CN201161060Y - Closed-loop control non-invasive high-frequency ventilation diaphragm pacemaker - Google Patents
Closed-loop control non-invasive high-frequency ventilation diaphragm pacemaker Download PDFInfo
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- CN201161060Y CN201161060Y CNU2007200597287U CN200720059728U CN201161060Y CN 201161060 Y CN201161060 Y CN 201161060Y CN U2007200597287 U CNU2007200597287 U CN U2007200597287U CN 200720059728 U CN200720059728 U CN 200720059728U CN 201161060 Y CN201161060 Y CN 201161060Y
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Abstract
The utility model relates to a closed-loop control non-traumatic-typed high-frequency ventilation diaphragmatic pacemaker comprising an outer shell, a control panel module, a power management circuit, a power supply, a display module, and a respiratory parameter detection circuit. The closed-loop control non-traumatic-typed high-frequency ventilation diaphragmatic pacemaker is characterized in that a master computer data-processing module, a pacing signal modulation output module, and a respiratory parameter detection and high-frequency ventilation control module are also included. The ventilation diaphragmatic pacemaker is provided with a respiratory sampling device which can cause the respiratory status of patients and the output parameter of the equipment to form a closed-loop system when in the treatment process. Through the processing of a master computer, the adjustment is done automatically and the related parameter is outputted, thereby reaching an adaptive and synchronized status and reducing the human intervention, and improving the treatment effectiveness; the respiration sampling and diaphragm electrical stimulation device is realized in the non-traumatic circumstance.
Description
Technical field
This utility model relates to a kind of diaphragm pacemaker, and particularly a kind of closed loop control does not have wound formula high-frequency oxygen-supply diaphragm pacemaker.
Background technology
A kind of " high-frequency oxygen-supply diaphragm pacemaker; this device is the equipment for clinical respiratory therapy and rescue; come the selection operation function by the panel piano type button; output parameter is shown by light-emitting nixie tube; external oxygen supply source of the gas and 220V alternating current, and predefined diaphragm pacing pulse of output and high frequency ventilation oxygen flow need for treatment after the start is disclosed in the Chinese patent (patent No. 90109631.8).Select synchronously or the asynchronous working mode by synchronous, asynchronous key; Select the automatic or manual working method by automatic, manual key; By+,-key change output parameter value.
Its shortcoming is:
1. rescuing parameter selects to need to determine that according to practical situation clinical therapeutic efficacy and operator's level and experience are closely related, cause the curative effect instability by the execute-in-place person.
2. under manual diaphragm pacing duty, overall process is rescued in treatment needs the site operation people constantly to press manipulated key, operating difficulties and inconvenience.
3. the power devices mode is single, is not suitable for rescue and the use down of mobile working environment before outdoor rescue and relief work, the institute.
4. the output parameter project is less, shows simply the needs of the clinical subject study of incompatibility.
The utility model content
It is a kind of reasonable in design that the purpose of this utility model is to provide, has the sampling of breathing function, in therapeutic process, patient's the breathing state and the output parameter of equipment are constituted closed loop system, automatically adjust the output relevant parameter, improve the closed loop control of therapeutic effect and do not have wound formula high-frequency oxygen-supply diaphragm pacemaker.
The purpose of this utility model can reach by following measure: a kind of closed loop control does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, comprise shell body, the control panel module, electric power management circuit, power supply, display module, the respiration parameter testing circuit, it is characterized in that: also have the main control microcomputer data processing module, pacing signal modulation output module, respiration parameter detects and the high frequency ventilation control module, the main control microcomputer data processing module is accepted the control signal of control panel module, output project and parameter signal are shown by display module, one tunnel output signal of main control microcomputer data processing module is delivered to pacing signal modulation output module, another road output signal is delivered to respiration parameter and is detected and the high frequency ventilation control module, the main control microcomputer data processing module is accepted the respiration parameter intensity control signal that respiration parameter detects and the high frequency ventilation control module is sent, and pacing signal is modulated the diaphragm pacing intensity detection signal that output module sends, automatic frequency and the intensity of adjusting diaphragm pacing after handling.
The purpose of this utility model can also reach by following measure: the respiration parameter probe in the respiration parameter testing circuit is by critesistor Rt1, thermal conductive shell and flexible cable are formed, be fixed on outer end, patient nostril, the respiration parameter probe is connected to the input hole of back plate, detection signal is delivered to 6 feet of integrated circuit U11 in respiration parameter detection and the high frequency ventilation control module, deliver to 58 feet of single-chip microcomputer integrated circuit U4 by 3 feet of U11, handle the adjustment relevant parameter through U4, the diaphragm pacing pulse frequency is synchronous with breathing, deliver to 3 feet of integrated circuit U7B the pacing signal modulation output module and 5 feet of integrated circuit U7C from 35 feet of U4, through audion D14, D15 and D17, D18 delivers to socket J15 and J16 through step-up pulse transformer T1 and T2 after amplifying again, by the output of the socket on the panel, with a left side, right two pairs of external electrodes stimulate the diaphram nerve under the non-invasive state.Key switch K4 in the control panel module is connected with 46 and 48 feet of single-chip microcomputer integrated circuit U4 in the main control microcomputer data processing module, output signal is delivered to 5 feet of integrated circuit U7C in the pacing signal modulation output module and 3 feet of U7B by 35 feet of U4, key switch K5 output signal is delivered to 46 and 49 feet of single-chip microcomputer integrated circuit U4, and U4 remembers manual frequency automatically and transfers automatic output to.In key switch K1 in the control panel module and the main control microcomputer data processing module 47 of single-chip microcomputer integrated circuit U4,48 feet connect, the output parameters optimization, 47 of key switch K2 and U4,49 feet connect, change synchronously, the asynchronous working mode, 47 of key switch K3 and U4,50 feet connect, change automatically, the manual work mode, 46 of key switch K4 and U4,48 feet connect, press a diaphragm pacing pulse of K4 output once, 46 of key switch K5 and U4,49 feet connect, press K5 when ordering parameter is finished and remember this parameter, key switch K6, K7, K8, K9 respectively with 45 of U4,48,45,49,46,50,45,50 feet connect, and select the project and the numerical value of ordering parameter.The model of single-chip microcomputer integrated circuit U4 is ATMEGA64A.Be provided with chargeable 12 overhead accumulators in electric power management circuit, the power devices mode can be selected 12 overhead accumulators in 220 volts of interchanges, 12 volts of power supplys of automobile and the machine.Shell body is made of panel, casing and back plate.
This utility model has following advantage compared to existing technology:
1. have the breathing sampling apparatus, in therapeutic process, patient's the breathing state and the output parameter of equipment are constituted closed loop system, handle through main control microcomputer, automatically adjust the output relevant parameter, reach synchronous and self adaptation state, reduce manual intervention, improve therapeutic effect; Breathing sampling and diaphram electrical stimulation device realizes under the non-invasive situation all.
2. increased automatic memory function, when patient's no spontaneous breathing state, adopt manual button to carry out the diaphragm pacing guiding, progressively recover autonomous respiration, then by confirming that (OK) key with manual pacing frequency memory and transfer automatic pace-making work to, has guaranteed the success rate of rescuing.
3. increased in the machine accumulator energy continuous operation 3 hours under no foreign aid's environment, have charging device and external 12V automobile power source in the machine, equipment volume is little, in light weight, simple to operate, the rescue effect is obvious, the scope of application is extensive, is specially adapted to breathe use in the rescue before the institutes such as rescue and relief work, outdoor rescue.
Description of drawings
Fig. 1 is a circuit block diagram of the present utility model;
Fig. 2 is a contour structures sketch map of the present utility model;
Fig. 3 is a contour structures rearview of the present utility model;
Fig. 4 is the electrical schematic diagram of this utility model main control microcomputer data processing module;
Fig. 5 is the electrical schematic diagram of detection of this utility model respiration parameter and high frequency ventilation control module;
Fig. 6 is the electrical schematic diagram of this utility model pacing signal modulation output module;
Fig. 7 is the electrical schematic diagram of this utility model control panel module.
Fig. 8 is the electrical schematic diagram of this utility model electric power management circuit.
The specific embodiment
This utility model is described in further detail below in conjunction with accompanying drawing (embodiment):
With reference to Fig. 1~Fig. 3, this utility model comprises that main control microcomputer data processing module 1, respiration parameter detect high frequency ventilation control module 2, pacing signal modulation output module 3, control panel module 4, power management module 5, power supply 6, display module 19, respiration parameter testing circuit 41, panel 38, casing 39, back plate 40 etc.Among Fig. 2, Fig. 3,7 is standard key K1, presses kinetic energy output parameters optimization; 8 be synchronous, asynchronous key K2, press that kinetic energy is selected synchronously, the asynchronous working state; 9 is automatic, manual key K3, presses kinetic energy and selects automatic, manual work state; 10 is manual key K4, presses once and can export the diaphragm pacing pulse once; 11 is standard state display lamp LED1, and lamp is bright when standard state is worked; 12 is synchronous regime display lamp LED2, and lamp is bright when synchronous regime is worked; 13 is asynchronous mode display lamp LED4, and lamp is bright when asynchronous mode is worked; 14 is auto state display lamp LED3, and lamp is bright when auto state is worked; 15 is manual status indicator lamp LED5, and lamp is bright when manual state is worked; 16 is manual display lamp LED6, and lamp of manual pacemaker impulse output is once bright; 17 is alternating current power supply display lamp LED8, and lamp is bright when alternating current is worked; 18 is charging indicator light LED9, and lamp is bright when charging, and charging is finished lamp and put out; 19 is LCDs, can Chinesely, English, digital show various project output parameters, output pacemaker impulse intensity (the vertical bar height is represented); 20 is that button K7,21 is that button K6,23 is that button K9,24 is button K8, all is the parameter adjusting key; 22 for confirming (OK) key K5; 25,26 are high frequency ventilation input, output gang socket; 27,28 is pacemaker impulse intensity adjustments potentiometer RW2, RW1; 29,30 are pacemaker impulse output connection slotting Cuo J15, J16; 31 is ac power switch; 32 are AC in connector; 33 are high frequency ventilation switch J6; 34 is charge in batteries switch J4; 35 is DC12V unidirectional current input socket J3 (automobile power source), and 36 are the gang socket of respiration detection probe; 37 is DC power supply switch J1.
With reference to Fig. 4, the model of single-chip microcomputer integrated circuit U4 is ATMEGA64A in the main control microcomputer data processing module 1, and the software program that weaves is in advance write among the EPROM in the sheet, and 23,24 feet meet 16MHZ quartz crystal Y1, for single-chip microcomputer work provides the high stable clock; 35 feet are diaphragm pacing pulse output, and 32 feet are the output of high frequency ventilation control impuls, and 31 feet are the output of diaphragm pacing pulse prompt tone, and 58 feet are for breathing the sampled signal input, and 36-41,44-50 foot connect panel control button, and the 2-16 foot connects LCDs.
After this instrument energized, promptly work under standard state, LCDs 19 shows that running parameter has: diaphragm pacing number of times, diaphragm pacing pulse frequency, high frequency ventilation frequency, ventilation ratio, time delay, working time/timing, diaphragm pacing pulse output intensity.The process of regulating running parameter is summarized as follows: press acknowledgement key 22 and be connected with 46,49 feet of single-chip microcomputer U4, single-chip microcomputer U4 flashes project and the parameter value that demonstration will be regulated after receiving signal on LCDs 19, press the direction button: go up line unit 20, down line unit 24, left lateral key 21, right lateral key 23 respectively with 45,48 of single-chip microcomputer U4,45,49,46,50,45,50 feet connect, project that selection will be regulated and parameter value, adjusting finishes and confirms (OK) key 22 again, and single-chip microcomputer U4 will remember this parameter and move under the new argument duty.
This instrument output parameter and range of accommodation:
The high frequency ventilation part:
(1). the high frequency ventilation frequency:
A. standard state: 100 times/minute
B. adjustable continuously: 30-300 time/minute
(2). high frequency ventilation ratio: 1: 2/1: 1.5/1: 1/1.5: 1/2: 1/2.5: 1/3: 1
(3). high frequency ventilation output: can close
The diaphragm pacing part:
(1). the diaphragm pacing pulse:
A. pulse width: 0.3 millisecond
B. pulse envelope: 1 second
C. pulse frequency standard state: 40 times/second
D. the adjustable state of pulse frequency: (30 35 40 45 50) inferior/second
(2). the diaphragm pacing number of times:
A. standard state: 12 times/minute
B. adjustable state: 5-50 time/minute
(3). manual diaphragm pacing: by a manipulated key pacemaker impulse output once, and output sound, light prompting are arranged
(4). manually diaphragm pacing memory: be furnished with manual pacemaker impulse output number of times memory function, can be converted to automatic pacemaker impulse output
(5). diaphragm pacing output prompting: pacemaker impulse output has auditory tone cues
(6). diaphragm pacing output amplitude: 20-100V is adjustable continuously, and output amplitude indication associating operation parameter is arranged:
(1). two parts are united use:
A. synchronous: high frequency ventilation output during diaphragm pacing output, high frequency ventilation stopped when diaphragm pacing stopped
B. asynchronous: as to carry out when independent same is exported separately in diaphragm pacing output and high frequency ventilation
(2). delay adjusting (duration of ventilation): high frequency ventilation persistent period when diaphragm pacing is air-breathing when synchronization combining is worked
A. standard time delay: 2.5 seconds
B. adjustable delay time: 2/2.5/3/3.5/4 second
General parameter:
(1). whole parameters are all worked under standard state during the breakdown power supply
(2). supply voltage: AC220V ± 10%; DC12V ± 10%
(3). accumulator: 6 hours charging intervals, but continuous operation 3 hours
(4). have all output parameters, the working time/timing shows and diaphragm pacing output prompt tone
With reference to Fig. 4~Fig. 8, the circuit theory of this utility model each several part is as follows:
External thermistor probe is fixed on the patient's nasal openings outer end, detection signal is transported to 6 feet of integrated circuit U11 by back plate connecting hole 35, amplify and become after shaping is handled and the breathing synchronization pulse, deliver to 58 feet of single-chip microcomputer U4 by 3 feet, through the software program control of establishment in advance, make pacing signal and breathe synchronously and adjust automatically time delay.
The 35 feet output pacing signal of single-chip microcomputer integrated circuit U4, deliver to 3 feet of integrated circuit U7B and 5 feet of integrated circuit U7C, through the Darlington circuit that coupling capacitance C9, C11 promotion is made up of audion D14, D15 and D18, D19, export left and right pacemaker impulse signal via output step-up pulse transformer T1, T2.
Regulate left and right pacemaker impulse signal intensity by potentiometer RW2, RW3, the sample circuit of forming by R43, R44 and R49, R50 resistance, left and right pacemaker impulse signal intensity is delivered to 59,60 feet of single-chip microcomputer U4, after handling through the software program of establishment in advance, liquid crystal display 19 usefulness of delivering to main panel are flashed vertical bar height mode slowly and are shown left and right pacemaker impulse signal intensity numerical value.
By the 31 feet output diaphragm pacing signal of single-chip microcomputer U4, deliver to 13 feet of integrated circuit U7F, after amplifying via amplifier tube D20, promote buzzer B1 and send diaphragm pacing signal prompt sound, the button 24 of pressing panel can turn-off or open diaphragm pacing signal prompt sound.
32 feet output high frequency ventilation control signal by single-chip microcomputer U4, deliver to 1 foot of integrated circuit U7A, through the composite amplifier of forming by audion D11, D12, promote the work of high frequency ventilation electromagnetic valve, make the oxygen of the oxygen input hole 25 of panel pass through the electromagnetic valve connection tube, after the high frequency ventilation solenoid control, deliver to the oxygen delivery outlet 26 of panel, deliver to the patient treatment position by external connection tube by connection tube.
By back plate 33 high frequency ventilation switches, can open the high frequency ventilation function and close the high frequency ventilation function according to the treatment needs.
When external AC is worked, connect the 220V alternating current power supply by back plate seated 32,31 is the alternating current switch, obtains the 15V dc source through the power conversion module, provide 12V dc source in the machine through integrated circuit U2 Voltage stabilizing module, provide 5V dc source in the machine through integrated circuit U3 Voltage stabilizing module; Through after plate 34 charge switch deliver to integrated circuit U1 charging regulation and control system integrated package, deliver in the machine 12V accumulator by 2 feet of integrated circuit U1 and charge.
When external direct current 12V (automobile power source) works, connect the 12V dc source by back plate seated 35, to power by F2, D3, D8, and accumulator in the machine is charged by F1, back plate 37 is a DC power supply switch.
In the use machine during 12V battery-operated, open back plate dc switch 37, in the machine 12V accumulator by F1, D8 to powering in the machine, sample circuit by resistance R 1, R2 composition, the battery-operated state is delivered to 61 feet of single-chip microcomputer U4 and monitored, when battery power is not enough, can send not enough flash words alarm of battery tension and the alarm of buzzer sound at liquid crystal display screen 19.
Claims (7)
1. a closed loop control does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, comprise shell body, control panel module (4), electric power management circuit (5), power supply (6), display module (19), respiration parameter testing circuit (41), it is characterized in that: also have main control microcomputer data processing module (1), pacing signal modulation output module (3), respiration parameter detects and high frequency ventilation control module (2), main control microcomputer data processing module (1) is accepted the control signal of control panel module (4), output project and parameter signal are shown by display module (19), one tunnel output signal of main control microcomputer data processing module (1) is delivered to pacing signal modulation output module (3), another road output signal is delivered to respiration parameter and is detected and high frequency ventilation control module (2), main control microcomputer data processing module (1) is accepted the respiration parameter intensity control signal that respiration parameter detects and high frequency ventilation control module (2) is sent, and pacing signal is modulated the diaphragm pacing intensity detection signal that output module (3) sends, automatic frequency and the intensity of adjusting diaphragm pacing after handling.
2. closed loop control according to claim 1 does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, it is characterized in that: the respiration parameter probe in the respiration parameter testing circuit (41) is by critesistor Rt1, thermal conductive shell and flexible cable are formed, be fixed on outer end, patient nostril, the respiration parameter probe is connected to the input hole (36) of back plate (40), detection signal is delivered to 6 feet of integrated circuit U11 in respiration parameter detection and the high frequency ventilation control module (2), deliver to 58 feet of single-chip microcomputer integrated circuit U4 by 3 feet of U11, handle the adjustment relevant parameter through U4, the diaphragm pacing pulse frequency is synchronous with breathing, deliver to 3 feet of integrated circuit U7B the pacing signal modulation output module (2) and 5 feet of integrated circuit U7C from 35 feet of U4, through audion D14, D15 and D17, D18 delivers to socket J15 and J16 through step-up pulse transformer T1 and T2 after amplifying again, by the socket (29) on the panel (38), (30) output is with a left side, right two pairs of external electrodes stimulate the diaphram nerve under the non-invasive state.
3. closed loop control according to claim 1 does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, it is characterized in that: the key switch K4 in the control panel module (4) is connected with 46 and 48 feet of single-chip microcomputer integrated circuit U4 in the main control microcomputer data processing module (1), output signal is delivered to 5 feet of integrated circuit U7C in the pacing signal modulation output module (3) and 3 feet of U7B by 35 feet of U4, key switch K5 output signal is delivered to 46 and 49 feet of single-chip microcomputer integrated circuit U4, and U4 remembers manual frequency automatically and transfers automatic output to.
4, closed loop control according to claim 1 does not have the wound high-frequency oxygen-supply diaphragm pacemaker, it is characterized in that: 47 of the middle single-chip microcomputer integrated circuit U4 of key switch K1 in the control panel module (4) and main control microcomputer data processing module (1), 48 feet connect, the output parameters optimization, 47 of key switch K2 and U4,49 feet connect, change synchronously, the asynchronous working mode, 47 of key switch K3 and U4,50 feet connect, change automatically, the manual work mode, 46 of key switch K4 and U4,48 feet connect, press a diaphragm pacing pulse of K4 output once, 46 of key switch K5 and U4,49 feet connect, and press K5 when ordering parameter is finished and remember this parameter, key switch K6, K7, K8, K9 respectively with 45 of U4,48,45,49,46,50,45,50 feet connect, and select the project and the numerical value of ordering parameter.
5. closed loop control according to claim 2 does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, it is characterized in that: the model of single-chip microcomputer integrated circuit U4 is ATMEGA64A.
6. closed loop control according to claim 1 does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, it is characterized in that: be provided with chargeable 12 overhead accumulators in electric power management circuit (5), the power devices mode can be selected 12 overhead accumulators in 220 volts of interchanges, 12 volts of power supplys of automobile and the machine.
7. closed loop control according to claim 1 does not have wound formula high-frequency oxygen-supply diaphragm pacemaker, it is characterized in that: shell body is made of panel (38), casing (39) and back plate (40).
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CNU2007200597287U CN201161060Y (en) | 2007-11-19 | 2007-11-19 | Closed-loop control non-invasive high-frequency ventilation diaphragm pacemaker |
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Cited By (8)
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CN102119908A (en) * | 2011-03-21 | 2011-07-13 | 中国人民解放军军事医学科学院卫生装备研究所 | Closed-loop external chest compression system |
CN102512759A (en) * | 2011-12-29 | 2012-06-27 | 华南理工大学 | Pacemaker system for treating laryngeal muscular paralysis and operating method thereof |
WO2014071785A1 (en) * | 2012-11-09 | 2014-05-15 | Zhang Hongxuan | Method and device for external diaphragm pacing and synergistic aspiration with respirator |
CN105854181A (en) * | 2009-09-10 | 2016-08-17 | 里斯比卡迪亚公司 | Respiratory Rectification |
CN105879223A (en) * | 2016-04-22 | 2016-08-24 | 广州雪利昂生物科技有限公司 | Method and apparatus for triggering external diaphragm pacemaker by using surface electromyogram signal as synchronization signal |
CN109805911A (en) * | 2014-01-21 | 2019-05-28 | 隆佩瑟尔医疗公司 | For optimizing the system and correlation technique of multi-electrode nerve pace-making |
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WO2023230868A1 (en) * | 2022-05-31 | 2023-12-07 | 深圳迈瑞生物医疗电子股份有限公司 | Method for controlling ventilation apparatus, ventilation system and ventilation apparatus |
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CN105854181A (en) * | 2009-09-10 | 2016-08-17 | 里斯比卡迪亚公司 | Respiratory Rectification |
CN102119908B (en) * | 2011-03-21 | 2013-06-05 | 中国人民解放军军事医学科学院卫生装备研究所 | Closed-loop external chest compression system |
CN102119908A (en) * | 2011-03-21 | 2011-07-13 | 中国人民解放军军事医学科学院卫生装备研究所 | Closed-loop external chest compression system |
CN102512759A (en) * | 2011-12-29 | 2012-06-27 | 华南理工大学 | Pacemaker system for treating laryngeal muscular paralysis and operating method thereof |
CN102512759B (en) * | 2011-12-29 | 2015-06-03 | 华南理工大学 | Pacemaker system for treating laryngeal muscular paralysis and operating method thereof |
WO2014071785A1 (en) * | 2012-11-09 | 2014-05-15 | Zhang Hongxuan | Method and device for external diaphragm pacing and synergistic aspiration with respirator |
CN109805911A (en) * | 2014-01-21 | 2019-05-28 | 隆佩瑟尔医疗公司 | For optimizing the system and correlation technique of multi-electrode nerve pace-making |
CN109805911B (en) * | 2014-01-21 | 2022-01-14 | 隆佩瑟尔医疗公司 | System for optimizing multi-electrode neural pacing and related methods |
CN105879223B (en) * | 2016-04-22 | 2017-02-08 | 广州雪利昂生物科技有限公司 | Method and apparatus for triggering external diaphragm pacemaker by using surface electromyogram signal as synchronization signal |
CN105879223A (en) * | 2016-04-22 | 2016-08-24 | 广州雪利昂生物科技有限公司 | Method and apparatus for triggering external diaphragm pacemaker by using surface electromyogram signal as synchronization signal |
CN114028671A (en) * | 2021-11-04 | 2022-02-11 | 湖南万脉医疗科技有限公司 | Control triggering method for respirator |
WO2023230868A1 (en) * | 2022-05-31 | 2023-12-07 | 深圳迈瑞生物医疗电子股份有限公司 | Method for controlling ventilation apparatus, ventilation system and ventilation apparatus |
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