CN212235549U - Intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and assessment - Google Patents
Intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and assessment Download PDFInfo
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- CN212235549U CN212235549U CN202021083282.3U CN202021083282U CN212235549U CN 212235549 U CN212235549 U CN 212235549U CN 202021083282 U CN202021083282 U CN 202021083282U CN 212235549 U CN212235549 U CN 212235549U
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Abstract
The utility model relates to the field of rehabilitation assistance, in particular to an intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and evaluation, which is formed by combining an elastic part, an auxiliary component, a baffle, a water absorbing part, a pressure sensor and a terminal; an oxygen connector is arranged on the side surface of the first gas flow channel, oxygen is supplied to the first gas flow channel through the oxygen connector, when a patient inhales through the second gas flow channel and then pulls the oscillating piece, oxygen in the first gas flow channel enters the second gas flow channel along with the inhalation of the patient, and the patient inhales in the first gas flow channel and the second gas flow channel and can inhale the oxygen; the second gas flow channel is suitable for a patient needing suction muscle exercise, suction is carried out through the second gas flow channel, and the suction pulls the oscillation piece to compress the resistance spring; the first gas flow channel is suitable for a patient needing to exhale muscle exercise, exhales to the first gas flow channel, and exhales to push the oscillating piece to compress the resistance spring; the oscillating piece moves back and forth to generate oscillating waves, and secretion of the patient is promoted to be eliminated.
Description
Technical Field
The utility model relates to a recovered supplementary field indicates especially an intelligent respiratory rehabilitation device that can assist sputum ejection, pronunciation and aassessment.
Background
Dyspnea, cough, and expectoration are common symptoms of respiratory diseases, the dyspnea affects the ability of a patient to clear airway secretions, and the increase in airway secretions (sputum) aggravates the dyspnea, so that the dyspnea must be improved and the airway secretions must be cleared effectively in time.
When the respiratory difficulty of a patient is related to hypoxemia, oxygen inhalation is beneficial to improving the respiratory difficulty, but the inhaled oxygen is not humidified and heated, the airway secretion loses moisture, sputum scab is easily formed, the airway obstruction and the respiratory difficulty are further aggravated, for the patient with tracheotomy and tracheal intubation, as the inhaled gas bypasses the upper airway, the sputum scab formation of the tracheotomy cannula and the tracheal intubation caused by insufficient humidifying and heating of the inhaled gas is more common, and the consequences are more serious, and the sputum scab of the tracheotomy cannula and the tracheal intubation can cause repeated lung infection; in order to humidify and heat the inhaled gas, a humidifying and heating device can be additionally arranged, and an artificial nose can also be adopted.
The temperature of the air exhaled by a normal person is 37 ℃, the relative humidity is 100%, the absolute humidity is 44mg/L, when the air passes through the artificial nose with the stored moisture heat, the moisture and the heat of the air exhaled are stored on the artificial nose, and when the air is inhaled next time, the air can be humidified and heated through the artificial nose with the stored moisture and the heat.
The course of cough is: after the patient deeply inhales, the vocal cords are closed, the muscles of the exhalation are strongly contracted, the glottis is suddenly closed, the pressure of the airway is suddenly reduced, and the airway secretions are discharged by the jet airflow. The ability to cough is therefore related to the muscle strength of the inspiratory and expiratory muscles. Respiratory muscles are skeletal muscles, and rehabilitation exercises comprise muscle strength exercises and endurance exercises; the muscle strength exercise is isometric contraction by overcoming the maximum resistance to inspiration or expiration, and the endurance exercise is repeated contraction under a certain load.
The rehabilitation exercise of breathing muscles of the mechanical ventilation patient is beneficial to shortening the ventilation time and improving the off-line success rate and the success rate of removing the tracheal cannula or the tracheotomy cannula.
The capacity of clearing the air passage secretion is related to the strength of inspiration muscle and expiration muscle and the fluidity of phlegm, and the air passage secretion generates co-frequency oscillation through mechanical oscillation waves synchronized with inspiration or expiration, so that the capacity of clearing the air passage secretion by a patient is improved.
When the patient with tracheotomy is cured and the condition of the patient is improved and the patient does not have dyspnea, the patient can pronounce through the auxiliary device, and the mechanism is as follows: the auxiliary pronunciation device has no resistance to inspiration and resistance to expiration; after gaseous whole taking out in cutting open sheathed tube gasbag with patient's trachea, connect pronunciation auxiliary device in the trachea and cut open the sleeve pipe, when the patient breathes in, gaseous through auxiliary device, trachea cut open the sleeve pipe and reach the lung, during the expiration, because auxiliary device's expiration resistance is higher than the upper airway, the expired gas is through trachea cut trachea, larynx, pharynx, the oral cavity exhalation more than the opening, when gaseous vocal cords through the larynx, the patient can pronounce.
The prior patents (such as CN201420266534.4, CN201520495504.5 and 201320103951.2, US6581598 and US 7059324) related to respiratory muscle rehabilitation exercise, sputum excretion and oxygen inhalation functional equipment all have the following problems:
1. the functional structures of the expiratory muscle and the inspiratory muscle exercise, the atomization inhalation, the positive expiratory pressure, the common-frequency oscillation sputum excretion, the oxygen inhalation and the auxiliary tracheotomy patient pronunciation are all independent, the rehabilitation functions can not be realized at the same time, some functions of the expiratory muscle exercise and the sputum excretion are provided, but the two functions are exclusive, namely, only one function can be realized.
2. There is no product suitable for respiratory muscle rehabilitation exercises of tracheotomy or tracheal intubation.
SUMMERY OF THE UTILITY MODEL
In order to solve the problem, the utility model provides a can assist the intelligent breathing rehabilitation device of sputum ejection, pronunciation and aassessment, its aim at solves the problem of sputum ejection device function singleness among the prior art.
The utility model provides a can assist intelligent breathing rehabilitation device of sputum discharging, pronunciation and aassessment, other purposes are: the clinical problem of medical product among the prior art can't be applicable to the respiratory muscle to tracheotomy or trachea cannula and carry out the rehabilitation exercise is solved. In order to achieve the above object, the utility model adopts the following technical scheme: the utility model provides a can assist intelligent breathing rehabilitation device of sputum ejection, pronunciation and aassessment which characterized in that:
the two ends of the auxiliary assembly are of an open structure, an elastic part which is divided into a first gas flow passage and a second gas flow passage is arranged in the auxiliary assembly, the elastic part is formed by connecting a resistance spring and a vibration sheet, the inner wall of the auxiliary assembly is provided with a baffle plate which is positioned in the first gas flow passage and the second gas flow passage, the baffle plate extends towards the central axis direction of the auxiliary assembly and is not connected with each other, and the resistance spring and the vibration sheet are abutted against the baffle plate;
the water absorbing pieces are distributed in the first gas flow channel area and the second gas flow channel area;
the pressure sensors are distributed in the first gas flow channel and the second gas flow channel and on the oscillating sheet;
the terminal is in signal connection with the pressure sensor;
the surface of the auxiliary component is provided with an oxygen connector and a first compensation one-way air inlet which are communicated with the first gas flow channel, and a second compensation one-way air outlet which is communicated with the second gas flow channel, the inner wall of the first gas flow channel is provided with a first gas flow channel elastic sheet corresponding to the oxygen connector and the first compensation one-way air inlet, and the outer wall of the second gas flow channel is provided with a second gas flow channel elastic sheet corresponding to the second compensation one-way air outlet.
Further, the water absorbing member is a sponge made of polyurethane.
Furthermore, the auxiliary assembly is formed by connecting two shells in a threaded manner, and the elastic piece is positioned at the connecting position between the two shells.
Furthermore, the baffle plate positioned in the first gas flow passage is a first baffle plate, the baffle plate positioned in the second gas flow passage is a second baffle plate, and the distance between the first baffle plate and the central axis of the auxiliary assembly is longer than the distance between the second baffle plate and the central axis of the auxiliary assembly.
Furthermore, the water absorption device also comprises a mouthpiece, wherein the mouthpiece is detachably connected with two ends of the auxiliary assembly, and the water absorption piece is positioned between the mouthpiece and the auxiliary assembly.
Further, a gap is formed between the water absorbing piece and the first gas flow passage and between the water absorbing piece and the second gas flow passage.
The beneficial effects of the utility model reside in that:
1. the utility model is composed of an elastic component, an auxiliary component, a baffle, a water absorbing component, a pressure sensor and a terminal; an oxygen connector is arranged on the side surface of the first gas flow channel, oxygen is supplied to the first gas flow channel through the oxygen connector, when a patient inhales through the second gas flow channel and then pulls the oscillating piece, oxygen in the first gas flow channel enters the second gas flow channel along with the inhalation of the patient, and the patient inhales in the first gas flow channel and the second gas flow channel and can inhale the oxygen; the second gas flow channel is suitable for a patient needing suction muscle exercise, suction is carried out through the second gas flow channel, and the suction pulls the oscillation piece to compress the resistance spring; the first gas flow channel is suitable for a patient needing to exhale muscle exercise, exhales to the first gas flow channel, and exhales to push the oscillating piece to compress the resistance spring; the shock wave generated in the reciprocating movement process of the shock piece enters the airway of the patient to promote secretion to be removed; the water absorbing member is used for maintaining the temperature and humidity inside the auxiliary assembly;
2. the first gas flow passage and the second gas flow passage can be connected with the opening of the tracheotomy tube or the tracheal intubation and are suitable for respiratory muscle exercise of patients with tracheotomy or tracheal intubation.
Drawings
Fig. 1 is a sectional view of the present invention.
The reference numbers illustrate: 1-a first gas flow channel; 100-an auxiliary component; 2-a second gas flow channel;
3-a resistance spring; 4-oscillating piece; 5-a pressure sensor; 6-oxygen connecting port;
7-a first compensating unidirectional air inlet; 8-a second compensation one-way air outlet; 9-a first gas flow channel elastic sheet;
10-a second gas flow channel elastic sheet; 11-a water absorbing member; 12-a wireless signal transmitter; 13-clearance;
14-mouthpiece; 15-a first baffle; 16-second baffle.
Detailed Description
Please refer to fig. 1, the present invention relates to a terminal having a data processing function for making the technical solution clearer and more obvious, and further explained by combining the specification and the drawings, and the terminal is a single chip microcomputer of the prior art, and the single chip microcomputer can realize the data processing function, therefore, the single chip microcomputer model is not repeated.
The utility model discloses a can assist intelligent breathing rehabilitation device of sputum discharging, pronunciation and aassessment, its characterized in that:
the gas flow path structure comprises an auxiliary assembly 100, two ends of the auxiliary assembly 100 are of an open structure, an elastic part which is divided into a first gas flow path 1 and a second gas flow path 2 is arranged in the auxiliary assembly 100, the elastic part is formed by connecting a resistance spring 3 and a vibration sheet 4, baffles which are positioned in the first gas flow path 1 and the second gas flow path 2 are arranged on the inner wall of the auxiliary assembly 100, the baffles extend towards the central axis direction of the auxiliary assembly 100 and are not connected with each other, and the resistance spring 3 and the vibration sheet 4 are abutted against the baffles;
the water absorbing pieces 11 are distributed in the first gas flow passage 1 and the second gas flow passage 2;
the pressure sensors 5 are distributed in the first gas flow channel 1 and the second gas flow channel 2 and on the oscillating sheet 4;
and the terminal is in signal connection with the pressure sensor 5.
The surface of the auxiliary component 100 is provided with an oxygen connector 6 and a first compensation one-way air inlet 7 which are communicated with the first gas flow channel 1, and a second compensation one-way air outlet 8 which is communicated with the second gas flow channel 2, the inner wall of the first gas flow channel 1 is provided with a first gas flow channel elastic sheet 9 corresponding to the oxygen connector 6 and the first compensation one-way air inlet 7, and the outer wall of the second gas flow channel 2 is provided with a second gas flow channel elastic sheet 10 corresponding to the second compensation one-way air outlet 8.
The specific use principle is as follows:
the first gas flow passage 1 and the second gas flow passage 2 are both used for respiratory exercise and auxiliary sputum excretion, and the oxygen connector 6 is suitable for auxiliary sputum excretion of patients suffering from hypoxemia.
It should be noted that one end of the first gas flow channel elastic sheet 9 is fixed on the inner wall of the first gas flow channel 1, and the other end of the first gas flow channel elastic sheet 9 is respectively inclined to the central axis of the auxiliary component 100 along the directions of the oxygen connection port 6 and the first compensation unidirectional gas inlet 7.
One end of the second gas flow channel elastic sheet 10 is fixed on the outer wall of the second gas flow channel 2, and the other end of the second gas flow channel elastic sheet 10 is inclined outside the auxiliary assembly 100 along the direction of the second compensation one-way gas outlet 8.
The two ends of the auxiliary component 100 are respectively a first gas flow channel opening and a second gas flow channel opening, in a natural state, the oscillation plate 4 is abutted against the baffle under the action of elastic force, so that the gas exchange between the first gas flow channel 1 and the second gas flow channel 2 cannot be carried out, the oxygen connection port 6 and the first compensation one-way air inlet 7 are disconnected from the communication between oxygen and external air under the action of the first gas flow channel elastic plate 9, in the alternate process of inspiration and expiration, the first gas flow channel elastic plate 9 is influenced by air pressure to close or open the oxygen connection port 6 and the first compensation one-way air inlet 7, the first gas flow channel 1 is in a state between the maximum inspiration negative pressure and atmospheric pressure of a patient by matching with the elastic member, and the maximum inspiration negative pressure of each patient is determined according to each condition, and therefore, specific interval values of the auxiliary component are not repeated.
The method comprises the following specific steps:
exhale from first gas runner opening in to first gas runner 1, it is in the vibration state under the effect of atmospheric pressure to vibrate piece 4, the vibration wave that is produced by vibrating piece 4 is to spreading all around and entering into human air flue, the vibration frequency that utilizes the vibration wave makes air flue endocrine produce resonance and vibrate, promote the secretion to eliminate, of course, vibrate piece 4 and receive the atmospheric pressure effect and compress resistance spring 3, the messenger vibrates piece 4 and separates with the baffle, first gas runner 1 and 2 intercommunications of second gas runner, the air current of exhaling is discharged to the external world by second gas runner opening through second gas runner 2.
It should be noted that the path of the exhaled air is: firstly on water sucking piece 11 goes to shaking piece 4 again, and be mingled with moisture in the expired gas to this moisture contains certain temperature, so, water sucking piece 11 absorbs moisture, and in the follow-up inspiration process, the new air drives the moisture heat on water sucking piece 11 and enters into human lung again, avoids appearing the phenomenon of phlegm scab.
When a patient inhales from the opening of the first gas flow channel, the first gas flow channel elastic sheet 9 is influenced by the air pressure, the oxygen connecting port 6 and the first compensation one-way air inlet 7 are opened, and oxygen and air are inhaled into the lung; the inhaled oxygen and air are humidified and heated by the moisture heat stored in the water absorbing piece 11 during passing through the water absorbing piece 11, so that the air inhaled into the lung has certain humidity and temperature; when the patient exhales, the temperature of the exhaled air is 37 ℃, the relative humidity is 100%, and during the exhaled air passes through the water absorbing piece 11, the moisture and heat of the exhaled air are absorbed and stored in the water absorbing piece 11, so that the subsequently inhaled air is humidified and heated; when the exhaled gas reaches the first gas flow channel 1, positive pressure is generated in the first gas flow channel 1, the first compensation one-way gas inlet 7 and the oxygen connecting port 6 are closed, and oxygen and air (or atomized gas) are stopped being supplied to the first gas flow channel 1; the exhaled gas is discharged to the second gas flow channel 2 through the intermediate oscillating piece 4.
When the pressure in the first gas flow passage 1 is repeatedly higher than the resistance of the resistance spring 3 due to continuous expiration, the oscillation piece 4 generates oscillation waves in the same phase as the expiration in the first gas flow passage 1 under the repeated resetting of the resistance spring 3.
When the pressure in the second gas flow passage 2 is sucked, the pressure in the second gas flow passage 2 is reduced, when the pressure is low enough and can overcome the resistance of the resistance spring 3, the oscillating plate 4 pulls the resistance spring 3 to enable the oscillating plate 4 to be separated from the baffle, the first gas flow passage 1 is communicated with the second gas flow passage 2, the air pressure of the second gas flow passage 2 returns to the normal pressure, the oscillating plate 4 and the resistance spring 3 reset, and when the pressure in the second gas flow passage 2 repeatedly drops due to continuous suction and can overcome the resistance of the oscillating plate 4 and the resistance spring 3, the oscillating plate 4 enables the second gas flow passage 2 to generate suction in-phase oscillating waves under the action of repeated resetting of the resistance spring 3; the inhaled oxygen and air pass through the water absorbing piece 11 and are humidified and heated by the water heat stored in the water absorbing piece 11, so that the air inhaled into the lung has certain humidity and temperature; when the patient exhales, the temperature of the exhaled gas is 37 ℃, the relative humidity is 100%, and the moisture and heat of the exhaled gas are absorbed and stored in the water absorbing piece 11 of the second gas flow channel 2, so that the inhaled gas is humidified and heated; the exhaled air directly passes through the second compensation one-way air outlet 8 and is directly discharged after passing through the water absorbing piece 11 of the second air flow channel 2.
Pressure changes of three positions are simultaneously recorded in real time through the pressure sensors 5 positioned on the first gas flow channel 1, the oscillation sheet 4 and the second gas flow channel 2, real-time data analysis is carried out through a terminal, and an inspiration muscle force-time curve, an expiration muscle force-time curve and an airway oscillation frequency-time curve based on the three pressure sensors 5 are formed.
In this concrete example, still be equipped with the wireless signal transmitter 12 with the terminal matching, the signal that pressure sensor 5 detected can construct corresponding APP or similar functional mobile software according to the terminal on transmitting the terminal through wireless signal transmitter 12, through communication technology, realize remote monitoring management and guide recovered, can observe the terminal automatic analysis diagnostic inspiratory muscle power, expiratory muscle power, pulmonary function, the pronunciation condition through the corresponding application software of cell-phone installation promptly, guide patient's further recovered exercise.
Further, the absorbent member 11 is a sponge made of polyurethane.
Further, the auxiliary assembly 100 is formed by connecting two shells through threads, and the elastic member is located at the connection position between the two shells; by adopting the scheme, when the patient exhales through the inlet and the outlet of the first air flow channel, the resistance spring 3 is compressed or expanded by adjusting the relative rotation of the two shells according to the maximum exhalation resistance which can be overcome by the patient, so that the aims of exercising the exhalation muscles and the inhalation muscles are fulfilled.
When the first gas flow passage 1 is connected with a tracheotomy tube of a patient and gas in a gasbag of the tracheotomy tube is removed at the same time, the patient has no upper airway obstruction, and the resistance of the resistance spring 3 is adjusted to be at least 20cmH2When O, the gas exhaled by the patient is discharged to the trachea, the larynx, the pharynx and the mouth above the tracheotomy opening with low resistance, and the patient can pronounce due to the fact that the airflow passes through the vocal cords of the larynx.
Further, the baffle plate located in the first gas flow channel 1 is a first baffle plate 15, the baffle plate located in the second gas flow channel 2 is a second baffle plate 16, and the distance between the first baffle plate 15 and the central axis of the auxiliary assembly 100 is longer than the distance between the second baffle plate 16 and the central axis of the auxiliary assembly 100.
Further, a mouthpiece 14 is included, the mouthpiece 14 is detachably connected to both ends of the auxiliary assembly 100, and the water absorbing member 11 is located between the mouthpiece 14 and the auxiliary assembly 100 to prevent cross-infection.
Further, a gap 13 is formed between the water absorbing member 11 and the first gas flow passage 1 and the second gas flow passage 2; by adopting the scheme, when the water absorbing piece 11 is sufficiently humidified and cannot breathe, the breathing can be carried out through the gap 13, the design aim is to prevent asphyxia, and when the humidity of the water absorbing piece 11 is reduced, the ventilation property is automatically recovered.
The above embodiments are only for describing the preferred embodiments of the present invention, and are not intended to limit the scope of the present invention, and various modifications and improvements made by the technical solution of the present invention by those skilled in the art are all within the scope of the present invention as defined by the claims.
Claims (6)
1. The utility model provides a can assist intelligent breathing rehabilitation device of sputum ejection, pronunciation and aassessment which characterized in that:
the two ends of the auxiliary assembly are of an open structure, an elastic part which is divided into a first gas flow passage and a second gas flow passage is arranged in the auxiliary assembly, the elastic part is formed by connecting a resistance spring and a vibration sheet, the inner wall of the auxiliary assembly is provided with a baffle plate which is positioned in the first gas flow passage and the second gas flow passage, the baffle plate extends towards the central axis direction of the auxiliary assembly and is not connected with each other, and the resistance spring and the vibration sheet are abutted against the baffle plate;
the water absorbing pieces are distributed in the first gas flow channel area and the second gas flow channel area;
the pressure sensors are distributed in the first gas flow channel and the second gas flow channel and on the oscillating sheet;
the terminal is in signal connection with the pressure sensor;
the surface of the auxiliary component is provided with an oxygen connector and a first compensation one-way air inlet which are communicated with the first gas flow channel, and a second compensation one-way air outlet which is communicated with the second gas flow channel, the inner wall of the first gas flow channel is provided with a first gas flow channel elastic sheet corresponding to the oxygen connector and the first compensation one-way air inlet, and the outer wall of the second gas flow channel is provided with a second gas flow channel elastic sheet corresponding to the second compensation one-way air outlet.
2. The intelligent respiratory rehabilitation device capable of assisting in sputum excretion, pronunciation and assessment according to claim 1, wherein: the water absorbing member is a sponge made of polyurethane.
3. The intelligent respiratory rehabilitation device capable of assisting in sputum excretion, pronunciation and assessment according to claim 1, wherein: the auxiliary assembly is formed by connecting two shells in a threaded manner, and the elastic piece is positioned at the joint between the two shells.
4. The intelligent respiratory rehabilitation device capable of assisting in sputum excretion, pronunciation and assessment according to claim 1, wherein: the baffle plate positioned in the first gas flow passage is a first baffle plate, the baffle plate positioned in the second gas flow passage is a second baffle plate, and the distance between the first baffle plate and the central axis of the auxiliary assembly is longer than the distance between the second baffle plate and the central axis of the auxiliary assembly.
5. The intelligent respiratory rehabilitation device capable of assisting in sputum excretion, pronunciation and assessment according to claim 1, wherein: the water absorption piece is positioned between the mouthpiece and the auxiliary component.
6. The intelligent respiratory rehabilitation device capable of assisting in sputum excretion, pronunciation and assessment according to claim 1, wherein: a gap is formed between the water absorbing piece and the first gas flow passage and between the water absorbing piece and the second gas flow passage.
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| CN202021083282.3U CN212235549U (en) | 2020-06-12 | 2020-06-12 | Intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and assessment |
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| CN202021083282.3U CN212235549U (en) | 2020-06-12 | 2020-06-12 | Intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and assessment |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114797029A (en) * | 2022-04-28 | 2022-07-29 | 浙江亿联康医疗科技有限公司 | Breathe rehabilitation training appearance |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114797029A (en) * | 2022-04-28 | 2022-07-29 | 浙江亿联康医疗科技有限公司 | Breathe rehabilitation training appearance |
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