A continuous positive airway pressure device for single lung ventilation surgery, characterized in that: comprises an air pressure diaphragm capsule and a three-way member (10) connected with the bottom of the air pressure diaphragm capsule; an elastic membrane (3) dividing the inner space of the air pressure diaphragm box into an upper space communicated with the atmosphere and a lower space communicated with the lung of a patient is arranged in the air pressure diaphragm box, and an indicator needle (4) synchronously moving along with the elastic membrane (3) is arranged on the elastic membrane (3) and used for displaying the output air pressure value of the patient.
2. The continuous positive airway pressure device for single lung ventilation surgery of claim 1, wherein: the gas pressure diaphragm box comprises a gas pressure diaphragm box cover (1) and a gas pressure diaphragm box seat (2) which are in sealing connection, an oxygen output port (7), a gas pressure regulating mechanism and a connecting port connected with a three-way member (10) are arranged on the gas pressure diaphragm box seat (2), and an oxygen input port (6) is arranged on the three-way member (10).
3. The continuous positive airway pressure device for single lung ventilation surgery of claim 2, wherein: an air pressure diaphragm box exhaust hole (13) communicated with the atmosphere is arranged on the air pressure diaphragm box cover (1).
4. The continuous positive airway pressure device for single lung ventilation surgery of claim 2, wherein: an air pressure scale tube (12) for the indicator needle (4) to move up and down is arranged on the air pressure membrane box cover (1), and scale marks are arranged on the air pressure scale tube (12).
5. The continuous positive airway pressure device for single lung ventilation surgery of claim 2, wherein: the air pressure adjusting mechanism comprises an air pressure adjusting pipe (19) communicated with the air pressure bellows seat (2), the air pressure adjusting pipe (19) is hollow, an air vent (20) is arranged on the air pressure bellows seat (2), the air pressure adjusting pipe (19) is in air communication with the air pressure bellows seat (2) through the air vent (20), the side wall of the air pressure adjusting pipe (19) is provided with an air pressure adjusting exhaust hole (17), and an air pressure adjusting knob (16) for controlling the air vent (20) to open and close is arranged in the air pressure adjusting pipe (19).
6. The continuous positive airway pressure device for single lung ventilation surgery of claim 2, wherein: the first connecting port of the three-way component (10) is connected with the gas pressure diaphragm capsule seat (2), the second connecting port is connected with the gas inlet conduit (8) to serve as an oxygen input port (6), and the third connecting port is connected with an elastic air bag (18).
7. The continuous positive airway pressure device for single lung ventilation surgery of claim 5, wherein: the air pressure adjusting knob (16) is in threaded connection with the air pressure adjusting tube (19).
8. The continuous positive airway pressure device for single lung ventilation surgery of claim 2, wherein: the air pressure film box cover (1) and the air pressure film box seat (2) are connected in a sealing way, and the elastic film (3) is arranged between the air pressure film box cover (1) and the air pressure film box seat (2).
9. The continuous positive airway pressure device for single lung ventilation surgery of claim 2, wherein: the air pressure film box cover (1), the elastic film (3) and the air pressure film box seat (2) are bonded and sealed through the sealant (11).
10. The continuous positive airway pressure device for single lung ventilation surgery of claim 4, wherein: the bottom of the indicator needle (4) is fixed on the upper surface of the elastic membrane (3), and the top of the indicator needle (4) stretches into the air pressure scale tube (12).
CN202310840275.5A 2023-07-10 2023-07-10 Continuous positive airway pressure device for single-lung ventilation operation Pending CN116942974A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310840275.5A CN116942974A (en) 2023-07-10 2023-07-10 Continuous positive airway pressure device for single-lung ventilation operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310840275.5A CN116942974A (en) 2023-07-10 2023-07-10 Continuous positive airway pressure device for single-lung ventilation operation

Publications (1)

Publication Number Publication Date
CN116942974A true CN116942974A (en) 2023-10-27

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202310840275.5A Pending CN116942974A (en) 2023-07-10 2023-07-10 Continuous positive airway pressure device for single-lung ventilation operation

Country Status (1)

Country Link
CN (1) CN116942974A (en)

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