CN204269592U - Multi-parameter exhaled nitric oxide measuring device in one breath - Google Patents

Multi-parameter exhaled nitric oxide measuring device in one breath Download PDF

Info

Publication number
CN204269592U
CN204269592U CN201420731042.8U CN201420731042U CN204269592U CN 204269592 U CN204269592 U CN 204269592U CN 201420731042 U CN201420731042 U CN 201420731042U CN 204269592 U CN204269592 U CN 204269592U
Authority
CN
China
Prior art keywords
gas
flow
sensor
analysis
measurement
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CN201420731042.8U
Other languages
Chinese (zh)
Inventor
曹青
韩杰
韩益苹
郭世英
邓中全
谢雷
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Wuxi Sunvou Medical Treatment Electronic Co Ltd
Original Assignee
Wuxi Sunvou Medical Treatment Electronic Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Wuxi Sunvou Medical Treatment Electronic Co Ltd filed Critical Wuxi Sunvou Medical Treatment Electronic Co Ltd
Priority to CN201420731042.8U priority Critical patent/CN204269592U/en
Application granted granted Critical
Publication of CN204269592U publication Critical patent/CN204269592U/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Landscapes

  • Sampling And Sample Adjustment (AREA)

Abstract

Disclose a kind of measurement mechanism of multiparameter expiration nitric oxide without a break, this device utilizes elongated tubular (ensureing that gas flowing is wherein piston flow when exhaling sampling and analysis to measure) with the expiration gas under the different expiratory duration (flow velocity) of fast speed synchronous collection in exhalation process, when analyzing to be passed through to carry out analysis to measure into sensor by the gas collected in elongated tubular compared with low flow velocity; Designed by gas circuit and make the NO concentration curve of sensor record corresponding with expiratory gas flow (time) curve to the control of gas flow ratio when sampling and measurement, thus realize utilizing the measurement of the electrochemical sensor of slow-response realization to fast-changing expiration NO concentration, and then calculate exhaled NO parameters according to expiration NO two compartment model.

Description

一口气多参数呼气一氧化氮测量装置Multi-parameter exhaled nitric oxide measuring device in one breath

技术领域 technical field

本发明涉及呼气一氧化氮测量设备。 The present invention relates to a device for measuring exhaled nitric oxide.

背景技术 Background technique

呼气一氧化氮作为气道炎症的标志物用于哮喘等呼吸病的检测分析已经获得医疗界充分肯定。美国胸腔协会和欧洲呼吸协会在2005年联合制定与公布了进行该测量的标准化方法(“ATS/ERS ecommendations for Standardized Procedures for the Online and Offline Measurement of Exhaled Low Respiratory Nitric Oxide and Nasal Nitric Oxide, 2005”)2011年提出了其临床应用指南(An Official ATS Clinical Practice Guideline: Interpretation of exhaled Nitric Oxide Level(FeNO) for Clinical Applications), 这些标准与指南用来指导如何进行检测与将检测结果用于哮喘等呼吸病的诊断与疗效评价。 The use of exhaled nitric oxide as a marker of airway inflammation in the detection and analysis of asthma and other respiratory diseases has been fully affirmed by the medical community. The American Thoracic Society and the European Respiratory Society jointly developed and published a standardized method for this measurement in 2005 (“ATS/ERS recommendations for Standardized Procedures for the Online and Offline Measurement of Exhaled Low Respiratory Nitric Oxide and Nasal Nitric Oxide, 2005”) Its clinical application guidelines (An Official ATS Clinical Practice Guideline: Interpretation of exhaled Nitric Oxide Level (FeNO) for Clinical Applications) were proposed in 2011. These standards and guidelines are used to guide how to perform testing and use the testing results for respiratory diseases such as asthma diagnosis and efficacy evaluation.

由于呼气NO与呼气流速有关,且容易受到鼻腔气的干扰,因而ATS/ERS推荐的标准化呼气一氧化氮测量方法用于测量下呼吸道的炎症,要求在呼气压力大于等于5cm水柱的条件下,在50ml/s 的固定呼气流速下进行单次持续呼气10秒(或儿童6秒),选择50ml/s的呼气流量主要考虑的是在该流量下,呼气NO的贡献主要来源与气道,且呼气控制较容易。 Since exhaled NO is related to the expiratory flow rate and is easily interfered by nasal air, the standardized exhaled nitric oxide measurement method recommended by ATS/ERS is used to measure the inflammation of the lower respiratory tract. Under certain conditions, perform a single continuous exhalation for 10 seconds (or 6 seconds for children) at a fixed expiratory flow rate of 50ml/s. The main consideration for choosing an expiratory flow rate of 50ml/s is the contribution of exhaled NO at this flow rate. The main source is the airway, and it is easier to control exhalation.

呼气中的一氧化氮来源于肺泡及气道,如果能区分不同区域的NO浓度,可以评估出升高或者降低的NO分泌是发生在哪个病理区域,具有更广泛的临床参考价值。 The nitric oxide in exhaled breath comes from the alveoli and airways. If the NO concentration in different areas can be distinguished, it can be evaluated which pathological area the increased or decreased NO secretion occurs in, which has a wider clinical reference value.

关于稳态肺泡气浓度在临床方面的意义,Hogman (J. Breath Res. 6 (2012) 047103) 对2012年以前的100多篇文献进行评述, 它与一些疾病的的关系可简要归纳如下: Regarding the clinical significance of steady-state alveolar gas concentration, Hogman (J. Breath Res. 6 (2012) 047103) reviewed more than 100 documents before 2012, and its relationship with some diseases can be briefly summarized as follows:

1) 哮喘深度诊断:支气管炎症CaNO不变而Jaw升高,毛细支气管炎症CaNO升高; 1) In-depth diagnosis of asthma: Ca NO in bronchial inflammation remains unchanged but Jaw increases, and Ca NO in bronchiolary inflammation increases;

2) 哮喘治疗治疗方案选择:吸入激素治疗对毛细支气管炎症无效而应采取口服激素治疗; 2) Selection of asthma treatment options: inhaled hormone therapy is ineffective for bronchiolitis inflammation and oral hormone therapy should be taken;

3) 慢阻肺与吸烟病人:慢阻肺病人CaNO较正常组高,而吸烟对测试者的CaNO不明确; 3) COPD and smoking patients: Ca NO in COPD patients is higher than that in the normal group, and smoking is not clear to the testers' Ca NO ;

4) 系统性硬皮病:系统性硬皮病患者中得间质性肺病(ILD)者CaNO明显升高(以10.8ppb作切点,特异性可达96%,CaNO可作为ILD的标志物; 4) Systemic scleroderma: among patients with systemic scleroderma who have interstitial lung disease (ILD), Ca NO is significantly elevated (with 10.8ppb as the cut-off point, the specificity can reach 96%, and Ca NO can be used as a marker of ILD. landmark;

5) 肺泡炎:CaNO升高而Jaw不变; 5) Alveolitis: Ca NO increased but Jaw remained unchanged;

6) 肺纤维化:CaNO升高; 6) Pulmonary fibrosis: Ca NO increased;

7) 肝肾功能综合症:CaNO升高(8.3ppb vs 4.7ppb)。 7) Hepatorenal syndrome: Ca NO increased (8.3ppb vs 4.7ppb).

有关呼气一氧化氮检测方法方面的文献很多,对现有各种测量方法,Hogman(J. Breath Res. 7 (2013) 017104)做了相对全面及客观的介绍。CaNO不能直接测量,必须通过一定的生理模型推演计算得到,目前有关呼气NO的模型主要有三个,分别为:二室模型、三室模型及喇叭模型,可以分析三个与流量无关的参量:稳态肺泡浓度、气道壁扩散量(或最大气道壁通量)和气道壁浓度,其中具有轴向扩散的喇叭模型被认为能够对肺中流量相关的NO产量提供良好描述。 There are many literatures on the detection methods of breath nitric oxide. Hogman (J. Breath Res. 7 (2013) 017104) made a relatively comprehensive and objective introduction to the various existing measurement methods. Ca NO can not be measured directly, it must be deduced and calculated through a certain physiological model. At present, there are mainly three models related to exhaled NO, namely: two-chamber model, three-chamber model and trumpet model, which can analyze three parameters that have nothing to do with flow: Steady-state alveolar concentration, airway wall diffusivity (or maximal airway wall flux), and airway wall concentration, where the horn model with axial diffusion is thought to provide a good description of flow-dependent NO production in the lung.

两室模型(2CM)是最简单的呼出气一氧化氮生理模型,它认为呼气一氧化氮浓度(CeNO)由两部分构成,分别来自于肺泡区和气道区(如图1所示),取决于三个根据流量变化的参数:来源于气道壁的NO总流量(最大气道壁通量JawNO, pl/s),NO在气道的扩散能力(DawNO, pl*s-1*ppb-1),和稳态下的肺泡气浓度(CaNO, ppb)。最大气道壁通量JawNO(pl/s)和呼气流速F成反比;CawNO指气道壁NO浓度。 The two-compartment model (2CM) is the simplest physiological model of exhaled nitric oxide. It believes that the concentration of exhaled nitric oxide (Ce NO ) is composed of two parts, which come from the alveolar area and the airway area respectively (as shown in Figure 1) , depends on three flow-dependent parameters: the total flow of NO from the airway wall (maximum airway wall flux Jaw NO , pl/s), the diffusion capacity of NO in the airway (DawNO, pl*s - 1 *ppb - 1), and alveolar gas concentration (Ca NO , ppb) at steady state. The maximum airway wall flux Jaw NO (pl/s) is inversely proportional to the expiratory flow rate F; Caw NO refers to the airway wall NO concentration.

各参数间满足关系如下关系式: The relationship between each parameter satisfies the following relationship:

    (1) (1)

当VE >5*DawNO ml/s 或50 ml/s(健康人)时,该方程可简化为 When VE >5*DawNO ml/s or 50 ml/s (for healthy people), the equation can be simplified as

             (2) (2)

一般来说,CaNO<2% CawNO,且J’awNO=DawNO *CawNO,以上方程可简化为 Generally speaking, Ca NO <2% Caw NO , and J'aw NO =Daw NO *Caw NO , the above equation can be simplified as

                                 (3) (3)

由此,通过对不同呼气流量(F)下的CeNO浓度的测定,可以求得肺泡气浓度CaNO,最大气道壁通量Jaw。 Thus, by measuring the concentration of Ce NO under different expiratory flow (F), the alveolar gas concentration Ca NO and the maximum airway wall flux Jaw can be obtained.

通常在100~500ml/s 呼气流量范围内采用(3)式线性模型进行分析,可计算CaNO 及JawNO两个参数,而对更宽的呼气流量,如10~500ml/s,采用(1)式非线性模型进行分析,可计算获得CaNO 、JawNO、CawNO及DawNO四个参数。 Usually within the expiratory flow range of 100-500ml/s, the linear model (3) is used for analysis, and the two parameters of Ca NO and Jaw NO can be calculated. For wider expiratory flow, such as 10-500ml/s, the (1) nonlinear model analysis, can calculate Ca NO , Jaw NO, Caw NO and Daw NO four parameters.

该模型能解释呼气一氧化氮浓度随呼气流量而变化的规律,实验数据也与理论值基本吻合,因而关于JawNO与CaNO的测量,大部分工作都基于该模型而展开,通用的方法是控制不同的呼气流量进行多次呼气,测量不同流速下的呼气NO值,然后根据(1)或(3)式进行计算。 This model can explain how the concentration of exhaled nitric oxide changes with the expiratory flow, and the experimental data is basically consistent with the theoretical value. Therefore, most of the work on the measurement of Jaw NO and Ca NO is based on this model. The method is to control different expiratory flow rates for multiple exhalations, measure the expiratory NO value at different flow rates, and then calculate according to formula (1) or (3).

分析文献中关于CaNO、JawNO及CeNO的测量结果, 不同的数据处理方法计算得到的CaNO、JawNO并不存在显著的差异,各种数据处理方法也基本等效。一般认为正常成人稳态肺泡气浓度CaNO一般在1.0~5.6ppb间,JawNO在420~1280pl/s范围内(J Appl Physiol 91: 2173–2181, 2001). Analyzing the measurement results of Ca NO , Jaw NO and Ce NO in the literature, there is no significant difference in the Ca NO and Jaw NO calculated by different data processing methods, and the various data processing methods are basically equivalent. It is generally believed that the steady-state alveolar gas concentration of Ca NO in normal adults is generally between 1.0-5.6ppb, and Jaw NO is in the range of 420-1280pl/s ( J Appl Physiol 91: 2173–2181, 2001).

在50ml/s的呼气流速下持续呼气4~10s相对来说容易实现,更低的流速(如10ml/s的呼气流速至少需要恒定流速呼气20秒)及较高的呼气下(下呼气阻力较大)持续呼气都会较为困难,为此,2001年George团队提出了一种一口气变流量测量技术[6],他通过连续调控呼气流量(从300ml/s到50ml/s),测量并记录呼气流量及及时跟随的呼气NO浓度变化关系,根据两室模型计算JawNO及CaNO。但直到2006年Bruno才第一次设计实验对多口气变流量及一口气变流量方法的一致性进行了评价(Respiratory Physiology & Neurobiology 153 (2006) 148–156),通过对实验数据进行Bland Altman统计分析,认为两种方法对JawNO及CaNO的测量结果是一致的,同时认为一口气变流量方法更为简单便捷。 It is relatively easy to achieve continuous exhalation for 4~10s at an expiratory flow rate of 50ml/s, and a lower flow rate (for example, an expiratory flow rate of 10ml/s requires at least 20 seconds of exhalation at a constant flow rate) and a higher exhalation (The lower exhalation resistance is greater) It will be difficult to continue to exhale. For this reason, in 2001, the George team proposed a breath variable flow measurement technology [6] , he continuously adjusted the expiratory flow (from 300ml/s to 50ml /s), measure and record the relationship between expiratory flow and the timely follow-up expiratory NO concentration, and calculate Jaw NO and Ca NO according to the two-chamber model. But it was not until 2006 that Bruno designed the experiment for the first time to evaluate the consistency of multi-breath variable flow and one-breath variable flow methods (Respiratory Physiology & Neurobiology 153 (2006) 148–156), by performing Bland Altman statistics on the experimental data According to the analysis, it is considered that the measurement results of Jaw NO and Ca NO by the two methods are consistent, and at the same time, it is believed that the method of variable flow rate in one breath is simpler and more convenient.

但由于该技术对传感器响应时间要求较高(<200ms),目前只有化学发光仪满足该时间分辨的要求,利用低成本但响应较慢的电化学NO传感器无法满足该要求。 However, due to the high requirement of sensor response time (<200ms) for this technology, currently only chemiluminescence can meet the requirement of this time resolution, and the low-cost but slow-response electrochemical NO sensor cannot meet this requirement.

发明内容 Contents of the invention

实现所述一口气变流量测量方法对传感器的响应速度要求较高,只有化学发光仪能满足该时间分辨的要求,但化学发光分析仪成本较高,维护困难,而且在较快流速下呼气NO值较低,已接近化学发光仪检测下限,因而数据质量得不到保证,测量误差较大。 The realization of the breath variable flow measurement method requires a high response speed of the sensor, and only a chemiluminescence analyzer can meet the time resolution requirement, but the chemiluminescence analyzer has a high cost, is difficult to maintain, and exhales at a relatively fast flow rate. The NO value is low, which is close to the detection limit of the chemiluminescence instrument, so the data quality cannot be guaranteed, and the measurement error is relatively large.

本发明的思路是通过气路设计将采样及测量过程分开,利用细长管(保证在呼气采样及分析测量时气体在其中的流动为活塞流)在呼气过程中以较快速度同步收集部分不同呼气时间(流速)下的呼气气体,在分析时以较低流速将细长管内收集的气体通过入传感器进行分析测量;通过气路设计及对采样及测量时的气体流量比例的控制使传感器记录的NO浓度曲线与呼气流量(时间)曲线相对应,从而实现利用慢响应的电化学传感器实现对快速变化的呼气NO浓度的测量。 The idea of the present invention is to separate the sampling and measurement process through the design of the air circuit, and use the slender tube (to ensure that the flow of gas in it is a plug flow during the exhalation sampling and analysis measurement) to collect synchronously at a faster speed during the exhalation process. Part of the exhaled gas under different exhalation time (flow rate) is analyzed and measured by passing the gas collected in the slender tube through the sensor at a lower flow rate during analysis; through the design of the gas circuit and the ratio of the gas flow rate during sampling and measurement The control makes the NO concentration curve recorded by the sensor correspond to the expiratory flow (time) curve, so that the fast-changing expiratory NO concentration can be measured by using the slow-response electrochemical sensor.

要实现上述方法,在测量装置设计及测量方式上需要考虑并解决几个关键问题,具体为: To realize the above method, several key issues need to be considered and resolved in the design of the measuring device and the measurement method, specifically:

l  呼气流量控制:如何保证受试者在一定时间范围内持续呼气并保证其呼气流量按我们希望的规律变化? l Expiratory flow control: How to ensure that the subject continues to exhale within a certain period of time and ensure that the expiratory flow changes according to the law we want?

关于这一点,本发明的解决方案是将流量传感器与流量控制器组合成一个流量自动反馈控制系统,受试者持续呼气时,流量传感器测量呼气流量,并将数据传输给流量控制器,所述流量控制器将该数据与预设的目标流量进行比较,并及时调整呼气管路的通径(流量过大时将通径调小,流量过小时将通径调大),其反馈调节速度小于100ms,这样通过对呼气流量的快速测量及对管路通径的及时调整基本能保证呼气流量按预先设定的流量变化规律变化,如在6~10秒内,呼气流量从300ml/s线性下降到20ml/s。 Regarding this point, the solution of the present invention is to combine the flow sensor and the flow controller into an automatic flow feedback control system. When the subject continues to exhale, the flow sensor measures the expiratory flow and transmits the data to the flow controller. The flow controller compares the data with the preset target flow, and adjusts the diameter of the exhalation pipeline in time (reduce the diameter when the flow rate is too large, and increase the diameter when the flow rate is too small), and its feedback The adjustment speed is less than 100ms. In this way, the rapid measurement of the expiratory flow and the timely adjustment of the pipeline path can basically ensure that the expiratory flow changes according to the preset flow change rule. For example, within 6 to 10 seconds, the expiratory flow Decrease linearly from 300ml/s to 20ml/s.

一种对呼气流量变化方式的控制是使其线性衰减,如在6~10秒时间内使其从300ml/s线性下降到20ml/s, 当然呼气流量的上下限可根据实际需要调整。控制呼气流量线性变化的一大优点是算法模型较为简单,前述理论公式是在该条件下得出的。 One way to control the change of expiratory flow is to make it linearly attenuate, such as linearly decreasing from 300ml/s to 20ml/s within 6 to 10 seconds. Of course, the upper and lower limits of expiratory flow can be adjusted according to actual needs. A major advantage of controlling the linear change of expiratory flow is that the algorithm model is relatively simple, and the aforementioned theoretical formula is derived under this condition.

当然也可以控制呼气流量以指数或其它任何方式变化,与呼气流量线性变化所不同的是算法处理上的不同,以线性或指数等方式规律变化的流量在算法上可公式化求解,而当呼气流量变化没有规律时,求解较为复杂,数值积分算法可能是不可避免的选择。 Of course, it is also possible to control the expiratory flow rate to change exponentially or in any other way. The difference from the linear change of the expiratory flow rate is the difference in algorithm processing. The flow rate that changes regularly in a linear or exponential manner can be solved in an algorithmic formula. When the expiratory flow changes irregularly, the solution is more complicated, and the numerical integration algorithm may be an unavoidable choice.

 2 采样方式设计:将呼出气体全部收集下来进行分析测量,还是仅收集分析其中的一部分? 2 Sampling method design: collect all the exhaled gas for analysis and measurement, or only collect and analyze a part of it?

为了减少样品室体积,同时简化同步算法,本发明采用的方法为用一高流量的泵在呼气的同时将呼出气的一部分以恒定流速抽入细长气室中。这样就能保证不同呼气时间段的气体在细长气室中的分布是均匀的。 In order to reduce the volume of the sample chamber and simplify the synchronization algorithm, the method adopted in the present invention is to use a high-flow pump to pump a part of the exhaled gas into the elongated air chamber at a constant flow rate while exhaling. In this way, it can be ensured that the gas in different exhalation time periods is evenly distributed in the elongated air chamber.

 3 样品存储: 3 Sample storage:

待分析气体存储在气室中,所述气室的结构为一细长管路,目的是为了保证在采样及分析过程中气体在气室中的流动满足活塞流的条件。 The gas to be analyzed is stored in the gas chamber, and the structure of the gas chamber is a long and thin pipeline, the purpose of which is to ensure that the flow of the gas in the gas chamber meets the plug flow condition during the sampling and analysis process.

4 测量分析: 4 Measurement analysis:

测量分析时通过泵驱动样品室内的气体恒定的流速流动,并记录整个测量过程的曲线,如果已知采样及分析时气体流量的比例及时间同步点,就能将传感器的测量曲线与呼气流量测量曲线关联起来,做出传感器响应值与呼气流量间的关系图。 During the measurement and analysis, the pump drives the gas in the sample chamber to flow at a constant flow rate, and records the curve of the entire measurement process. If the gas flow ratio and time synchronization point during sampling and analysis are known, the measurement curve of the sensor can be compared with the expiratory flow rate. The measurement curves are correlated to make a relationship diagram between the sensor response value and the expiratory flow.

采样与分析时气体的流量比越大,对传感器响应时间的要求越低,如二者的比例为10:1,则可用响应时间为10秒的传感器测量呼气1秒内NO浓度的变化情况。采样与测量分析所用气体流量的大小选择取决于传感器的响应时间及测量所需的时间分辨率,对呼气NO分析,采样与分析流量比可控制在5~20倍。 The greater the gas flow ratio between sampling and analysis, the lower the requirement for sensor response time. For example, if the ratio of the two is 10:1, a sensor with a response time of 10 seconds can be used to measure the change of NO concentration within 1 second of exhalation. . The selection of the gas flow rate used for sampling and measurement analysis depends on the response time of the sensor and the time resolution required for measurement. For breath NO analysis, the ratio of sampling to analysis flow rate can be controlled at 5 to 20 times.

 5 同步方法: 5 Synchronization method:

呼气采样时以较高流速将呼出气的一部分存储在细长管路中,而分析时将所述管路中的气体以较低流速通入传感器进行分析测量,为了将此两个相对独立的过程关联起来,必须有一个同步时间点,所述同步点的选取可通过气路设计来说实现。 During breath sampling, a part of the exhaled gas is stored in a slender pipeline at a high flow rate, and during analysis, the gas in the pipeline is passed into the sensor at a low flow rate for analysis and measurement. In order to make the two relatively independent There must be a synchronous time point associated with the process, and the selection of the synchronous point can be realized through the design of the gas path.

一种选取同步点方法为将分析泵安排在细长气室前段,这样呼气采样结束时的气体在测量分析时首先被抽入传感器进行分析,该时间起点点对应的就是呼气采样结束的时间点。 One way to select the synchronization point is to arrange the analysis pump at the front of the elongated air chamber, so that the gas at the end of breath sampling is first pumped into the sensor for analysis during measurement and analysis, and the starting point of this time corresponds to the end of breath sampling point in time.

选取同步点的另一种方法是设计一循环分析气路,此时分析泵在细长气室的后端,分析测量时分析泵驱动气室中的气体进入传感器进行测量后,通过以NO过滤器去除NO后回到细长气室中,由于气室中气体的流动为活塞流,当这部分气体在回到传感器时,由于NO气体已被NO过滤器过滤掉,NO传感器的响应会快速下降到零,而该时间点对应的就是呼气采样结束时的时间点。 Another way to select the synchronization point is to design a circular analysis gas circuit. At this time, the analysis pump is at the back end of the slender gas chamber. During the analysis and measurement, the analysis pump drives the gas in the gas chamber to enter the sensor for measurement, and then filter it with NO After the filter removes NO, it returns to the slender gas chamber. Since the gas flow in the gas chamber is a plug flow, when this part of the gas returns to the sensor, because the NO gas has been filtered by the NO filter, the response of the NO sensor will be fast. down to zero, and this time point corresponds to the time point at the end of the breath sampling.

解决了上述问题,通过设计合适的装置,便可实现一口多参数NO测量,虽然测量装置分析过程会有所不同,但其测量分析过程的共同点可归纳如下: To solve the above problems, by designing a suitable device, one-shot multi-parameter NO measurement can be realized. Although the analysis process of the measurement device will be different, the common points of the measurement and analysis process can be summarized as follows:

1) 呼气:控制呼气以预设的流量程序变化,记录呼气流量随时间变化曲线; 1) Expiration: Control exhalation to change according to the preset flow program, and record the curve of expiratory flow with time;

2)采样:将呼气全过程呼出的气体或其一部分收集在一细长管气室中; 2) Sampling: collect the exhaled gas or part of it during the whole exhalation process in a slender tube air chamber;

3)测量:以传感器响应时间相适应的气体流速将细长管中的气体通入传感器进行分析测量,记录传感器响应随时间变化曲线; 3) Measurement: Pass the gas in the slender tube into the sensor at a gas flow rate that is compatible with the sensor response time for analysis and measurement, and record the sensor response curve over time;

4)同步:同步呼气与分析过程,寻找呼气流量与呼气NO测量值间的数据对应关系; 4) Synchronization: Synchronize the exhalation and analysis process, and find the data correspondence between the expiratory flow rate and the measured value of exhaled NO;

5)计算:根据修正后的呼气流量与呼气NO间对应关系计算Jaw, Ca及FeNO505) Calculation: Calculate Jaw, Ca and FeNO 50 according to the corresponding relationship between the corrected expiratory flow and exhaled NO.

图2为实现一口气多参数呼气一氧化氮测量装置的一种气路结构示意图,所述装置气路由采样模块(100)与分析模块(200)构成,其特征在于:所述采样模块由流量传感器(101)、流量调节器(201),电磁阀(301)串联组成,在流量调节器(201)及电磁阀(301)间通过三通与分析模块中的气室(401)相连;所述分析模块依次由气室(401)、三通(501)、分析泵(602)、气体湿度调节器(701)、NO传感器(801)、NO过滤器(901)及三通阀(302)构成循环气路;泵(601)通过三通(501)与气室(401)相连,NO过滤器(901)与NO传感器(801)间并联一个三通阀(303)。 Fig. 2 is a schematic diagram of a gas circuit structure of a breath multi-parameter exhaled nitric oxide measurement device, the gas circuit of the device is composed of a sampling module (100) and an analysis module (200), and it is characterized in that: the sampling module consists of A flow sensor (101), a flow regulator (201), and a solenoid valve (301) are connected in series, and the flow regulator (201) and the solenoid valve (301) are connected to the gas chamber (401) in the analysis module through a tee; The analysis module is sequentially composed of a gas chamber (401), a tee (501), an analysis pump (602), a gas humidity regulator (701), a NO sensor (801), a NO filter (901) and a three-way valve (302 ) to form a circulating air circuit; the pump (601) is connected to the air chamber (401) through a three-way (501), and a three-way valve (303) is connected in parallel between the NO filter (901) and the NO sensor (801).

图3为实现一口气多参数呼气一氧化氮测量装置的另一种气路结构示意图,所述装置气路由采样模块(100)与分析模块(200)构成,其特征在于:所述采样模块由流量传感器(101)、流量调节器(201),电磁阀(301)串联组成,在流量调节器(201)及电磁阀(301)间通过三通与分析模块中的电磁阀(303)相连;所述分析模块依次由电磁阀(303)、气室(401)、三通(501)、分析泵(602)、气体湿度调节器(701)、NO传感器(801)、三通阀(302)构成循环气路;泵(601)通过三通(501)与气室(401)相连,NO过滤器(901)通过三通阀(303)接入分析气路。 Fig. 3 is a schematic diagram of another gas circuit structure of a breath multi-parameter exhaled nitric oxide measurement device, the gas circuit of the device is composed of a sampling module (100) and an analysis module (200), characterized in that: the sampling module It consists of a flow sensor (101), a flow regulator (201), and a solenoid valve (301) connected in series, and is connected to the solenoid valve (303) in the analysis module through a tee between the flow regulator (201) and the solenoid valve (301) ; The analysis module consists of solenoid valve (303), air chamber (401), three-way valve (501), analysis pump (602), gas humidity regulator (701), NO sensor (801), three-way valve (302) ) to form a circulating gas path; the pump (601) is connected to the air chamber (401) through a three-way valve (501), and the NO filter (901) is connected to the analysis gas path through a three-way valve (303).

 利用以上2种气路结构均可实现利用反应速度较慢的电化学气体传感器跟随测量快速变化的呼出气NO浓度,实际上本领域的专业人士可根据本发明原理设计更多的实现装置。 The above two gas circuit structures can be used to measure the fast-changing exhaled NO concentration by using the electrochemical gas sensor with a slow reaction speed. In fact, professionals in the field can design more realization devices according to the principles of the present invention.

附图说明 Description of drawings

图1.肺泡及气道一氧化氮产生及扩散双室模型。 Figure 1. Two-compartment model of alveolar and airway nitric oxide production and diffusion.

图2.一口气变流量呼气一氧化氮测量设备组成示意图。 Figure 2. Schematic diagram of the composition of the exhaled nitric oxide measurement equipment with variable flow rate in one breath.

图3一口气变流量呼气一氧化氮测量设备组成示意图。 Fig. 3 is a schematic diagram of composition of breath variable flow rate exhaled nitric oxide measuring equipment.

 具体实施方式 Detailed ways

应用实施例一Application Example 1

 图2为实现本发明方法的一种装置的气路结构示意图,所述装置由采样模块100与分析模块200构成,其结构特点为所述采样模块由流量传感器101、流量调节器201,电磁阀301串联组成,在流量调节器201及电磁阀301间通过三通(未标明)与分析模块中的气室401相连;所述分析模块依次由气室401、三通501、分析泵602、气体湿度调节器701(如Nafion管)、NO传感器801、NO过滤器901及三通阀302构成循环气路;泵601通过三通501与气室401相连,NO过滤器901与NO传感器801间并联一个三通阀303。 Fig. 2 is the schematic diagram of gas circuit structure of a kind of device that realizes the method of the present invention, and described device is made of sampling module 100 and analysis module 200, and its structural characteristic is that described sampling module is made up of flow sensor 101, flow regulator 201, solenoid valve 301 in series, between the flow regulator 201 and the solenoid valve 301 is connected with the gas chamber 401 in the analysis module through a tee (not marked); the analysis module is sequentially composed of the gas chamber 401, the tee 501, the analysis pump 602, the gas Humidity regulator 701 (such as Nafion tube), NO sensor 801, NO filter 901 and three-way valve 302 constitute a circulating air circuit; pump 601 is connected to air chamber 401 through three-way 501, and NO filter 901 and NO sensor 801 are connected in parallel A three-way valve 303.

利用该装置进行一口气变流量呼气测量时过程如下: The process of using the device to measure breath variable flow rate exhalation is as follows:

1) 呼气: 1) Exhale:

打开阀门301,受试者吸入干净空气后,持续大力呼气维持6~10秒, 在呼气过程中通过程序控制流量调节器调整控制呼气流量,使其以预设的流速程序变化(如线性下降),流量传感器101测量实时测量记录呼气流量随时间变化曲线; Open the valve 301, after the subject inhales clean air, continue to exhale vigorously for 6-10 seconds, and adjust and control the expiratory flow through the program control flow regulator during the exhalation process, so that it changes with the preset flow rate program (such as linear decline), the flow sensor 101 measures the real-time measurement and record expiratory flow curve with time;

2)采样: 2) Sampling:

在呼气的同时,打开采样泵601、分析泵602,调整三通阀302、303位置,将呼气全过程呼出的气体的一部分收集在细长管气室401中,此时采样气体的一部分经气室401、三通501及采样泵601排空;另一部分经气室401、三通501、分析泵602、气体湿度调节器701、NO传感器801、三通阀303及三通阀302排空,此时气体总流速约为10ml/s,采样时间6~10秒; While exhaling, turn on the sampling pump 601 and analysis pump 602, adjust the positions of the three-way valves 302 and 303, and collect a part of the exhaled gas in the whole exhalation process in the slender tube air chamber 401. At this time, a part of the sampling gas Evacuated through the gas chamber 401, tee 501 and sampling pump 601; the other part is discharged through the gas chamber 401, tee 501, analysis pump 602, gas humidity regulator 701, NO sensor 801, three-way valve 303 and three-way valve 302 Empty, at this time the total gas flow rate is about 10ml/s, and the sampling time is 6~10 seconds;

3)测量: 3) Measure:

采样完成后关闭阀门301及流量调节器201,关闭采样泵601,打开分析泵602,调整三通阀302、303的位置使气体流动方向变为:气室401、三通501、分析泵602、气体湿度调节器701、NO传感器801、NO过滤器901、三通阀302及气室401, 此时气体流速约为1ml/s,整个分析过程时间约为120秒,在分析全过程记录传感器响应随时间变化曲线;气体通过NO过滤器901后传感器测得的稳态电流为零点电流; After the sampling is completed, close the valve 301 and the flow regulator 201, close the sampling pump 601, open the analysis pump 602, adjust the positions of the three-way valves 302 and 303 so that the gas flow direction becomes: gas chamber 401, three-way 501, analysis pump 602, Gas humidity regulator 701, NO sensor 801, NO filter 901, three-way valve 302 and gas chamber 401. At this time, the gas flow rate is about 1ml/s, and the entire analysis process takes about 120 seconds. Record the sensor response during the whole analysis process Time-varying curve; the steady-state current measured by the sensor after the gas passes through the NO filter 901 is the zero-point current;

4)同步: 4) Synchronization:

在呼气采样结束时的呼气气体收集在细长气室401的最末端,在分析时泵602驱动气体在循环气路中流动(气体在管路中的流动为活塞流),气体经传感器801测量后通过NO过滤器901过滤后,NO浓度降为0,这部分气体会回到气室401中,这样当气室401收集的呼气被全部分析完后,传感器的响应电流将会发生突变(零点电流),此时间点对应的浓度就是呼气采样结束时呼气NO的浓度; At the end of breath sampling, the exhaled gas is collected at the end of the elongated air chamber 401. During analysis, the pump 602 drives the gas to flow in the circulating air circuit (the flow of gas in the pipeline is plug flow), and the gas passes through the sensor After the measurement at 801 is filtered through the NO filter 901, the NO concentration drops to 0, and this part of the gas will return to the gas chamber 401, so that when the breath collected by the gas chamber 401 is completely analyzed, the response current of the sensor will occur sudden change (zero point current), the concentration corresponding to this time point is the concentration of exhaled NO at the end of breath sampling;

由于事先标定好已采样气体流量(约10ml/s)及分析气体流量(约1ml/s),相当于每秒的呼出气体可在传感器上测量10秒,测量时间被放大了10倍,由上所述呼气采样结束的时间与分析时出现零点电流的拐点时间的一致的,由此可找到呼气流量与呼气NO测量值间的数据对应关系; Since the sampled gas flow (about 10ml/s) and the analyzed gas flow (about 1ml/s) have been calibrated in advance, the exhaled gas per second can be measured on the sensor for 10 seconds, and the measurement time is magnified by 10 times. From the above The time at which the breath sampling ends is consistent with the inflection point time of the zero current during analysis, so that the data correspondence between the expiratory flow rate and the measured value of exhaled NO can be found;

5)计算: 5) Calculate:

根据修正后的呼气流量与呼气NO间对应关系计算Jaw, Ca及FeNO50; Calculate Jaw, Ca and FeNO50 according to the corresponding relationship between the corrected expiratory flow and exhaled NO;

6)自标定: 6) Self-calibration:

要实现对传感器灵敏度的自标定,首先要在气室401中收集浓度均一的NO气体(不必知道具体浓度),这可通过关闭阀门301 ,调整三通阀302、303, 打开泵601、602直接抽气采样实现,此时气流方向分为两路,一路为:NO气源、流量传感器101、流量调节器201、气室401、三通501、泵601然后排空,另一路为:NO气源、流量传感器101、流量调节器201、气室401、三通501、泵602、气体湿度调节装置701、NO传感器801、三通阀303、302然后排空; In order to realize the self-calibration of the sensor sensitivity, it is first necessary to collect NO gas with a uniform concentration in the gas chamber 401 (it is not necessary to know the specific concentration), which can be achieved by closing the valve 301, adjusting the three-way valves 302 and 303, and opening the pumps 601 and 602 directly. The air extraction sampling is realized. At this time, the air flow direction is divided into two paths, one path is: NO gas source, flow sensor 101, flow regulator 201, air chamber 401, tee 501, pump 601 and then emptied, and the other path is: NO gas Source, flow sensor 101, flow regulator 201, gas chamber 401, tee 501, pump 602, gas humidity regulator 701, NO sensor 801, three-way valve 303, 302 and then empty;

自标定时调整三通阀302、303位置,通过泵602使气室401中的气体通过三通501、泵602、气体湿度调节器701、NO传感器801、三通阀303、302回到气室401,这样通过2~3次循环测量分析,便可通过专利ZL201210207872.6公开的方法直接计算气室401中NO气体浓度,进而根据循环过程NO传感器801的响应电流计算其对NO响应的灵敏度,实现自标定。 Adjust the positions of the three-way valves 302 and 303 during self-calibration, and the gas in the gas chamber 401 will return to the gas chamber through the three-way 501, the pump 602, the gas humidity regulator 701, the NO sensor 801, and the three-way valves 303 and 302 through the pump 602 401, in this way, through 2~3 cycles of measurement and analysis, the NO gas concentration in the gas chamber 401 can be directly calculated by the method disclosed in the patent ZL201210207872.6, and then the sensitivity to NO response can be calculated according to the response current of the NO sensor 801 during the cycle, Realize self-calibration.

应用实施例二Application Example 2

图3为实现本发明方法的的一种另一种装置的气路结构示意图,所述装置由采样模块100与分析模块200构成,其结构特点为所述采样模块由流量传感器101、流量调节器201,电磁阀301串联组成,在流量调节器201及电磁阀301间通过三通(未表明)与分析模块中的电磁阀303相连;所述分析模块依次由电磁阀303、气室401、三通501、分析泵602、气体湿度调节器701(如Nafion管)、NO传感器801、三通阀302构成循环气路;泵601通过三通501与气室401相连,NO过滤器901通过三通阀303接入分析气路。 Fig. 3 is a schematic diagram of the gas path structure of another device for realizing the method of the present invention. The device is composed of a sampling module 100 and an analysis module 200, and its structural feature is that the sampling module consists of a flow sensor 101, a flow regulator 201, the electromagnetic valve 301 is connected in series, and the flow regulator 201 and the electromagnetic valve 301 are connected with the electromagnetic valve 303 in the analysis module through a three-way (not shown); the analysis module is sequentially composed of an electromagnetic valve 303, an air chamber 401, Pass 501, analysis pump 602, gas humidity regulator 701 (such as Nafion tube), NO sensor 801, and three-way valve 302 form a circulating gas circuit; the pump 601 is connected to the gas chamber 401 through the three-way 501, and the NO filter 901 is The valve 303 is connected to the analysis gas circuit.

利用该装置进行一口气变流量呼气测量时过程如下: The process of using the device to measure breath variable flow rate exhalation is as follows:

1)呼气: 1) Exhale:

打开阀门301,受试者吸入干净空气后,持续大力呼气维持6~10秒,在呼气过程中通过程序控制流量调节器调整控制呼气流量,使其以预设的流速程序变化(如线性下降),流量传感器101测量实时测量记录呼气流量随时间变化曲线; Open the valve 301, after the subject inhales clean air, continue to exhale vigorously for 6-10 seconds, and adjust and control the expiratory flow through the program control flow regulator during the exhalation process, so that it changes with the preset flow rate program (such as linear decline), the flow sensor 101 measures the real-time measurement and record expiratory flow curve with time;

2)采样: 2) Sampling:

在呼气的同时,打开采样泵601、分析泵602,调整三通阀303、302位置,将呼气全过程呼出的气体的一部分收集在细长管气室401中,此时采样气体的一部分经气室401、三通501及采样泵601排空;另一部分经气室401、三通501、分析泵602、湿度调节器701、NO传感器801及三通阀302排空,此时气体总流速约为10ml/s,采样时间6~10秒; While exhaling, turn on the sampling pump 601 and analysis pump 602, adjust the positions of the three-way valves 303 and 302, and collect a part of the exhaled gas during the whole process of exhalation in the slender tube air chamber 401. At this time, a part of the sampling gas The gas chamber 401, tee 501 and sampling pump 601 are emptied; the other part is evacuated through the gas chamber 401, tee 501, analysis pump 602, humidity regulator 701, NO sensor 801 and three-way valve 302. The flow rate is about 10ml/s, and the sampling time is 6~10 seconds;

3)测量: 3) Measure:

采样完成后关闭阀门301及流量调节器201,关闭采样阀601,打开分析泵602,调整三通阀302、303的位置使气体流动方向变为:空气、NO过滤器901、气室401、三通501、分析泵602、湿度调节器701、NO传感器801、三通阀302然后排空, 此时气体流速约为1ml/s,整个分析过程时间约为120秒,在分析全过程记录传感器响应随时间变化曲线;气体通过NO过滤器901后传感器测得的稳态电流为零点电流; After the sampling is completed, close the valve 301 and the flow regulator 201, close the sampling valve 601, open the analysis pump 602, adjust the positions of the three-way valves 302 and 303 so that the gas flow direction becomes: air, NO filter 901, gas chamber 401, and three-way valve. Pass through 501, analysis pump 602, humidity regulator 701, NO sensor 801, three-way valve 302 and then empty. At this time, the gas flow rate is about 1ml/s, and the entire analysis process takes about 120 seconds. Record the sensor response during the whole analysis process Time-varying curve; the steady-state current measured by the sensor after the gas passes through the NO filter 901 is the zero-point current;

4)同步: 4) Synchronization:

在呼气采样结束时的呼气气体收集在细长气室401的最末端,在分析时泵602驱动气体在气路中流动(气体在管路中的流动为活塞流),空气经通过NO过滤器901过滤后,NO浓度降为0,这部分气体会推动气室401的气体向前移动,这样当气室401收集的呼气被全部分析完后,传感器的响应电流将会发生突变(零点电流),此时间点对应的浓度就是呼气采样结束时呼气NO的浓度; At the end of breath sampling, the exhaled gas is collected at the end of the elongated air chamber 401. During analysis, the pump 602 drives the gas to flow in the air circuit (the flow of gas in the pipeline is plug flow), and the air passes through the NO After filtering by the filter 901, the NO concentration drops to 0, and this part of the gas will push the gas in the gas chamber 401 to move forward, so that when the breath collected by the gas chamber 401 is completely analyzed, the response current of the sensor will change suddenly ( Zero point current), the concentration corresponding to this time point is the concentration of exhaled NO at the end of breath sampling;

由于事先标定好已采样气体流量(约10ml/s)及分析气体流量(约1ml/s),相当于每秒的呼出气体可在传感器上测量10秒,测量时间被放大了10倍,由上所述呼气采样结束的时间与分析时出现零点电流的拐点时间的一致的,由此可找到呼气流量与呼气NO测量值间的数据对应关系; Since the sampled gas flow (about 10ml/s) and the analyzed gas flow (about 1ml/s) have been calibrated in advance, the exhaled gas per second can be measured on the sensor for 10 seconds, and the measurement time is magnified by 10 times. From the above The time at which the breath sampling ends is consistent with the inflection point time of the zero current during analysis, so that the data correspondence between the expiratory flow rate and the measured value of exhaled NO can be found;

5)计算: 5) Calculate:

根据修正后的呼气流量与呼气NO间对应关系计算Jaw, Ca及FeNO50; Calculate Jaw, Ca and FeNO50 according to the corresponding relationship between the corrected expiratory flow and exhaled NO;

6)自标定: 6) Self-calibration:

要实现对传感器灵敏度的自标定,首先要在气室401中收集浓度均一的NO气体(不必知道具体浓度),这可通过关闭阀门301 ,调整三通阀302、303, 打开泵601、602直接抽气采样实现,此时气流方向分为两路,一路为:NO气源、流量传感器101、流量调节器201、三通303、气室401、三通501、泵601然后排空,另一路为:NO气源、流量传感器101、流量调节器201、三通303、气室401、三通501、泵602、气体湿度调节装置701、NO传感器901、三通阀302、然后排空; In order to realize the self-calibration of the sensor sensitivity, it is first necessary to collect NO gas with a uniform concentration in the gas chamber 401 (it is not necessary to know the specific concentration), which can be achieved by closing the valve 301, adjusting the three-way valves 302 and 303, and opening the pumps 601 and 602 directly. Pumping sampling is realized. At this time, the air flow direction is divided into two paths, one path is: NO gas source, flow sensor 101, flow regulator 201, tee 303, air chamber 401, tee 501, pump 601 and then evacuated, and the other path It is: NO gas source, flow sensor 101, flow regulator 201, three-way valve 303, gas chamber 401, three-way valve 501, pump 602, gas humidity adjustment device 701, NO sensor 901, three-way valve 302, and then empty;

自标定时调整三通阀302、303位置,通过泵602使气室401中的气体通过三通501、泵602、气体湿度调节器701、NO传感器801、三通阀302、303回到气室401,这样通过2~3次循环测量分析,便可通过专利ZL201210207872.6公开的方法直接计算气室401中NO气体浓度,进而根据循环过程NO传感器801的响应电流计算其对NO响应的灵敏度,实现自标定。 Adjust the positions of the three-way valves 302 and 303 during self-calibration, and the gas in the gas chamber 401 is returned to the gas chamber through the three-way 501, the pump 602, the gas humidity regulator 701, the NO sensor 801, and the three-way valves 302 and 303 through the pump 602 401, in this way, through 2~3 cycles of measurement and analysis, the NO gas concentration in the gas chamber 401 can be directly calculated by the method disclosed in the patent ZL201210207872.6, and then the sensitivity to NO response can be calculated according to the response current of the NO sensor 801 during the cycle, Realize self-calibration.

Claims (2)

1. one breath multiparameter expiration nitric oxide measurement mechanism, be made up of sampling module (100) and analysis module (200), it is characterized in that: described sampling module is by flow sensor (101), flow regulator (201), solenoid valve (301) is composed in series, and is connected between flow regulator (201) and solenoid valve (301) by threeway with the air chamber (401) in analysis module; Described analysis module forms circulation gas circuit by air chamber (401), threeway (501), analysis pump (602), gas humidity regulator (701), NO sensor (801), NO filtrator (901) and T-valve (302) successively; Pump (601) is connected with air chamber (401) by threeway (501), a T-valve (303) in parallel between NO filtrator (901) with NO sensor (801).
2. one breath multiparameter expiration nitric oxide measurement mechanism, be made up of sampling module (100) and analysis module (200), it is characterized in that: described sampling module is by flow sensor (101), flow regulator (201), solenoid valve (301) is composed in series, and is connected between flow regulator (201) and solenoid valve (301) by threeway with the solenoid valve (303) in analysis module; Described analysis module forms circulation gas circuit by solenoid valve (303), air chamber (401), threeway (501), analysis pump (602), gas humidity regulator (701), NO sensor (801), T-valve (302) successively; Pump (601) is connected with air chamber (401) by threeway (501), and NO filtrator (901) is by T-valve (303) connect into analysis gas circuit.
CN201420731042.8U 2014-11-28 2014-11-28 Multi-parameter exhaled nitric oxide measuring device in one breath Expired - Lifetime CN204269592U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420731042.8U CN204269592U (en) 2014-11-28 2014-11-28 Multi-parameter exhaled nitric oxide measuring device in one breath

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420731042.8U CN204269592U (en) 2014-11-28 2014-11-28 Multi-parameter exhaled nitric oxide measuring device in one breath

Publications (1)

Publication Number Publication Date
CN204269592U true CN204269592U (en) 2015-04-15

Family

ID=52804453

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201420731042.8U Expired - Lifetime CN204269592U (en) 2014-11-28 2014-11-28 Multi-parameter exhaled nitric oxide measuring device in one breath

Country Status (1)

Country Link
CN (1) CN204269592U (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105445343A (en) * 2014-11-28 2016-03-30 无锡市尚沃医疗电子股份有限公司 Method and device for measuring nitric oxide of one-breath multi-parameter expiration
CN105388256B (en) * 2015-12-04 2017-07-07 无锡市尚沃医疗电子股份有限公司 The measuring method of breathing and circulatory system Gas Molecular Density in expiratory air
CN116660509A (en) * 2023-06-01 2023-08-29 青岛瑞谱乐医疗科技有限公司 Exhaled gas detection method

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105445343A (en) * 2014-11-28 2016-03-30 无锡市尚沃医疗电子股份有限公司 Method and device for measuring nitric oxide of one-breath multi-parameter expiration
CN105445343B (en) * 2014-11-28 2019-01-11 无锡市尚沃医疗电子股份有限公司 One breath multi-parameter expiration nitric oxide measurement method and device
CN105388256B (en) * 2015-12-04 2017-07-07 无锡市尚沃医疗电子股份有限公司 The measuring method of breathing and circulatory system Gas Molecular Density in expiratory air
CN116660509A (en) * 2023-06-01 2023-08-29 青岛瑞谱乐医疗科技有限公司 Exhaled gas detection method

Similar Documents

Publication Publication Date Title
CN105388274B (en) A kind of measurement apparatus of expiration nitric oxide and carbonomonoxide concentration
CN105445343B (en) One breath multi-parameter expiration nitric oxide measurement method and device
AU2015231003B2 (en) Selection, segmentation and analysis of exhaled breath for airway disorders assessment
JP5706893B2 (en) Method and apparatus for determining discharged nitric oxide
CN104023632B (en) The method and device of the component of measurement expired gass
JP6698527B2 (en) Newborn carbon dioxide measurement system
CN110742612A (en) Breath selection for analysis
KR20140104406A (en) End-tidal gas monitoring apparatus
CN105496412B (en) A kind of expiration inflammation monitoring method and device
CN101393199A (en) Breath detection device
CN205263092U (en) Measurement device for expiration nitric oxide and carbon monoxide concentration
CN110226931A (en) A kind of breath analysis device and application method
CN111407280B (en) End-tidal CO of noninvasive ventilator2Monitoring device and method
WO2020103281A1 (en) Apparatus for detecting exhaled gas and detection method
CN204269592U (en) Multi-parameter exhaled nitric oxide measuring device in one breath
WO2023155612A1 (en) Multi-respiratory-tract gas detection system and control method therefor
CN204269593U (en) Multi-parameter exhaled nitric oxide measuring device in one breath
CN218391088U (en) Gas detection system of many respiratory tracts
CN104391107A (en) Method for measuring nitric oxide in expired gas without need of controlling expiratory flow
CN204287103U (en) Multiparameter expiration nitric oxide measurement mechanism without a break
GB2544541A (en) Method and device for measurement of exhaled respiratory gas temperature from specific regions of the airway
Huang et al. Exhaled breath acetone for therapeutic monitoring in pneumonia using selected ion flow tube mass spectrometry (SIFT-MS)
CN216628540U (en) Lung lobe ventilation function detection device
EP2248464B1 (en) Use of endogenous generated particles in the expired air of people to diagnose lung sicknesses
CN106264533B (en) A method of measurement expiration nitric oxide air flue diffusion coefficient

Legal Events

Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
CX01 Expiry of patent term

Granted publication date: 20150415

CX01 Expiry of patent term