CN203494018U - Breathing machine capable of ventilating through thoracic cavity - Google Patents
Breathing machine capable of ventilating through thoracic cavity Download PDFInfo
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Abstract
本实用新型属医疗器械领域,涉及一种经胸腔通气的呼吸机;该呼吸机主要由驱动系统、监测系统、安全系统和控制系统组成;所述驱动系统、监测系统、安全系统和控制系统相互连接;所述的驱动系统由风箱和直线电机组成;所述监测系统由压力传感器、流量传感器和风箱位置传感器组成;所述安全系统由气体补给阀门、气体排出泵和安全阀门组成;所述控制系统为一台内置计算机。使用结果表明,本实用新型采用气体循环使用的方式,所述呼吸机只需要少量的气源;该呼吸机采用直线电机直接驱动风箱,可减少能量损失,节约能源,也大大减少了呼吸机的体积,使呼吸机更加便于携带。
The utility model belongs to the field of medical equipment and relates to a ventilator for transthoracic ventilation; the ventilator is mainly composed of a drive system, a monitoring system, a safety system and a control system; the drive system, the monitoring system, the safety system and the control system are mutually connection; the drive system is composed of a bellows and a linear motor; the monitoring system is made up of a pressure sensor, a flow sensor and a bellows position sensor; the safety system is made up of a gas supply valve, a gas discharge pump and a safety valve; the control The system is a built-in computer. The results of use show that the utility model adopts the mode of gas circulation, and the ventilator only needs a small amount of air source; the ventilator uses a linear motor to directly drive the bellows, which can reduce energy loss, save energy, and greatly reduce the cost of the ventilator. The volume makes the ventilator more portable.
Description
技术领域technical field
本实用新型属医疗器械领域,涉及一种经胸腔通气的呼吸机;该呼吸机采用一种颠覆传统正压通气的、全新的通气方式,为一种给患者提供呼吸支持的机械式呼吸机。The utility model belongs to the field of medical equipment, and relates to a ventilator for transthoracic ventilation. The ventilator adopts a brand-new ventilating method subverting traditional positive pressure ventilation, and is a mechanical ventilator for providing respiratory support for patients.
背景技术Background technique
呼吸机的出现使医学得以向前迈进了巨大的一步。目前,临床医疗中已经离不开呼吸机,如全身麻醉需要进行机械通气,危重患者需要呼吸机支持,许多肺部疾病需要呼吸机辅助通气,甚至上呼吸道梗阻的患者也可通过呼吸机改善生活质量。The advent of the ventilator allowed medicine to take a huge step forward. At present, the ventilator is inseparable from clinical medical treatment. For example, general anesthesia requires mechanical ventilation, critically ill patients need ventilator support, and many lung diseases require ventilator-assisted ventilation. Even patients with upper airway obstruction can improve their lives through ventilators. quality.
现有呼吸机的呼吸原理是通过增加气体压力使气体通过呼吸机流向肺部,然后降低气体压力使气体从肺部呼出,上述过程有悖于人自然呼吸的原理;因此,气道正压通气可能会造成肺部损伤,而且正压通气需要气管插管或气管切开,长期气管插管或气管切开容易造成肺部感染并且使患者丧失发音功能。此外,正压通气会增加胸腔内压力,影响血液回流,对血液循环造成影响;历史上曾经出现过模仿人自然呼吸原理的呼吸机,人们称之为“铁肺”,但由于铁肺体积庞大,患者舒适性差等诸多缺点已经退出历史舞台。The breathing principle of the existing ventilator is to increase the gas pressure to make the gas flow to the lungs through the ventilator, and then reduce the gas pressure to make the gas exhaled from the lungs. The above process is contrary to the principle of human natural breathing; therefore, positive airway pressure ventilation Lung damage may occur, and positive pressure ventilation requires tracheal intubation or tracheotomy, which can easily lead to lung infection and loss of speech function for long-term tracheal intubation or tracheotomy. In addition, positive pressure ventilation will increase intrathoracic pressure, affect blood return, and affect blood circulation; historically, there have been ventilators that imitate the principle of human natural breathing, which are called "iron lungs", but due to their large size, iron lungs , Many shortcomings such as poor patient comfort have withdrawn from the stage of history.
目前,迫切需要一种经胸腔通气的呼吸机;该呼吸机采用了人自然呼吸的原理,且体积较小,不存在气道正压通气的缺点。At present, there is an urgent need for a ventilator for transthoracic ventilation; this ventilator adopts the principle of human natural breathing, has a small volume, and does not have the disadvantage of positive airway pressure ventilation.
发明内容Contents of the invention
本实用新型的目的是克服现有技术的缺陷或不足,提供一种经胸腔通气的呼吸机;该呼吸机采用一种颠覆传统正压通气的、全新的通气方式,为一种给患者提供呼吸支持的机械式呼吸机。The purpose of the utility model is to overcome the defects or insufficiencies of the prior art and provide a ventilator for transthoracic ventilation; the ventilator adopts a brand-new ventilating method that subverts the traditional positive pressure ventilating, and is a kind of breathing apparatus for patients. supported mechanical ventilators.
本实用新型的技术问题采用以下方法解决:The technical problem of the utility model adopts the following methods to solve:
构建一个封闭的风箱——胸腔系统,通过风箱的运动,使气体在胸腔与风箱之间通过管道来回运动,从而使胸腔内出现周期性的正负压,产生呼吸;风箱与电机直接连接,由电机直接驱动风箱运动。Construct a closed bellows—thorax system. Through the movement of the bellows, the gas moves back and forth between the chest cavity and the bellows through the pipeline, so that periodic positive and negative pressures appear in the chest cavity to generate breathing; the bellows are directly connected to the motor, and the The motor directly drives the movement of the bellows.
本实用新型的经胸腔通气的呼吸机,主要由驱动系统9、监测系统10、安全系统11和控制系统12组成;所述监测系统包括监测封闭气体通路内的压力传感器、流量传感器以及监测风箱——胸腔系统内气体多少的风箱位置感受器;所述安全系统包括气体补给装置、气体排出装置以及限压装置,由控制系统根据风箱——胸腔系统内气体的多少控制气体的补给和排出,以保证风箱的正常运行;所述控制系统为一台内置计算机,监测系统将收集到的数据送到控制系统,再结合操作者设定的参数,发出指令使驱动系统和安全系统正常工作。The ventilator for transthoracic ventilation of the utility model is mainly composed of a drive system 9, a monitoring system 10, a safety system 11 and a control system 12; the monitoring system includes a pressure sensor, a flow sensor and a monitoring bellows for monitoring the closed gas passage. - the bellows position sensor of the amount of gas in the thoracic system; the safety system includes a gas supply device, a gas discharge device and a pressure limiting device, and the control system controls the supply and discharge of gas according to the amount of gas in the bellows - the thoracic system, so as to ensure The normal operation of the bellows; the control system is a built-in computer, and the monitoring system sends the collected data to the control system, and then combines the parameters set by the operator to issue instructions to make the drive system and safety system work normally.
具体而言,本经胸腔通气的呼吸机,其特征在于,主要由驱动系统9、监测系统10、安全系统11和控制系统12组成;所述的驱动系统9、监测系统10、安全系统11和控制系统12相互连接;Specifically, this thoracic ventilator is characterized in that it is mainly composed of a drive system 9, a monitoring system 10, a safety system 11 and a control system 12; the drive system 9, the monitoring system 10, the safety system 11 and the The control systems 12 are interconnected;
本实用新型中,所述的驱动系统9由风箱13和直线电机14组成;In the present utility model, described driving system 9 is made up of bellows 13 and linear motor 14;
所述风箱13通过通气连接管4、胸管7与双侧胸腔6组成一个封闭的空间;The bellows 13 forms a closed space through the
所述直线电机14与风箱13通过连接杆15相连,当直线电机14往返运动时,带动风箱13上下运动;其中,直线电机14运动的速度、幅度以及频率由控制系统12控制;The linear motor 14 is connected to the bellows 13 through a connecting rod 15, and when the linear motor 14 moves back and forth, it drives the bellows 13 to move up and down; wherein, the speed, amplitude and frequency of the linear motor 14 are controlled by the control system 12;
本实用新型中,所述的监测系统10由压力传感器17、流量传感器16和风箱位置传感器18组成;In the utility model, the monitoring system 10 is composed of a pressure sensor 17, a flow sensor 16 and a
压力传感器17和流量传感器16均设置于风箱13与胸管7连接的通气连接管4上,并将即时压力以及每次呼吸的流量数据传到控制系统12;Both the pressure sensor 17 and the flow sensor 16 are arranged on the
风箱位置感受器18设置于直线电机14上,通过感受电机定子28的位置判断风箱13的位置;当风箱13位置过低或过高时向控制系统12传输数据;The
本实用新型中,所述的安全系统11由气体补给阀门20、气体排出泵19和安全阀门23组成;所述气体补给阀门20、气体排出泵19和安全阀门23均通过通气连接管4与风箱13连接;In the utility model, the safety system 11 is composed of a gas supply valve 20, a gas discharge pump 19 and a safety valve 23; 13 connections;
当风箱13——胸腔6封闭系统连接不紧密时,气体可能由环境大气漏向封闭系统,也可能由封闭系统漏向环境大气:When the bellows 13-
(1)当气体由环境大气漏向封闭系统时,封闭系统的气体增加,封闭系统内的气体回到风箱13时,风箱13内容积增加;当风箱13位置超出警戒位置时,风箱位置传感器18向控制系统12发出信号,控制系统12向气体排出泵19发出指令,然后气体排出泵19排出一定量的气体;(1) When the gas leaks from the ambient atmosphere to the closed system, the gas in the closed system increases, and when the gas in the closed system returns to the bellows 13, the volume inside the bellows 13 increases; when the position of the bellows 13 exceeds the warning position, the
(2)当封闭系统内的气体漏向环境大气时,封闭系统内气体减少,风箱位置传感器18感受到风箱13位置过低,向控制系统12发出信号,控制系统12发出指令打开气体补给阀门20,高压气源22通过减压装置21再经过进气阀门20流向风箱13;当气体补充完毕后进气阀门20关闭;(2) When the gas in the closed system leaks to the ambient atmosphere, the gas in the closed system decreases, and the
所述安全阀门23为一个双向机械阀门,当风箱内压力与环境压力差超过设定的压力差时阀门打开,气体由高压端流向低压端,避免呼吸机出现故障时患者受到过度的伤害;The safety valve 23 is a two-way mechanical valve. When the pressure difference between the bellows and the environment exceeds the set pressure difference, the valve opens, and the gas flows from the high pressure end to the low pressure end, so as to avoid excessive injury to the patient when the ventilator breaks down;
本实用新型中,所述的控制系统12为一台内置计算机25;操作者根据患者需要输入呼吸参数,计算机25将参数转化为指令控制直线电机14的运动;压力传感器17、流量传感器16将收集到的数据传回计算机25,计算机25再根据收集的数据修正直线电机14的运动;风箱位置传感器18将风箱13位置数据上传至计算机25,计算机25根据数据指令气体排出泵19和气体补给阀门20打开或关闭。In the utility model, the control system 12 is a built-in computer 25; the operator inputs breathing parameters according to the needs of the patient, and the computer 25 converts the parameters into instructions to control the motion of the linear motor 14; the pressure sensor 17 and the flow sensor 16 will collect The received data is transmitted back to the computer 25, and the computer 25 corrects the motion of the linear motor 14 according to the collected data; the
本实用新型的经胸腔通气的呼吸机中,所有零部件均采用现有技术中的零部件,可市购。In the ventilator for thoracic cavity ventilation of the present utility model, all parts all adopt the parts in the prior art, which can be purchased commercially.
本实用新型的经胸腔通气的呼吸机与现有传统呼叫机相比,具有以下优点:Compared with the existing traditional caller, the ventilator for transthoracic ventilation of the present utility model has the following advantages:
(1)本经胸腔通气的呼吸机采用气体循环使用的方式;所述呼吸机使用风箱将气体送入胸腔后再负压吸引回风箱反复利用,只需要补充管道泄漏的气体就能满足呼吸机的需要;因此,本实用新型所述呼吸机只需要少量的气源即可;(1) This thoracic ventilation ventilator adopts the method of gas circulation; the ventilator uses the bellows to send the gas into the chest cavity and then sucks the gas back to the bellows for repeated use. needs; therefore, the ventilator described in the utility model only needs a small amount of air source;
(2)本实用新型采用直线电机直接驱动风箱,可减少能量损失,节约能源,也大大减少了呼吸机的体积,使呼吸机更加便于携带。(2) The utility model uses a linear motor to directly drive the bellows, which can reduce energy loss, save energy, and greatly reduce the volume of the ventilator, making the ventilator more portable.
为了便于理解,下面通过附图和具体实施例对本实用新型的经胸腔通气的呼吸机进行详细的描述。需要特别指出的是,具体实施例和附图仅是为了说明,显然本领域的技术人员可以根据本文说明,对本实用新型进行各种修正或改变,这些修正和改变也将纳入本专利范围之内。For ease of understanding, the thoracic ventilation ventilator of the present invention will be described in detail below with reference to the drawings and specific examples. It should be pointed out that the specific embodiments and accompanying drawings are only for illustration. Obviously, those skilled in the art can make various amendments or changes to the utility model according to the description herein, and these amendments and changes will also be included within the scope of this patent .
附图说明Description of drawings
图1为经典呼吸机通气原理图;Figure 1 is a schematic diagram of a classic ventilator ventilation;
图2为本实用新型所述经胸腔通气的原理图;Fig. 2 is the schematic diagram of the transthoracic ventilation described in the utility model;
图3为本实用新型经胸腔通气呼吸机的结构示意图;Fig. 3 is the structural representation of the utility model transthoracic ventilation ventilator;
图4为所述直线电机的侧视图。Fig. 4 is a side view of the linear motor.
图1~图4中,1为肺、2为气管、3为气管导管、4为通气连接管、5为传统呼吸机、6为胸腔、7为胸管、8为本实用新型的经胸腔通气的呼吸机、9为驱动系统、10为监测系统、11为安全系统、12为控制系统、13为风箱、14为直线电机、15为连接杆、16为流量传感器、17为压力传感器、18为风箱位置传感器、19为气体排出泵、20为气体补给阀门、21为减压装置、22为高压起源、23为安全阀门、24为过滤装置、25为计算机、26为导线、27为转子、28为定子。In Figures 1 to 4, 1 is the lung, 2 is the trachea, 3 is the trachea tube, 4 is the ventilation connecting tube, 5 is the traditional ventilator, 6 is the chest cavity, 7 is the chest tube, and 8 is the transthoracic ventilation of the present invention. 9 is the driving system, 10 is the monitoring system, 11 is the safety system, 12 is the control system, 13 is the air box, 14 is the linear motor, 15 is the connecting rod, 16 is the flow sensor, 17 is the pressure sensor, 18 is Bellows position sensor, 19 is a gas discharge pump, 20 is a gas supply valve, 21 is a pressure reducing device, 22 is a high pressure source, 23 is a safety valve, 24 is a filter device, 25 is a computer, 26 is a wire, 27 is a rotor, 28 for the stator.
具体实施方式Detailed ways
实施例1Example 1
如图3~图4所示,本经胸腔通气的呼吸机,主要由驱动系统9、监测系统10、安全系统11和控制系统12组成;所述的驱动系统9、监测系统10、安全系统11和控制系统12相互连接;As shown in Figures 3 to 4, the thoracic ventilator is mainly composed of a drive system 9, a monitoring system 10, a safety system 11 and a control system 12; the drive system 9, the monitoring system 10, and the safety system 11 Interconnected with the control system 12;
所述的驱动系统9由风箱13和直线电机14组成;所述风箱13通过通气连接管4、胸管7与双侧胸腔6组成一个封闭的空间;所述直线电机14与风箱13通过连接杆15相连,当直线电机14往返运动时,带动风箱13上下运动;其中,直线电机14运动的速度、幅度以及频率由控制系统12控制;The drive system 9 is composed of a bellows 13 and a linear motor 14; the bellows 13 forms a closed space through the
所述的监测系统10由压力传感器17、流量传感器16和风箱位置传感器18组成;压力传感器17和流量传感器16均设置于风箱13与胸管7连接的通气连接管4上,并将即时压力以及每次呼吸的流量数据传到控制系统12;风箱位置感受器18设置于直线电机14上,通过感受电机定子28的位置判断风箱13的位置;当风箱13位置过低或过高时向控制系统12传输数据;Described monitoring system 10 is made up of pressure sensor 17, flow sensor 16 and air
所述的安全系统11由气体补给阀门20、气体排出泵19和安全阀门23组成;所述气体补给阀门20、气体排出泵19和安全阀门23均通过通气连接管4与风箱13连接;The safety system 11 is composed of a gas supply valve 20, a gas discharge pump 19 and a safety valve 23; the gas supply valve 20, the gas discharge pump 19 and the safety valve 23 are all connected to the bellows 13 through the
当风箱13——胸腔6封闭系统连接不紧密时,气体可能由环境大气漏向封闭系统,也可能由封闭系统漏向环境大气:When the bellows 13-
(1)当气体由环境大气漏向封闭系统时,封闭系统的气体增加,封闭系统内的气体回到风箱13时,风箱13内容积增加;当风箱13位置超出警戒位置时,风箱位置传感器18向控制系统12发出信号,控制系统12向气体排出泵19发出指令,然后气体排出泵19排出一定量的气体;(1) When the gas leaks from the ambient atmosphere to the closed system, the gas in the closed system increases, and when the gas in the closed system returns to the bellows 13, the volume inside the bellows 13 increases; when the position of the bellows 13 exceeds the warning position, the
(2)当封闭系统内的气体漏向环境大气时,封闭系统内气体减少,风箱位置传感器18感受到风箱13位置过低,向控制系统12发出信号,控制系统12发出指令打开气体补给阀门20,高压气源22通过减压装置21再经过进气阀门20流向风箱13;当气体补充完毕后进气阀门20关闭;(2) When the gas in the closed system leaks to the ambient atmosphere, the gas in the closed system decreases, and the
所述安全阀门23为一个双向机械阀门,当风箱内压力与环境压力差超过设定的压力差时阀门打开,气体由高压端流向低压端,避免呼吸机出现故障时患者受到过度的伤害;The safety valve 23 is a two-way mechanical valve. When the pressure difference between the bellows and the environment exceeds the set pressure difference, the valve opens, and the gas flows from the high pressure end to the low pressure end, so as to avoid excessive injury to the patient when the ventilator breaks down;
所述的控制系统12为一台内置计算机25;操作者根据患者需要输入呼吸参数,计算机25将参数转化为指令控制直线电机14的运动;压力传感器17、流量传感器16将收集到的数据传回计算机25,计算机25再根据收集的数据修正直线电机14的运动;风箱位置传感器18将风箱13位置数据上传至计算机25,计算机25根据数据指令气体排出泵19和气体补给阀门20打开或关闭。The control system 12 is a built-in computer 25; the operator inputs breathing parameters according to the needs of the patient, and the computer 25 converts the parameters into instructions to control the motion of the linear motor 14; the pressure sensor 17 and the flow sensor 16 transmit the collected data back The computer 25, and the computer 25 corrects the motion of the linear motor 14 according to the collected data; the
实施例2Example 2
如图1~图4所示,As shown in Figure 1 to Figure 4,
传统呼吸机5通过气管插管3、气管切开或面罩连接呼吸机,呼吸机增加气体压力使气体流向肺部1,然后呼吸机降低气体压力使气体从肺部流出,从而产生呼吸;The
相比传统呼吸机5,本经胸腔通气的呼吸机8通过胸管7连接呼吸机;当呼吸机8内压力为正压时,气体流向胸腔6,肺被压缩1,患者呼出气体;当经胸腔通气的呼吸机8内压力为负压时气体由胸腔6流向经胸腔通气的呼吸机8,肺1被复张,患者吸入气体,从而完成一个呼吸周期。Compared with the
所述经胸腔通气的呼吸机8,主要由驱动系统9、监测系统10、安全系统11和控制系统12组成;所述的驱动系统9、监测系统10、安全系统11和控制系统12相互连接;The
所述的驱动系统9由风箱13和直线电机14组成;所述风箱13通过通气连接管4、胸管7与双侧胸腔6组成一个封闭的空间;所述直线电机14与风箱13通过连接杆15相连,当直线电机14往返运动时,带动风箱13上下运动;其中,直线电机14运动的速度、幅度以及频率由控制系统12控制;The drive system 9 is composed of a bellows 13 and a linear motor 14; the bellows 13 forms a closed space through the
所述的监测系统10由压力传感器17、流量传感器16和风箱位置传感器18组成;压力传感器17和流量传感器16均设置于风箱13与胸管7连接的通气连接管4上,并将即时压力以及每次呼吸的流量数据传到控制系统12;风箱位置感受器18设置于直线电机14上,通过感受电机定子28的位置判断风箱13的位置;当风箱13位置过低或过高时向控制系统12传输数据;Described monitoring system 10 is made up of pressure sensor 17, flow sensor 16 and air
所述的安全系统11由气体补给阀门20、气体排出泵19和安全阀门23组成;所述气体补给阀门20、气体排出泵19和安全阀门23均通过通气连接管4与风箱13连接;The safety system 11 is composed of a gas supply valve 20, a gas discharge pump 19 and a safety valve 23; the gas supply valve 20, the gas discharge pump 19 and the safety valve 23 are all connected to the bellows 13 through the
当风箱13——胸腔6封闭系统连接不紧密时,气体可能由环境大气漏向封闭系统,也可能由封闭系统漏向环境大气:When the bellows 13-
(1)当气体由环境大气漏向封闭系统时,封闭系统的气体增加,封闭系统内的气体回到风箱13时,风箱13内容积增加;当风箱13位置超出警戒位置时,风箱位置传感器18向控制系统12发出信号,控制系统12向气体排出泵19发出指令,然后气体排出泵19排出一定量的气体;(1) When the gas leaks from the ambient atmosphere to the closed system, the gas in the closed system increases, and when the gas in the closed system returns to the bellows 13, the volume inside the bellows 13 increases; when the position of the bellows 13 exceeds the warning position, the bellows position
(2)当封闭系统内的气体漏向环境大气时,封闭系统内气体减少,风箱位置传感器18感受到风箱13位置过低,向控制系统12发出信号,控制系统12发出指令打开气体补给阀门20,高压气源22通过减压装置21再经过进气阀门20流向风箱13;当气体补充完毕后进气阀门20关闭;(2) When the gas in the closed system leaks to the ambient atmosphere, the gas in the closed system decreases, and the bellows position
所述安全阀门23为一个双向机械阀门,当风箱内压力与环境压力差超过设定的压力差时阀门打开,气体由高压端流向低压端,避免呼吸机出现故障时患者受到过度的伤害;The safety valve 23 is a two-way mechanical valve. When the pressure difference between the bellows and the environment exceeds the set pressure difference, the valve opens, and the gas flows from the high pressure end to the low pressure end, so as to avoid excessive injury to the patient when the ventilator breaks down;
所述的控制系统12为一台内置计算机25;操作者根据患者需要输入呼吸参数,计算机25将参数转化为指令控制直线电机14的运动;压力传感器17、流量传感器16将收集到的数据传回计算机25,计算机25再根据收集的数据修正直线电机14的运动;风箱位置传感器18将风箱13位置数据上传至计算机25,计算机25根据数据指令气体排出泵19和气体补给阀门20打开或关闭。The control system 12 is a built-in computer 25; the operator inputs breathing parameters according to the needs of the patient, and the computer 25 converts the parameters into instructions to control the motion of the linear motor 14; the pressure sensor 17 and the flow sensor 16 transmit the collected data back The computer 25, and the computer 25 corrects the motion of the linear motor 14 according to the collected data; the bellows position
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104415439A (en) * | 2013-09-05 | 2015-03-18 | 复旦大学附属眼耳鼻喉科医院 | Breathing machine capable of ventilation by thoracic cavity |
| CN107648711A (en) * | 2016-05-20 | 2018-02-02 | 长庚医疗财团法人林口长庚纪念医院 | Ventilation equipment and methods |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104415439A (en) * | 2013-09-05 | 2015-03-18 | 复旦大学附属眼耳鼻喉科医院 | Breathing machine capable of ventilation by thoracic cavity |
| CN104415439B (en) * | 2013-09-05 | 2017-07-07 | 复旦大学附属眼耳鼻喉科医院 | A kind of lung ventilator ventilated through thoracic cavity |
| CN107648711A (en) * | 2016-05-20 | 2018-02-02 | 长庚医疗财团法人林口长庚纪念医院 | Ventilation equipment and methods |
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