CN117503538B - Air mattress capable of automatically implementing prone position ventilation auxiliary treatment and control system thereof - Google Patents
Air mattress capable of automatically implementing prone position ventilation auxiliary treatment and control system thereof Download PDFInfo
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
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Abstract
Description
技术领域Technical Field
本发明具体涉及一种可自动实施俯卧位通气辅助治疗气床垫及控制系统。The present invention specifically relates to an air mattress and a control system capable of automatically implementing prone position ventilation auxiliary treatment.
背景技术Background technique
新冠病毒重症患者常伴有急性呼吸窘迫综合征,急性呼吸窘迫综合征(acuterespiratory distress syndrome,ARDS)是指肺内、外严重疾病导致以肺毛细血管弥漫性损伤、通透性增强为基础,以肺水肿、透明膜形成和肺不张为主要病理变化,以进行性呼吸窘迫和难治性低氧血症为临床特征的急性呼吸衰竭综合征,ARDS是急性肺损伤发展到后期的典型表现,该病起病急骤,发展迅猛,预后极差,死亡率高达50%以上,ARDS治疗的关键在于原发病及其病因,如处理好创伤,迟早找到感染灶,针对病的菌应用敏感的抗生素,制止炎症反应进一步对肺的损作;更紧迫的是要及时纠正患者严重缺氧,赢得治疗基础疾病的宝贵时间,其中主要治疗方法为机械通气;Severe COVID-19 patients are often accompanied by acute respiratory distress syndrome. Acute respiratory distress syndrome (ARDS) refers to a syndrome of acute respiratory failure caused by severe diseases inside and outside the lungs, with diffuse damage to pulmonary capillaries and increased permeability as the basis, pulmonary edema, hyaline membrane formation and atelectasis as the main pathological changes, and progressive respiratory distress and refractory hypoxemia as the clinical features. ARDS is a typical manifestation of the late stage of acute lung injury. The disease has an acute onset, rapid development, extremely poor prognosis, and a mortality rate of more than 50%. The key to the treatment of ARDS lies in the primary disease and its cause, such as handling the trauma well, finding the infection focus sooner or later, and using sensitive antibiotics against the pathogenic bacteria to stop the inflammatory response from further damaging the lungs; more urgently, it is necessary to correct the patient's severe hypoxia in time to win precious time for the treatment of the underlying disease, among which the main treatment method is mechanical ventilation;
国家卫生健康委办公厅发布的《新型冠状病毒诊疗方案(试行第十版)》中指出,对于重型,危重型患者的治疗,尤其是严重ARDS患者,在人力资源充足的情况下,每天应当进行12小时以上的俯卧位通气,俯卧位通气是利用翻身设备或人工徒手操作,使患者在俯卧位进行机械通气,改善ARDS患者氧合能力,但是,采用俯卧位通气治疗时,患者每 24 小时里有12 小时以上都处于俯卧位状态,重症监护下的长时间俯卧位治疗导致压力性损伤发生的频率增加,此类损伤会导致住院时间延长、患者痛苦、可能需要手术干预以及护理成本的增加,预防压力性损伤发生在身体部位如面部、胸部、会阴部、 膝关节与脚趾,这些部位在患者仰卧位时并无任何风险,而在患者俯卧位时却面临着极大的风险;The "New Coronavirus Diagnosis and Treatment Plan (Trial Tenth Edition)" issued by the General Office of the National Health Commission pointed out that for the treatment of severe and critical patients, especially severe ARDS patients, prone ventilation should be performed for more than 12 hours a day if human resources are sufficient. Prone ventilation is to use turning equipment or manual operation to allow patients to undergo mechanical ventilation in the prone position to improve the oxygenation capacity of ARDS patients. However, when prone ventilation is used for treatment, patients are in the prone position for more than 12 hours every 24 hours. Long-term prone treatment under intensive care leads to an increased frequency of pressure injuries, which can lead to prolonged hospitalization, patient pain, possible surgical intervention, and increased nursing costs. Prevention of pressure injuries in body parts such as the face, chest, perineum, knee joints and toes, which are not at risk when the patient is in the supine position, but face great risks when the patient is in the prone position;
目前市场上有国外进口的少数几家防褥疮气床垫品牌可以实现俯卧位通气功能,但都存在很多缺点,无法全面推广应用,现有市场上俯卧位通气气床垫主要是通过调节单个气室的气压调节阀来对某个气室充气、放气来实现俯卧位机械通气功能,俯卧位和仰卧位切换时这种结构需手动操作的调节阀数量太多,并且调节放气程度需要凭借经验,复制性不强;同时这种装置对患者的头部完全无支撑,患者的肩部始终受力支撑,压力全部都其中在肩部,导致患者肩部容易产生压疮;另外现有装置,未对患者的胸腔和腹腔进行减压设计,胸腹部压迫感较强,尤其是胸腔受压,会挤压肺部,影响俯卧位机械通气的效果。At present, there are a few imported brands of anti-bedsore air mattresses on the market that can achieve prone ventilation function, but they all have many shortcomings and cannot be fully promoted and applied. The prone ventilation air mattresses on the existing market mainly achieve the prone mechanical ventilation function by adjusting the air pressure regulating valve of a single air chamber to inflate and deflate a certain air chamber. When switching between prone and supine positions, this structure requires too many manually operated regulating valves, and adjusting the degree of deflation requires experience, and the replicability is not strong; at the same time, this device has no support for the patient's head at all, and the patient's shoulders are always supported by force, and all the pressure is on the shoulders, which makes the patient's shoulders prone to bedsores; in addition, the existing devices are not designed to decompress the patient's chest and abdominal cavities, and the chest and abdomen feel strong. The pressure, especially the pressure on the chest cavity, will squeeze the lungs and affect the effect of prone mechanical ventilation.
在中国专利202120598348.0,名称为一种重症患者俯卧位通气防压疮护理床垫中记载有包括垫主体,其特征在于:所述护理床垫还包括支气管、调节阀、主气管、气管接头,床垫主体上从一端依次设置有小腿调节区、大腿调节区、胯骨调节区、腹部空缺区、胸部调节区、胸部升降区、插管区域、头部调节区;所述小腿调节区、大腿调节区、胸部调节区内设置有若干副气囊;胯骨调节区内部有胯骨气囊,胯骨气囊中间有胯骨气囊通槽,胸部升降区内部有胸部气囊,胸部气囊中间有胸部气囊通槽,所述头部调节区内有若干头部气囊;所述副气囊、胯骨气囊、胸部气囊、头部气囊与支气管连接后再与主气管连通,支气管设置有调节阀,主气管上设置有气管接头。In Chinese patent 202120598348.0, the title is a nursing mattress for critically ill patients with prone position ventilation and prevention of pressure sores, which includes a pad body, characterized in that: the nursing mattress also includes a bronchus, a regulating valve, a main air pipe, and a trachea joint. The mattress body is provided with a calf adjustment area, a thigh adjustment area, a hip adjustment area, an abdominal vacant area, a chest adjustment area, a chest lifting area, an intubation area, and a head adjustment area from one end in sequence; a number of auxiliary airbags are provided in the calf adjustment area, the thigh adjustment area, and the chest adjustment area; a hip airbag is provided inside the hip adjustment area, and a hip airbag through groove is provided in the middle of the hip airbag, a chest airbag is provided inside the chest lifting area, and a chest airbag through groove is provided in the middle of the chest airbag, and a number of head airbags are provided in the head adjustment area; the auxiliary airbag, hip airbag, chest airbag, and head airbag are connected to the bronchus and then connected to the main airway, the bronchus is provided with a regulating valve, and the main airway is provided with a trachea joint.
如专利202120598348.0中附图所示,该专利主要是利用对多个气囊进行充气实现贴合人体,能实现俯卧位的功能,但对于不同气囊的调整需要调节每个支气管上的调节阀,这种结构需手动操作的调节阀数量太多,并且调节放气程度需要凭借经验,复制性不强,同时未对患者的胸腔和腹腔进行减压设计,胸腹部压迫感较强,尤其是胸腔受压,会挤压肺部,影响俯卧位机械通气的效果。As shown in the attached figure of patent 202120598348.0, this patent mainly utilizes the inflating of multiple airbags to achieve fitting to the human body and realize the function of prone position, but the adjustment of different airbags requires adjusting the regulating valve on each bronchus. This structure requires too many manually operated regulating valves, and the adjustment of the degree of deflation requires experience, and the replicability is not strong. At the same time, the patient's chest and abdominal cavities are not designed for decompression. The chest and abdominal oppression is strong, especially the chest cavity is compressed, which will squeeze the lungs and affect the effect of mechanical ventilation in the prone position.
发明内容Summary of the invention
本发明所要解决的技术问题是,背景技术中提及的现有装置无胸腔减压设计,胸腹部压迫感较强的问题及现有装置俯卧位和仰卧位切换时操作繁琐,需手动调整使用不便的问题。The technical problem to be solved by the present invention is that the existing device mentioned in the background technology has no chest decompression design, resulting in a strong sense of chest and abdominal oppression, and the existing device is cumbersome to operate when switching between prone and supine positions, and requires manual adjustment, which is inconvenient to use.
为解决上述现有装置俯卧位和仰卧位切换时操作繁琐,需手动调整使用不便的问题,本发明提出一种可自动实施俯卧位通气辅助治疗气床垫的控制系统;通过以下技术方案实现的:一种可自动实施俯卧位通气辅助治疗气床垫的控制系统,包括数据采集单元,用于采集垫体中各个气条的压力数据及各个三通电磁阀的开启和关闭情况,随后把采集的结果发至数据处理单元;In order to solve the problem that the above-mentioned existing devices are complicated to operate when switching between prone and supine positions, and need to be manually adjusted and are inconvenient to use, the present invention proposes a control system that can automatically implement a prone ventilation-assisted treatment air mattress; it is achieved through the following technical solutions: a control system that can automatically implement a prone ventilation-assisted treatment air mattress, including a data acquisition unit, which is used to collect pressure data of each air strip in the mattress body and the opening and closing conditions of each three-way solenoid valve, and then send the collected results to a data processing unit;
压力数据中分别包含装置从启动到停止过程中,气条的当前压力数据、最高压力数据、最低压力数据以及每个压力数据保持的时常和两个不同的压力数据之间的转换时常;The pressure data includes the current pressure data, the highest pressure data, the lowest pressure data, the duration of each pressure data and the switching duration between two different pressure data of the gas bar during the process from the start to the stop of the device;
三通电磁阀的开启和关闭情况数据包含三通电磁阀每个接口开启和关闭的时间,以及保持开启和关闭的时常;The opening and closing data of the three-way solenoid valve includes the opening and closing time of each interface of the three-way solenoid valve, as well as the duration of opening and closing;
数据处理单元,用于根据触摸屏上选取的预设参数向控制单元发送相关参数指令,由控制单元向与气泵连接的三通电磁阀发送操作指令,操作指令包括气泵开启和关闭时间以及三通电磁阀各个接口的开启、关闭时间及保持开启和关闭的时常,并把此操作指令生成数据包发送至数据分析单元,并通过启用时间对数据包进行标记,同时把数据采集单元采集的此参数下的各组数据发送至数据分析单元;The data processing unit is used to send relevant parameter instructions to the control unit according to the preset parameters selected on the touch screen, and the control unit sends an operation instruction to the three-way solenoid valve connected to the air pump, the operation instruction includes the opening and closing time of the air pump and the opening and closing time of each interface of the three-way solenoid valve and the duration of keeping the opening and closing, and the data packet generated by the operation instruction is sent to the data analysis unit, and the data packet is marked by the activation time, and each group of data under this parameter collected by the data acquisition unit is sent to the data analysis unit;
数据分析单元,用于将数据处理单元发来的各个数据包中相应的参数数据进行分析和判断,并把预设参数执行后采集到其产生的数据与标准数据做对照分析和判断,根据对照分析判断结果得到相应数据包内某点的异常值,并对异常值进行重要程度判断,最后将其发送至触摸屏弹窗提醒,对于重度异常,数据分析单元向控制单元发送停止设备运行信号,控制单元向设备发出停止运行指令,数据分析方式如下:The data analysis unit is used to analyze and judge the corresponding parameter data in each data packet sent by the data processing unit, and compare and analyze the data generated by the preset parameters after execution with the standard data. According to the comparison and analysis results, the abnormal value of a certain point in the corresponding data packet is obtained, and the importance of the abnormal value is judged. Finally, it is sent to the touch screen pop-up window for reminder. For severe abnormalities, the data analysis unit sends a signal to stop the equipment operation to the control unit, and the control unit sends a stop operation instruction to the equipment. The data analysis method is as follows:
A1、根据执行的预设参数,调出此参数对应的标准数据,将数据采集单元采集的数据包内的当前压力数据标记为Yt,最高压力数据标记为Yh,最低压力数据标记为Yl,压力保持时常标记为Yb,压力数据转换时常标记为Yz;A1. According to the preset parameters executed, the standard data corresponding to the parameters are called out, and the current pressure data in the data packet collected by the data acquisition unit is marked as Yt, the highest pressure data is marked as Yh, the lowest pressure data is marked as Yl, the pressure holding time is marked as Yb, and the pressure data conversion time is marked as Yz;
A2、随后将Yt、Yh、Yl、Yb和Yz与标准数据Bt、Bh、B¬l、Bb和Bz做对比,A2. Then compare Yt, Yh, Yl, Yb and Yz with the standard data Bt, Bh, B¬l, Bb and Bz.
若Yt、Yh、Yl、Yb和Yz处于Bt、Bh、B¬l、Bb和Bz范围内则说明正常;If Yt, Yh, Yl, Yb and Yz are within the range of Bt, Bh, B¬l, Bb and Bz, it is normal;
若Yt、Yh、Yl、Yb和Yz不在Bt、Bh、B¬l、Bb和Bz范围内,则通过公式Ct=Bt-Yt、Ch=Bh-Yh、Cl=Bl-Yl、Cb=Bb-Yb和Cz=Bz-Yz计算出差值;If Yt, Yh, Yl, Yb and Yz are not within the range of Bt, Bh, B¬l, Bb and Bz, the difference is calculated by the formulas Ct=Bt-Yt, Ch=Bh-Yh, Cl=Bl-Yl, Cb=Bb-Yb and Cz=Bz-Yz;
A3、根据异常值范围比较Ct、Ch、Cl、Cb和Cz判断异常程度,异常程度包括轻度异常、中度异常和重度异常,其中轻度异常、中度异常和重度异常的异常都会向触摸屏弹窗提醒检修并记录异常值,对于重度异常,控制单元向设备发出停止设备运行指令。A3. Compare Ct, Ch, Cl, Cb and Cz according to the abnormal value range to determine the degree of abnormality. The degree of abnormality includes mild abnormality, moderate abnormality and severe abnormality. Mild abnormality, moderate abnormality and severe abnormality will prompt the touch screen to pop up a window to remind maintenance and record the abnormal value. For severe abnormality, the control unit will send a command to the device to stop the device operation.
对本发明技术方案的优选,数据分析单元分别生成和保存有Ct、Ch、Cl、Cb和Cz的往期数据统计折线图,并通过触摸屏调取查看,这样的设置便于对装置内不同气条、三通电磁阀和导气管的使用寿命进行判定,也便于检修时找到问题点,使用方便。In the preferred embodiment of the technical solution of the present invention, the data analysis unit generates and saves statistical line graphs of past data of Ct , Ch , Cl , Cb and Cz respectively, and retrieves and views them through the touch screen. Such a setting is convenient for determining the service life of different gas strips, three-way solenoid valves and air guide pipes in the device, and is also convenient for finding problem points during maintenance, and is easy to use.
本发明中,利用各个区域可以单独控制奇偶交互充放气,实现俯卧位和正常仰卧位控制的自动切换,解决了现有装置俯卧位和仰卧位切换时操作繁琐,需手动调整操作不便的问题。In the present invention, each area can be used to independently control the odd-even alternating inflation and deflation, so as to realize the automatic switching of the prone position and the normal supine position control, thereby solving the problem that the switching between the prone position and the supine position of the existing device is cumbersome and requires manual adjustment and inconvenient operation.
为解决上述现有装置无胸腔减压设计,胸腹部压迫感较强的问题,本发明提出一种可自动实施俯卧位通气辅助治疗气床垫;通过以下技术方案实现的:一种可自动实施俯卧位通气辅助治疗气床垫,包括主机和垫体,所述垫体铺设在病床上,主机与垫体通过导气管连接,所述主机内设置有与导气管连接的气泵,所述气泵通过导气管和三通电磁阀,对垫体内不同气条内的不同腔室做循环充气、放气操作。In order to solve the problem that the above-mentioned existing devices have no chest decompression design and the chest and abdominal oppression feeling is strong, the present invention proposes an air mattress that can automatically implement prone ventilation assisted therapy; it is achieved by the following technical scheme: an air mattress that can automatically implement prone ventilation assisted therapy, including a main unit and a cushion body, the cushion body is laid on the bed, the main unit and the cushion body are connected through an air duct, an air pump connected to the air duct is arranged in the main unit, and the air pump performs cyclic inflation and deflation operations on different chambers in different air strips in the cushion body through the air duct and a three-way solenoid valve.
本发明中,利用垫体上层的静态床垫,加大了支撑面积,压力分布更均匀,同时通过三通电磁阀对气条形成的区域进行奇偶交替循环充放气,实现俯卧位和正常仰卧位控制的自动切换的同时头部、肩部可动态波动减压,无一直受压部位,最后又通过对设置在胸腔处的三腔室气条中部的腔室进行放气,起到对患者胸腔部进行减压的作用,提高俯卧位机械通气的效果。In the present invention, a static mattress is utilized on the upper layer of the cushion body to increase the supporting area and make the pressure distribution more uniform. At the same time, the area formed by the air strip is inflated and deflated in an odd-even alternating cycle through a three-way solenoid valve, so that the automatic switching of the prone position and the normal supine position control can be realized. At the same time, the head and shoulders can be dynamically fluctuated to reduce the pressure, and there is no part that is always under pressure. Finally, by deflating the chamber in the middle of the three-chamber air strip arranged at the chest cavity, the chest cavity of the patient is decompressed, thereby improving the effect of mechanical ventilation in the prone position.
对本发明技术方案的优选,垫体包括静态减压层、气室层和支撑层,所述静态减压层、气室层和支撑层依次叠加在一起,其中静态减压层和支撑层在上下层,气室层在中层,静态减压层的设置便于加大支撑面积,使得压力分布更均匀,提高患者舒适度的同时也能减缓压疮的产生。Preferably, the cushion body comprises a static decompression layer, an air chamber layer and a support layer, wherein the static decompression layer, the air chamber layer and the support layer are stacked together in sequence, wherein the static decompression layer and the support layer are in the upper and lower layers, and the air chamber layer is in the middle layer. The arrangement of the static decompression layer facilitates increasing the support area, making the pressure distribution more uniform, thereby improving the patient's comfort and slowing down the occurrence of pressure sores.
对本发明技术方案的优选,气室层包括多个平行排布的气条,所述气条包括单腔室气条、第一双腔室气条、第二双腔室气条和三腔室气条,所述第一双腔室气条设置有一根,单腔室气条、第二双腔室气条和三腔室气条设置有多根,多个气条的设置便于通过对多个气条的单独控制实现不同位置进行控制,便于俯卧位和仰卧位的切换。Preferably, the air chamber layer includes a plurality of air strips arranged in parallel, the air strips including a single-chamber air strip, a first double-chamber air strip, a second double-chamber air strip and a three-chamber air strip, one first double-chamber air strip is provided, and a plurality of the single-chamber air strip, the second double-chamber air strip and the three-chamber air strip are provided. The provision of a plurality of air strips facilitates the control of different positions by individually controlling the plurality of air strips, and facilitates the switching between the prone position and the supine position.
对本发明技术方案的优选,在第二双腔室气条的两个腔室的连接部分设置有一段间隔,此间隔不可充气,这样的设置便于对患者的颈部、腹部和会阴部或骶尾部悬空减压,避免这几个部位产生压疮。Preferably, a space is provided at the connecting part of the two chambers of the second double-chamber air strip, and the space cannot be inflated. Such a setting facilitates the decompression of the patient's neck, abdomen and perineum or sacrum and coccyx in suspension, thereby avoiding pressure sores in these areas.
对本发明技术方案的优选,单腔室气条、第一双腔室气条、第二双腔室气条和三腔室气条的每一个单独的腔室都通过三通电磁阀与导气管连通,这样的设置便于通过三通电磁阀对每个单独的腔室的充放气进行控制,提高了对装置的控制能力,使用方便。Preferably, each individual chamber of the single-chamber gas strip, the first double-chamber gas strip, the second double-chamber gas strip and the three-chamber gas strip is connected to the air duct through a three-way solenoid valve. Such an arrangement facilitates the control of the inflation and deflation of each individual chamber through the three-way solenoid valve, thereby improving the controllability of the device and facilitating use.
对本发明技术方案的优选,多个气条形成的腔室分为头部区域、中央区域奇、中央区域偶、常规区域奇和常规区域偶,五个区域通过五个三通电磁阀并联在一起,通过同一个气泵进行供气通过控制五个三通电磁阀的通断电来分别控制其中三个区域的奇偶交替循环充放气,奇偶交替循环充放气的设置可实现动态波动减压,有效预防压疮。Preferably, the chamber formed by multiple air strips is divided into a head area, a central area odd, a central area even, a conventional area odd and a conventional area even. The five areas are connected in parallel through five three-way solenoid valves, and air is supplied by the same air pump. The odd and even alternating cycles of inflation and deflation of three of the areas are controlled by controlling the on and off of the five three-way solenoid valves. The setting of odd and even alternating cycles of inflation and deflation can achieve dynamic fluctuation decompression, and effectively prevent pressure sores.
对本发明技术方案的优选,主机包括触摸屏、主控板、气泵、三通电磁阀和压力传感器,所述触摸屏、气泵、三通电磁阀和压力传感器分别与主控板连接,压力传感器包括第一压力传感器和第二压力传感器,所述第一压力传感器与第一双腔室气条连接,第二压力传感器通过导气管与单腔室气条、第二双腔室气条和三腔室气条连接,这样的设置便于对气条的充气量进行控制,使用方便。Preferably, the main unit includes a touch screen, a main control board, an air pump, a three-way solenoid valve and a pressure sensor, wherein the touch screen, the air pump, the three-way solenoid valve and the pressure sensor are respectively connected to the main control board, and the pressure sensor includes a first pressure sensor and a second pressure sensor, wherein the first pressure sensor is connected to the first double-chamber air strip, and the second pressure sensor is connected to the single-chamber air strip, the second double-chamber air strip and the three-chamber air strip through an air duct. Such an arrangement facilitates the control of the inflation amount of the air strip and is convenient to use.
本发明与现有技术相比具有的有益效果是:Compared with the prior art, the present invention has the following beneficial effects:
本发明的技术方案,各个区域可以单独控制奇偶交互充放气,实现俯卧位和正常仰卧位控制的自动切换,解决了现有装置俯卧位和仰卧位切换时操作繁琐,需手动调整操作不便的问题同时又利用垫体上层的静态床垫,加大了支撑面积,压力分布更均匀,同时通过三通电磁阀对气条形成的区域进行奇偶交替循环充放气,实现俯卧位和正常仰卧位控制的自动切换的同时头部、肩部可动态波动减压,无一直受压部位,最后又通过对设置在胸腔处的三腔室气条中部的腔室进行放气,起到对患者胸腔部进行减压的作用,提高俯卧位机械通气的效果。According to the technical solution of the present invention, each area can be individually controlled to be inflated and deflated in an odd-even alternating manner, so as to realize automatic switching of prone position and normal supine position control, thereby solving the problem that the prior device is cumbersome to operate when switching between prone position and supine position, and requires manual adjustment and inconvenient operation. At the same time, the static mattress on the upper layer of the cushion body is utilized to increase the support area and make the pressure distribution more uniform. At the same time, the area formed by the air strip is inflated and deflated in an odd-even alternating manner through a three-way solenoid valve, so as to realize automatic switching of prone position and normal supine position control, and at the same time, the head and shoulders can be dynamically fluctuated to reduce pressure, and there is no part that is always under pressure. Finally, by deflating the chamber in the middle of the three-chamber air strip arranged in the chest cavity, the chest cavity of the patient is decompressed, thereby improving the effect of mechanical ventilation in the prone position.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本发明立体示意图;Fig. 1 is a three-dimensional schematic diagram of the present invention;
图2为垫体内部示意图;FIG2 is a schematic diagram of the interior of the pad body;
图3为气室层分布图;Fig. 3 is a distribution diagram of the air chamber layer;
图4为气泵、三通电磁阀和腔室的连接图;FIG4 is a connection diagram of the air pump, the three-way solenoid valve and the chamber;
图5为控制系统流程图;Fig. 5 is a flow chart of the control system;
图6为触控屏常规参数设置界面;Figure 6 is a touch screen general parameter setting interface;
图7为主控板连接示意图;Figure 7 is a schematic diagram of the main control board connection;
附图标记说明:1-主机、11-触摸屏、12-导气管、13-主控板、14-气泵、15-三通电磁阀、16-第一压力传感器、17-第二压力传感器、2-垫体、21-静态减压层、22-气室层、23-支撑层、24-气条、25-单腔室气条、26-第一双腔室气条、27-第二双腔室气条、28-三腔室气条、29-固定带。Explanation of the accompanying drawings: 1-host, 11-touch screen, 12-air duct, 13-main control board, 14-air pump, 15-three-way solenoid valve, 16-first pressure sensor, 17-second pressure sensor, 2-cushion body, 21-static decompression layer, 22-air chamber layer, 23-support layer, 24-air strip, 25-single-chamber air strip, 26-first double-chamber air strip, 27-second double-chamber air strip, 28-three-chamber air strip, 29-fixing belt.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图1-7,对本发明实施例中的技术方案进行详细的描述。The technical solution in the embodiment of the present invention will be described in detail below with reference to Figures 1-7 in the embodiment of the present invention.
实施例1Example 1
如图1所示,一种可自动实施俯卧位通气辅助治疗气床垫及控制系统,主要包括主机1、垫体2和控制部分,垫体2放置在床体上主机1主要通过导气管12与垫体2连接。As shown in FIG1 , an air mattress and control system capable of automatically implementing prone position ventilation-assisted therapy mainly comprises a main unit 1 , a cushion body 2 and a control part. The cushion body 2 is placed on the bed body. The main unit 1 is mainly connected to the cushion body 2 through an air duct 12 .
如图1、5和7所示,控制部分包括数据采集单元、数据处理单元、数据分析单元和控制单元,控制部分整体集成在主控板13内。As shown in FIGS. 1 , 5 and 7 , the control part includes a data acquisition unit, a data processing unit, a data analysis unit and a control unit, and the control part is integrated in the main control board 13 as a whole.
其中采集单元,主要是用于采集垫体2中各个气条24内的压力数据及各个三通电磁阀15的开启和关闭情况,随后把采集的结果发至数据处理单元。The collection unit is mainly used to collect the pressure data in each gas strip 24 in the cushion body 2 and the opening and closing conditions of each three-way electromagnetic valve 15, and then send the collected results to the data processing unit.
压力数据中分别包含有装置从启动到停止过程中,气条24的当前压力数据、最高压力数据、最低压力数据以及每个压力数据保持的时常和两个不同的压力数据之间的转换时常,另外三通电磁阀15的开启和关闭情况数据包含三通电磁阀15每个接口开启和关闭的时间,以及保持开启和关闭的时常。The pressure data respectively include the current pressure data, the highest pressure data, the lowest pressure data of the gas strip 24 during the process from starting to stopping the device, the duration of each pressure data, and the conversion duration between two different pressure data. In addition, the opening and closing status data of the three-way solenoid valve 15 include the opening and closing time of each interface of the three-way solenoid valve 15, as well as the duration of opening and closing.
通过采集单元能采集到的数据处理单元和数据分析单元所需要的数据。The data required by the data processing unit and the data analysis unit can be collected by the collection unit.
数据处理单元,用于根据触摸屏11上选取的预设参数向控制单元发送相关参数指令,由控制单元向与气泵14连接的三通电磁阀15发送操作指令,操作指令包括气泵14开启和关闭时间以及三通电磁阀15各个接口的开启、关闭时间及保持开启和关闭的时常,并把此操作指令生成数据包发送至数据分析单元,另外数据处理单元会对不同对数据包进行启用时间标记,同时把数据采集单元采集的此参数下的各组数据发送至数据分析单元,由数据分析单元对数据进行分析和判断。The data processing unit is used to send relevant parameter instructions to the control unit according to the preset parameters selected on the touch screen 11, and the control unit sends operation instructions to the three-way solenoid valve 15 connected to the air pump 14. The operation instructions include the opening and closing time of the air pump 14 and the opening and closing time of each interface of the three-way solenoid valve 15 and the duration of keeping open and closed. The data packet generated by this operation instruction is sent to the data analysis unit. In addition, the data processing unit will enable time marks for different pairs of data packets, and at the same time send each group of data under this parameter collected by the data acquisition unit to the data analysis unit, and the data analysis unit will analyze and judge the data.
数据分析单元,主要是用于将数据处理单元发来的各个数据包中相应的参数数据进行分析和判断,并把预设参数执行后采集到的数据与标准数据做对照分析和判断,根据对照分析判断结果得到相应数据包内某点的异常值,并对异常值进行重要程度判断,最后将其发送至触摸屏11弹窗提醒,对于重度异常,数据分析单元向控制单元发送停止设备运行信号,控制单元向设备发出停止运行指令,数据分析方式如下:The data analysis unit is mainly used to analyze and judge the corresponding parameter data in each data packet sent by the data processing unit, and compare and analyze the data collected after the preset parameters are executed with the standard data, obtain the abnormal value of a certain point in the corresponding data packet according to the comparison analysis and judgment result, and judge the importance of the abnormal value, and finally send it to the touch screen 11 for pop-up reminder. For severe abnormalities, the data analysis unit sends a signal to stop the equipment operation to the control unit, and the control unit sends a stop operation instruction to the equipment. The data analysis method is as follows:
A1、根据执行的预设参数,调出此参数在各个节点时对应的标准数据,然后对数据采集单元采集的数据包内的数据进行标记,其中当前压力数据标记为Yt,最高压力数据标记为Yh,最低压力数据标记为Yl,压力保持时常标记为Yb,压力数据转换时常标记为Yz;A1. According to the preset parameters to be executed, the standard data corresponding to the parameters at each node is called out, and then the data in the data packet collected by the data acquisition unit is marked, wherein the current pressure data is marked as Y t , the highest pressure data is marked as Y h , the lowest pressure data is marked as Y l , the pressure holding time is marked as Y b , and the pressure data conversion time is marked as Y z ;
A2、随后将Yt、Yh、Yl、Yb和Yz与标准数据Bt、Bh、Bl、Bb和Bz做对比,若Yt、Yh、Yl、Yb和Yz处于Bt、Bh、Bl、Bb和Bz范围内则说明正常;A2. Then compare Y t , Y h , Y l , Y b and Y z with the standard data B t , B h , B l , B b and B z . If Y t , Y h , Y l , Y b and Y z are within the range of B t , B h , B l , B b and B z , it is normal.
若Yt、Yh、Yl、Yb和Yz不在Bt、Bh、Bl、Bb和Bz范围内,则通过公式Ct=Bt-Yt、Ch=Bh-Yh、Cl=Bl-Yl、Cb=Bb-Yb和Cz=Bz-Yz计算出差值;If Yt , Yh , Yl , Yb and Yz are not within the range of Bt , Bh , Bl , Bb and Bz , the difference is calculated by the formulas Ct = Bt - Yt, Ch = Bh - Yh, Cl = Bl - Yl , Cb = Bb - Yb and Cz = Bz - Yz ;
A3、根据异常值范围比较Ct、Ch、Cl、Cb和Cz判断异常值所处的异常程度,异常程度包括轻度异常、中度异常和重度异常,其中轻度异常、中度异常和重度异常的异常都会向触摸屏11弹窗提醒检修并记录异常值,对于重度异常,控制单元向设备发出停止设备运行指令。A3. Compare Ct , Ch , Cl , Cb and Cz according to the abnormal value range to determine the abnormality level of the abnormal value. The abnormality levels include mild abnormality, moderate abnormality and severe abnormality. Mild abnormality, moderate abnormality and severe abnormality will prompt the touch screen 11 to pop up a window to remind maintenance and record the abnormal value. For severe abnormality, the control unit sends a command to stop the device.
为了详细了解设备内不同气条24、三通电磁阀15和导气管12的使用寿命和连接情况进行判定,也便于检修时找到问题点,数据分析单元分别生成和保存有Ct、Ch、Cl、Cb和Cz的往期数据统计折线图,此数据统计折线图可通过触摸屏11调取查看。In order to understand in detail the service life and connection conditions of different gas strips 24, three-way solenoid valves 15 and air guide pipes 12 in the equipment and to facilitate finding problem points during maintenance, the data analysis unit generates and saves statistical line graphs of past data of C t , Ch , C l , C b and C z respectively, and this statistical line graph can be retrieved and viewed through the touch screen 11.
主机1包括触摸屏11、主控板13和气泵14,主控板13和气泵14设置在主机1的内部,触摸屏11设置在主机1的表面,与主控板13连接,气泵14与主控板13连接,同时气泵14也通过导气管12与垫体2中的气室层22连接。The host 1 includes a touch screen 11, a main control board 13 and an air pump 14. The main control board 13 and the air pump 14 are arranged inside the host 1. The touch screen 11 is arranged on the surface of the host 1 and is connected to the main control board 13. The air pump 14 is connected to the main control board 13. At the same time, the air pump 14 is also connected to the air chamber layer 22 in the cushion body 2 through the air guide pipe 12.
如图2、3和7所示,垫体2分为三层分别为静态减压层21、气室层22和支撑层23,静态减压层21、气室层22和支撑层23依次叠加在一起,其中静态减压层21和支撑层23在上下层,气室层22在中层,三者两两粘合在一起,然后利用一个可封闭的布套进行统一包裹封闭,在布套的侧面开设有供导气管12连接的安装口。As shown in Figures 2, 3 and 7, the cushion body 2 is divided into three layers, namely a static decompression layer 21, an air chamber layer 22 and a support layer 23. The static decompression layer 21, the air chamber layer 22 and the support layer 23 are stacked together in sequence, wherein the static decompression layer 21 and the support layer 23 are in the upper and lower layers, and the air chamber layer 22 is in the middle layer. The three are bonded together in pairs and then uniformly wrapped and closed with a closable cloth cover, and an installation port for connecting the air guide tube 12 is opened on the side of the cloth cover.
支撑层23设置在垫体2的底层,主要由高密度海绵制成,支撑层23与床板接触,起到支撑的作用。The support layer 23 is arranged on the bottom layer of the cushion body 2 and is mainly made of high-density sponge. The support layer 23 is in contact with the bed board and plays a supporting role.
静态减压层21设置在垫体2的上层,主要有波浪形的减压绵制成,静态减压层21与患者接触,保障在所有气条24未充气时,垫体2的上表面能保持一个完整、平整的垫体。The static decompression layer 21 is arranged on the upper layer of the cushion body 2 and is mainly made of corrugated decompression cotton. The static decompression layer 21 is in contact with the patient to ensure that when all the air strips 24 are not inflated, the upper surface of the cushion body 2 can maintain a complete and flat cushion body.
气室层22设置在支撑层23和静态减压层21之间,气室层22由多个可充气的气条24沿静态减压层21长度方向平行排布组成,多个气条24通过两条固定带29串联固定在一起,有效避免气条24在垫体2内的滑动。The air chamber layer 22 is arranged between the support layer 23 and the static decompression layer 21. The air chamber layer 22 is composed of a plurality of inflatable air strips 24 arranged in parallel along the length direction of the static decompression layer 21. The plurality of air strips 24 are fixed together in series by two fixing belts 29, which effectively prevents the air strips 24 from sliding in the cushion body 2.
定义:静态减压层21患者平躺时,患者身高的方向为静态减压层21长度方向,患者左手到右手的方向为宽度方向。Definition: When the patient of the static decompression layer 21 lies flat, the direction of the patient's height is the length direction of the static decompression layer 21, and the direction from the patient's left hand to the right hand is the width direction.
气条24按形状主要分为四类,分别为单腔室气条25、第一双腔室气条26、第二双腔室气条27和三腔室气条28,其中单腔室气条25为常规气条,整条为一个中空的腔室,第一双腔室气条26整条从中间隔开分为两个中空的腔室,第二双腔室气条27也是整条从中间隔开分为两个中空的腔室,与第一双腔室气条26不同之处在于,第二双腔室气条27两个隔开的腔室在隔开处留有5-10cm的间隔,患者的颈部、腹部和会阴部或骶尾部放置在此间隔处,当第二双腔室气条27的两个腔室充气时此间隔处保持扁平不充气,此时患者的颈部、腹部和会阴部或骶尾部悬空减压,同时也有效避免这几个部位产生压疮。The air strip 24 is mainly divided into four categories according to its shape, namely, a single-chamber air strip 25, a first double-chamber air strip 26, a second double-chamber air strip 27 and a three-chamber air strip 28. Among them, the single-chamber air strip 25 is a conventional air strip, and the whole strip is a hollow chamber. The first double-chamber air strip 26 is divided into two hollow chambers in the middle as a whole. The second double-chamber air strip 27 is also divided into two hollow chambers in the middle as a whole. The difference from the first double-chamber air strip 26 is that the two separated chambers of the second double-chamber air strip 27 have a gap of 5-10 cm at the separation, and the patient's neck, abdomen and perineum or sacrum are placed in this gap. When the two chambers of the second double-chamber air strip 27 are inflated, this gap remains flat and not inflated. At this time, the patient's neck, abdomen and perineum or sacrum are suspended in the air to reduce decompression, and at the same time, it also effectively avoids pressure sores in these parts.
三腔室气条28整条从中间隔开分为三个中空的腔室,三腔室气条28的中央和两端可以分开单独充放气,中央部分在俯卧位时不充气。The entire three-chamber air strip 28 is separated from the middle into three hollow chambers. The center and both ends of the three-chamber air strip 28 can be inflated and deflated separately, and the center portion is not inflated when the patient is in the prone position.
如图3和4所示,本实施例中选取21个气条24作介绍,气条24的数量可根据不同规格调整,本实施例中,第一双腔室气条26设置1个,主要用于支撑患者头部,一般各种规格都只需设置一个第一双腔室气条26,为了便于区分为此第一双腔室气条26编号为1号。As shown in Figures 3 and 4, 21 air strips 24 are selected for introduction in this embodiment. The number of air strips 24 can be adjusted according to different specifications. In this embodiment, one first double-chamber air strip 26 is provided, which is mainly used to support the patient's head. Generally, only one first double-chamber air strip 26 is required for various specifications. For easy distinction, the first double-chamber air strip 26 is numbered 1.
第二双腔室气条27设置有6条,主要用于使颈部、腹部和会阴部或骶尾部悬空进行减压,避免这几个部位产生压疮,第二双腔室气条27的编号分别对应4、9-13号。There are six second double-chamber air strips 27, which are mainly used to suspend the neck, abdomen and perineum or sacrum and coccyx to decompress and avoid pressure sores in these parts. The second double-chamber air strips 27 are numbered 4, 9-13 respectively.
三腔室气条28设置有4条,编号分别对应5-8号,三腔室气条28的中央部分在俯卧位时不充气,保障整个胸腔在俯卧位时处于悬空状态,依靠4号第二双腔室气条27支撑肩部、9-12号第二双腔室气条27支撑腹部,以及5-8号三腔室气条28两端腔室支撑肋部,实现对患者胸腔部的减压,提高俯卧位机械通气的效果。There are four three-chamber air strips 28, which are numbered 5-8 respectively. The central part of the three-chamber air strips 28 is not inflated in the prone position, ensuring that the entire chest cavity is in a suspended state in the prone position. The shoulders are supported by the second double-chamber air strip 27 No. 4, the abdomen is supported by the second double-chamber air strips 27 No. 9-12, and the ribs are supported by the chambers at both ends of the three-chamber air strips 28 No. 5-8, thereby achieving decompression of the patient's chest cavity and improving the effect of mechanical ventilation in the prone position.
为了预防压疮的产生和便于控制系统控制奇偶波动交替实现动态波动减压,全部气条24根据功能分为3个区域,每个区域可以单独控制奇偶波动交替,即可分区波动:In order to prevent the occurrence of pressure sores and facilitate the control system to control the odd-even fluctuations to achieve dynamic fluctuation decompression, all air strips 24 are divided into 3 areas according to their functions. Each area can control the odd-even fluctuations individually, that is, the zoning fluctuations:
1号气条24,即第一双腔室气条26单独为头部区域,由于为单根气条,与传统奇偶交替不同,整条气条始终处于充气状态,通过控制其气压值(满气压值-半气压值-满气压值-半气压值)来改变气条的软硬度,从而改变受压面积和受压点,从中间分割为两个腔室,是为了缓解满气压值时额头的受压迫感,增加接触面积,体验更加舒适,如此循环交替,既能保证整个头顶部始终处于支撑状态,又可以使受压部位交替循环改变。Air strip No. 1 24, i.e., the first double-chamber air strip 26 is a separate head area. Since it is a single air strip, unlike the traditional odd-even alternation, the entire air strip is always inflated. The hardness of the air strip is changed by controlling its air pressure value (full air pressure value-half air pressure value-full air pressure value-half air pressure value), thereby changing the pressure area and the pressure point. It is divided into two chambers in the middle to relieve the feeling of oppression on the forehead at the full air pressure value, increase the contact area, and provide a more comfortable experience. Such alternating cycles can not only ensure that the entire top of the head is always in a supported state, but also make the pressure parts change alternately and cyclically.
2-3号气条24以及5-8号气条24的中央腔室为中央区域,在仰卧位时正常奇偶交替,在俯卧位时全部不充气,从而在其他区域充气撑起时,脸部和胸部处于悬空状态,保障机械通气效果;同时,为保障悬空减压效果,上层的静态减压层21在这几个区域开孔留空,外层的布套在这几个区域留有弹性余量。The central chamber of the No. 2-3 air strips 24 and the No. 5-8 air strips 24 is the central area, which alternates between odd and even normally in the supine position, and is not inflated at all in the prone position. Therefore, when other areas are inflated, the face and chest are suspended in the air, ensuring the effect of mechanical ventilation; at the same time, in order to ensure the effect of suspended decompression, the upper static decompression layer 21 is opened and left empty in these areas, and the outer cloth cover has elastic margins in these areas.
其余气条24为常规区域,无论在俯卧位还是仰卧位时都是正常奇偶交替,但由于俯卧位时不充气悬空气条24较多,为了保障奇偶交替时胸腔始终不触底,4号气条24、9-11以及5-8号气条24的两端腔室不以整条气条24作为奇偶排布,而是两端分别定义为奇数腔室和偶数腔室,交叉排布,即4-11两端的腔室,一端为奇偶奇偶奇偶奇偶,另一端为偶奇偶奇偶奇偶奇。The remaining air strips 24 are regular areas, with normal odd-even alternation regardless of the prone or supine position. However, since there are more uninflated suspended air strips 24 in the prone position, in order to ensure that the chest cavity never touches the bottom during the odd-even alternation, the chambers at both ends of air strips 4 24, 9-11, and 5-8 24 are not arranged in odd-even arrangement with the entire air strip 24, but are defined as odd-numbered chambers and even-numbered chambers at both ends, and arranged crosswise, that is, the chambers at both ends of 4-11 are odd-even-odd-even-odd-even-odd at one end, and even-odd-even-odd-odd-odd at the other end.
为了便于对每个气条24上的每个腔室的控制,每个腔室都与导气管12和三通电磁阀15连接,连接方式如下。In order to facilitate the control of each chamber on each gas strip 24, each chamber is connected to the gas guide pipe 12 and the three-way solenoid valve 15 in the following manner.
气泵14通过导气管12与三通电磁阀15的接口1连接,三通电磁阀15接口2通过导气管12与腔室连接,当气泵14工作时,给三通电磁阀15通电,此时三通电磁阀15的接口1和接口2导通,气泵14可以通过三通电磁阀15向腔室充气;当需要放气时,三通电磁阀15断电,此时三通电磁阀15的接口2和接口3导通,腔室的气体通过三通电磁阀15排向大气中,三个区域的腔室分别连接五个三通电磁阀15,即头部区域、中央区域奇、中央区域偶、常规区域奇、常规区域偶,五个三通电磁阀的接口1可以并联在一起,通过同一个气泵进行供气通过控制五个电磁阀的通断电来分别控制三个区域的奇偶交替循环充放气。The air pump 14 is connected to the interface 1 of the three-way solenoid valve 15 through the air guide tube 12, and the interface 2 of the three-way solenoid valve 15 is connected to the chamber through the air guide tube 12. When the air pump 14 is working, the three-way solenoid valve 15 is energized, and the interface 1 and interface 2 of the three-way solenoid valve 15 are connected, and the air pump 14 can inflate the chamber through the three-way solenoid valve 15; when deflation is required, the three-way solenoid valve 15 is de-energized, and the interface 2 and interface 3 of the three-way solenoid valve 15 are connected, and the gas in the chamber is discharged into the atmosphere through the three-way solenoid valve 15. The chambers in the three areas are respectively connected to five three-way solenoid valves 15, namely the head area, the central area odd, the central area even, the regular area odd, and the regular area even. The interfaces 1 of the five three-way solenoid valves can be connected in parallel, and the air is supplied by the same air pump. The odd and even alternating cycles of charging and deflation of the three areas are controlled by controlling the on and off of the five solenoid valves.
如图1、5和6所示,本实施例中关于通过触控屏11对设备整体的操作:As shown in FIGS. 1 , 5 and 6 , in this embodiment, the operation of the entire device through the touch screen 11 is as follows:
触摸屏11常规参数设置界面,分为参数设置、模式选择、工作控制等三个主要部分,参数设置左边为奇数腔室的参数设置,气压调节为根据不同体重的人设置不同的最大充气压力,例如小于60kg设置为1级,60-90kg设置为2级,大于90kg设置为3级,1级压力最小,3级压力最大,保障气床垫对于不同体重的人群使用都处于一个差不多的高度,充气时间为从开始充气到持续保持最大压力的总时间,在充气时间到达设定值后,腔室开始放气,放气时间为从开始放气到下一循环开始充气之间的总时间,在放气时间到达设定值后,开始充气。The touch screen 11 is a conventional parameter setting interface, which is divided into three main parts: parameter setting, mode selection, and work control. The left side of the parameter setting is the parameter setting of the odd-numbered chambers. The air pressure is adjusted to set different maximum inflation pressures according to people of different weights. For example, less than 60kg is set to level 1, 60-90kg is set to level 2, and more than 90kg is set to level 3. Level 1 has the lowest pressure and level 3 has the highest pressure, ensuring that the air mattress is at a similar height for people of different weights. The inflation time is the total time from the start of inflation to the continuous maintenance of the maximum pressure. After the inflation time reaches the set value, the chamber begins to deflate. The deflation time is the total time from the start of deflation to the start of inflation in the next cycle. After the deflation time reaches the set value, inflation begins.
右边为偶数腔室的参数设置,与奇数气室设置方式完全一致,压力档位和充放气时间可以相同也可以不同,如此奇数腔室偶数腔室充气放气循环往复,不间断改变受压点,减少压疮发生,波动模式可以选择俯卧位模式或仰卧位模式,仰卧位为正常模式,腔室统一波动,俯卧位模式为特殊体位模式,用于俯卧位通气辅助治疗,此模式下中央区域模式不工作,具体控制通过主控板13的单片机程序的逻辑控制加以实施,工作控制用于启动或终止气床垫的工作。On the right is the parameter setting of the even-numbered chambers, which is exactly the same as the setting method of the odd-numbered air chambers. The pressure level and the inflation and deflation time can be the same or different. In this way, the odd-numbered chambers and the even-numbered chambers are inflated and deflated in a reciprocating cycle, continuously changing the pressure point to reduce the occurrence of pressure sores. The fluctuation mode can select the prone mode or the supine mode. The supine position is the normal mode, and the chambers fluctuate uniformly. The prone mode is a special position mode, which is used for prone ventilation-assisted treatment. In this mode, the central area mode does not work. The specific control is implemented through the logic control of the single-chip microcomputer program of the main control board 13, and the working control is used to start or terminate the operation of the air mattress.
如图5、6和7所示,关于主控板13连接示意图及本实施例使用过程:As shown in Figures 5, 6 and 7, the connection diagram of the main control board 13 and the use process of this embodiment are as follows:
主控板13上有1个气泵接口、5个电磁阀接口以及2个压力传感器,5个电磁阀接口分别连接5个三通电磁阀15,分别对5个三通电磁阀15进行编号1-5,第一压力传感器16通过导气管12与头部区域的2号三通电磁阀15短接口连接,第二压力传感器17通过导气管12与气泵14到所有三通电磁阀15的1端的共同气体腔体连接,气泵接口连接气泵14,用于控制气泵14的通断及充气速度,电磁阀接口分别连接头部区域、中央区域奇、中央区域偶、常规区域奇和常规区域偶五组腔室处的三通电磁阀15,压力传感器读取腔室的压力值,到达设定值后控制气泵14和三通电磁阀15的通断状态来改变工作模式,以俯卧位为例:There is an air pump interface, 5 solenoid valve interfaces and 2 pressure sensors on the main control board 13. The 5 solenoid valve interfaces are respectively connected to 5 three-way solenoid valves 15, which are numbered 1-5 respectively. The first pressure sensor 16 is connected to the short interface of the No. 2 three-way solenoid valve 15 in the head area through the air guide tube 12. The second pressure sensor 17 is connected to the common gas cavity from the air pump 14 to 1 end of all the three-way solenoid valves 15 through the air guide tube 12. The air pump interface is connected to the air pump 14 to control the on-off and inflation speed of the air pump 14. The solenoid valve interface is respectively connected to the three-way solenoid valves 15 at five groups of chambers in the head area, the central area odd, the central area even, the regular area odd and the regular area even. The pressure sensor reads the pressure value of the chamber. After reaching the set value, it controls the on-off state of the air pump 14 and the three-way solenoid valve 15 to change the working mode. Take the prone position as an example:
设置好气压档位、充气时间和放气时间,选择波动模式为俯卧位模式,按开始键启动工作,此时气床垫进入预充气状态,气泵14启动工作通过三通电磁阀15给腔室充气,三通电磁阀1、4、5通电(俯卧位时电磁阀2、3始终处于断电状态,即中央区域始终不充气,使胸部和脸部处于无压状态),向头部区域和常规区域充气;经过数分钟预充气后,压力传感器读取到腔室压力到达设定的最大压力值,此时,头部区域和常规区域的所有腔室都是处于满充气状态,并进入到奇偶交互充放气循环阶段,气泵进入保压工作模式,三通电磁阀1和4断电,头部区域腔室和常规区域奇数腔室开始放气,两个区域的循环各自独立补互相影响。Set the air pressure level, inflation time and deflation time, select the wave mode as the prone mode, press the start button to start working, at this time the air mattress enters the pre-inflation state, the air pump 14 starts working to inflate the chamber through the three-way solenoid valve 15, the three-way solenoid valves 1, 4, 5 are energized (in the prone position, the solenoid valves 2 and 3 are always in the power-off state, that is, the central area is never inflated, so that the chest and face are in a pressure-free state), and the head area and the conventional area are inflated; after several minutes of pre-inflation, the pressure sensor reads that the chamber pressure reaches the set maximum pressure value. At this time, all the chambers in the head area and the conventional area are in a fully inflated state and enter the odd-even alternating inflation and deflation cycle stage, the air pump enters the pressure maintaining working mode, the three-way solenoid valves 1 and 4 are powered off, the head area chamber and the odd-numbered chambers in the conventional area begin to deflate, and the cycles of the two areas are independent of each other.
头部区域循环:当头部区域进入放气后,第一压力传感器16可以单独读取头部区域腔室的压力值,当压力值达到设定值的一半数值时,放气结束,三通电磁阀15通电,重新进入充气阶段,此时由于头部区域的压力低,第一压力传感器16读取的数值也会低于设定的最大压力值,气泵14重新进入充气模式,头部区域的循环只受第一压力传感器16和第二压力传感器17的压力到达阈值来切换充放气,与参数设置界面上充放气时间设定值无关。Head area circulation: When the head area enters the deflation stage, the first pressure sensor 16 can read the pressure value of the head area chamber independently. When the pressure value reaches half of the set value, the deflation ends, the three-way solenoid valve 15 is energized, and the inflation stage is re-entered. At this time, due to the low pressure in the head area, the value read by the first pressure sensor 16 will also be lower than the set maximum pressure value, and the air pump 14 re-enters the inflation mode. The circulation of the head area is only affected by the pressure of the first pressure sensor 16 and the second pressure sensor 17 reaching the threshold to switch the inflation and deflation, and is unrelated to the inflation and deflation time setting value on the parameter setting interface.
常规区域循环:当常规区域进入放气后,常规区域奇开始放气,常规区域偶保持充气状态,此时压力平均平均分布在常规区域偶腔室上;当放气时间到达设定值后,进入常规区域奇充气阶段,常规区域奇开始充气,常规区域偶保持充气状态,此时压力平均分布在常规区域所有腔室上;当充气时间到达设定值后,进入常规区域偶放气阶段,常规区域偶开始放气,常规区域奇保持充气状态,此时压力平均分布在常规区域奇腔室上;当放气时间倒带设定值后,进入常规区域偶充气阶段,常规区域偶开始充气,常规区域奇保持充气状态,此时压力平均分布在常规区域所有腔室上;当充气时间到达设定值后,又重新进入常规区域奇放气阶段,开始下一循环。Conventional area cycle: When the conventional area enters the deflation stage, the conventional area odd starts to deflate, and the conventional area even remains inflated. At this time, the pressure is evenly distributed on the conventional area even chamber; when the deflation time reaches the set value, it enters the conventional area odd inflation stage, the conventional area odd starts to inflate, and the conventional area even remains inflated. At this time, the pressure is evenly distributed on all chambers in the conventional area; when the inflation time reaches the set value, it enters the conventional area even deflation stage, the conventional area even starts to deflate, and the conventional area odd remains inflated. At this time, the pressure is evenly distributed on the conventional area odd chamber; when the deflation time rewinds to the set value, it enters the conventional area even inflation stage, the conventional area even starts to inflate, and the conventional area odd remains inflated. At this time, the pressure is evenly distributed on all chambers in the conventional area; when the inflation time reaches the set value, it re-enters the conventional area odd deflation stage to start the next cycle.
如果选择波动模式为仰卧位模式,循环方式与俯卧位类似,区别在于中央区域也进入波动循环,预充气时2、3号三通电磁阀15也打开,预充气结束时所有腔室均处于充满气状态,中央区域循环和常规区域循环动作完全一致,即中央区域奇和常规区域奇联动,中央区域偶和常规区域偶联动。If the wave mode is selected as the supine position mode, the circulation method is similar to the prone position, the difference is that the central area also enters the wave circulation, and the No. 2 and No. 3 three-way solenoid valves 15 are also opened during pre-inflation. At the end of pre-inflation, all chambers are in a gas-filled state, and the central area circulation and the regular area circulation actions are exactly the same, that is, the central area odd and the regular area odd are linked together, and the central area even and the regular area even are linked together.
以上实施例仅为说明本发明的技术思想,不能以此限定本发明的保护范围,凡是按照本发明提出的技术思想,在技术方案基础上所做的任何改动,均落入本发明保护范围之内。The above embodiments are only for illustrating the technical idea of the present invention, and cannot be used to limit the protection scope of the present invention. Any changes made on the basis of the technical solution in accordance with the technical idea proposed by the present invention shall fall within the protection scope of the present invention.
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| CN111035516A (en) * | 2018-10-15 | 2020-04-21 | 亿鑫医学科技企业有限公司 | Intelligent control system of medical air mattress |
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| CN219397984U (en) * | 2023-04-11 | 2023-07-25 | 浙江迈德斯特医疗器械科技有限公司 | Bedsore-preventing massage air mattress |
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| CN111035516A (en) * | 2018-10-15 | 2020-04-21 | 亿鑫医学科技企业有限公司 | Intelligent control system of medical air mattress |
| CN214285556U (en) * | 2021-01-21 | 2021-09-28 | 华中科技大学同济医学院附属同济医院 | Ventilation pressure ulcer prevention mattress device in prone position |
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Denomination of invention: Automatic implementation of prone position ventilation assisted therapy gas mattress and its control system Granted publication date: 20240709 Pledgee: Nanjing Branch of Jiangsu Bank Co.,Ltd. Pledgor: Nanjing Barley Medical Technology Co.,Ltd. Registration number: Y2024980053467 |
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