CN215691455U - Audio-visual guiding type deep-inhalation breath-shielding breathing training instrument - Google Patents

Audio-visual guiding type deep-inhalation breath-shielding breathing training instrument Download PDF

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CN215691455U
CN215691455U CN202121796268.2U CN202121796268U CN215691455U CN 215691455 U CN215691455 U CN 215691455U CN 202121796268 U CN202121796268 U CN 202121796268U CN 215691455 U CN215691455 U CN 215691455U
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gas
chest
abdomen
audio
breathing
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王伟
肖锋
孙晓欢
王中飞
武少栋
张特
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Air Force Medical University of PLA
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Air Force Medical University of PLA
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Abstract

The invention discloses an audio-visual guiding type deep-inhalation breath-shielding breathing training instrument, which comprises three parts: the device comprises a gas flow monitoring part, a chest and abdomen mobility monitoring part and a control system; the gas flow monitoring part comprises a detachable mouth-nose breathing mask, a gas filter and a bidirectional gas mass flowmeter; the detachable mouth-nose breathing mask is connected with the bidirectional gas mass flowmeter through the gas filter; the chest and abdomen motility monitoring device comprises a chest waistband and an abdomen waistband, wherein the chest waistband and the abdomen waistband are internally provided with wearable flexible strain sensors 13 which are respectively arranged below a nipple connecting line and ribs above a navel, and the chest and abdomen respiration motility is measured and sent to a control system; the control system comprises a microprocessor, a power supply module, a video display, an audio player and an A/D, D/A conversion module, stores and processes return signals of various sensors, and moves the video display and the audio player to perform real-time audio-visual guidance on a patient. The invention can efficiently realize the respiratory training management before the simulation positioning of the patient.

Description

Audio-visual guiding type deep-inhalation breath-shielding breathing training instrument
Technical Field
The invention belongs to the technical field of breathing training instruments, and particularly relates to an audio-visual guiding type deep-inhalation breath-shielding breathing training instrument.
Background
In the clinical practice of radiotherapy, a medical autonomous respiration control system (ABC) is adopted to carry out deep inspiration breath-hold respiration training and record inspiration volume and breath-hold time, but because the equipment belongs to an imported medical instrument and has higher configuration cost, a radiotherapy technician needs to be orally guided in real time according to experience, the time and the labor are consumed for the respiration training of a patient, and if the respiration training is insufficient, the patient has poor dependence, the treatment time is obviously increased, and the accuracy of radiotherapy is reduced; on the other hand, the medical autonomous respiration control system only evaluates the thoracic fluctuation roughly by the inspiration volume, the breathing modes of people are changeable under different situations, the thoracic fluctuation difference of the same breathing mode with different inspiration volume is large, and therefore, in order to improve the body position repeatability and accuracy during radiotherapy, the breathing state of a patient needs to be monitored more comprehensively. The other type of respiratory movement management auxiliary equipment such as RPM (rotating speed counter), AlignRT (inverse speed counter), Catalyst and the like only monitors the body surface contour change of a patient during respiration, cannot comprehensively monitor the respiratory movement condition of the patient, belongs to an imported medical instrument and is high in configuration cost.
Disclosure of Invention
In order to overcome the technical problems, the invention aims to provide an audio-visual guiding type deep-inhalation breath-shielding breathing training instrument, which improves the repeatability of the breathing movement of a patient and the radiotherapy dependence by audio-visual guiding and reduces the workload of a radiotherapy technician; the breathing mode of a patient is actually monitored through the breathing monitoring suit, the breathing motion mode is comprehensively evaluated in combination with the gas flowmeter and the thoracic position change for real-time feedback adjustment, and breathing training management before patient simulation positioning is efficiently realized.
In order to achieve the purpose, the invention adopts the technical scheme that:
an audio-visual guiding type deep-inhalation breath-shielding breathing training instrument comprises three parts: the device comprises a gas flow monitoring part, a chest and abdomen mobility monitoring part and a control system;
the gas flow monitoring part comprises a detachable mouth-nose breathing mask 1, a gas filter 2 and a bidirectional gas mass flowmeter 3; the detachable mouth-nose breathing mask 1 is connected with a bidirectional gas mass flowmeter 3 through a gas filter 2;
the chest and abdomen motility monitoring device comprises a chest belt 4 and an abdomen belt 5, wherein the chest belt 4 and the abdomen belt 5 are internally provided with wearable flexible strain sensors 13 which are respectively arranged below a nipple connecting line and a rib above a navel, and the chest and abdomen respiration motility is measured and sent to a control system;
the control system comprises a microprocessor 6, a power module 7, a video display 8, an audio player and an A/D, D/A conversion module 9, and is used for realizing storage operation processing of signals returned by various sensors and moving the video display 8 and the audio player to carry out real-time audio-visual guidance on a patient.
Oronasal respirator 1 includes elastic bandage, and elastic bandage is used for being fixed in patient's head, keeps encapsulated situation with the oronasal, and gas filter 2 plays the clean effect of filtration to exhaling gas, in order to avoid unknown secretion to get into the gas transmission passageway, influence gas flowmeter's normal work, and two-way gas mass flowmeter 3 adopts positive and negative gas mass flowmeter to be used for realizing inhaling the monitoring of breathing gas volume, and monitoring signal feeds back control system's microprocessor obtains the curve of gas volume change along with time through the integral operation.
The input end of the microprocessor 6 is connected with the power supply module 7 and the A/D, D/A conversion module 9, the output end of the microprocessor is connected with the video display 8 and the audio player, the audio player comprises a loudspeaker 11 connected with the microprocessor 6 through a power amplifier 10, and the A/D, D/A conversion module 9 is connected with a wearable flexible strain sensor 13 of the bidirectional gas mass flowmeter 3.
The gas filter 2 is detachable structure, and comprises a filter cotton 12 arranged on the gas passage of the detachable mouth-nose breathing mask 1 and the bidirectional gas mass flowmeter 3.
Adopt threaded connection between gas filter 2, detachable oral-nasal respirator 1 and the two-way gaseous mass flow meter 3, if gas filter is contaminated, can dismantle the change.
The wearable flexible strain sensor 13 is a flexible capacitive strain sensor based on carbon nanotubes, a dielectric layer is arranged between a pair of stretchable electrodes, and the distance between the two electrodes is changed by the stretching strain, so that the capacitance is changed, and the change of the breathing profile of a human body is converted into an electric signal.
The invention has the beneficial effects.
The invention designs the chest and abdomen belt for monitoring the breathing mode, realizes more comprehensive monitoring on the breathing mode, inspiratory capacity, breathing cycle and breathing repeatability of a patient by combining a gas flowmeter, and obviously improves the pertinence and efficiency of the breathing training of the patient through real-time feedback adjustment.
2, by means of audio-visual guidance, the patient can see the variation of the inspiratory capacity of the patient along with the time, the pressure signals of the pectoral girdle and the abdominal girdle and the repeatability of the respiration and the respiration baseline in real time in the respiratory training process so as to adjust in time; the system establishes a breathing training baseline according to different breathing modes of patients, and automatically guides the patients to regularly carry out breathing training through sound, so that the continuity and consistency of the breathing training are improved, and the working difficulty and workload of radiotherapy technicians are reduced.
Description of the drawings:
FIG. 1 is a schematic structural diagram of the present invention.
FIG. 2 is a schematic view of a gas flow monitoring portion of the present invention.
Fig. 3 is a schematic diagram of a control system.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in fig. 1-3: an audio-visual guiding type deep-inhalation breath-shielding breathing training instrument comprises three parts: the device comprises a gas flow monitoring part, a chest and abdomen mobility monitoring part and a control system;
the gas flow monitoring part comprises a detachable mouth-nose breathing mask 1, a gas filter 2 and a bidirectional gas mass flowmeter 3; the detachable mouth-nose breathing mask 1 is connected with a bidirectional gas mass flowmeter 3 through a gas filter 2;
the chest and abdomen motility monitoring device comprises a chest belt 4 and an abdomen belt 5, wherein the chest belt 4 and the abdomen belt 5 are internally provided with wearable flexible strain sensors 13 which are respectively arranged below a nipple connecting line and a rib above a navel, and the chest and abdomen respiration motility is measured and sent to a control system;
the control system comprises a microprocessor 6, a power module 7, a video display 8, an audio player and an A/D, D/A conversion module 9, and is used for realizing storage operation processing of signals returned by various sensors and moving the video display 8 and the audio player to carry out real-time audio-visual guidance on a patient.
Oronasal respirator 1 includes elastic bandage, and elastic bandage is used for being fixed in patient's head, keeps encapsulated situation with the oronasal, and gas filter 2 plays the clean effect of filtration to exhaling gas, in order to avoid unknown secretion to get into the gas transmission passageway, influence gas flowmeter's normal work, and two-way gas mass flowmeter 3 adopts positive and negative gas mass flowmeter to be used for realizing inhaling the monitoring of breathing gas volume, and monitoring signal feeds back control system's microprocessor obtains the curve of gas volume change along with time through the integral operation.
The input end of the microprocessor 6 is connected with the power supply module 7 and the A/D, D/A conversion module 9, the output end of the microprocessor is connected with the video display 8 and the audio player, the audio player comprises a loudspeaker 11 connected with the microprocessor 6 through a power amplifier 10, and the A/D, D/A conversion module 9 is connected with a wearable flexible strain sensor 13 of the bidirectional gas mass flowmeter 3.
The gas filter 2 is detachable structure, and comprises a filter cotton 12 arranged on the gas passage of the detachable mouth-nose breathing mask 1 and the bidirectional gas mass flowmeter 3.
Adopt threaded connection between gas filter 2, detachable oral-nasal respirator 1 and the two-way gaseous mass flow meter 3, if gas filter is contaminated, can dismantle the change.
The wearable flexible strain sensor 13 is a flexible capacitive strain sensor based on carbon nanotubes, a dielectric layer is arranged between a pair of stretchable electrodes, and the distance between the two electrodes is changed by the stretching strain, so that the capacitance is changed, and the change of the breathing profile of a human body is converted into an electric signal.
The working principle of the invention is as follows:
before carrying out the respiratory training, need to wear chest, belly waistband and detachable oronasal respirator 1, connect chest, belly waist and control system wiring. The state during radiotherapy is simulated as much as possible, and the patient lies on the treatment bed in a supine position. This breathing training appearance has two kinds of mode: and (5) simulating and training. The simulation mode is that when a patient initially carries out breathing training, three times of deep inspiration breath-hold breathing training are carried out under the prompt guidance of an audio player so as to facilitate a system to acquire the change curve of the total inspiration and expiration amount of the patient along with time and the mobility data of the chest and the abdomen, and an average value is taken as a subsequent breathing training baseline; the patient breathes the training along with voice prompt under the training mode, and the dynamic real-time demonstration is breathed this breathing training and is breathed in expiration total amount change curve and chest belly dynamics data change on the display screen simultaneously, and the patient can be according to the difference of real-time supervision feedback data and baseline like this, and the real-time adjustment is breathed in and is breathed out the expiratory volume, and breath holding time and breathing mode can constantly improve breathing training repeatability and dependence, provide the guarantee for carrying out radiotherapy.

Claims (6)

1. The utility model provides an audio-visual guide formula deep breathing screen gas breathing training appearance which characterized in that includes three major parts: the device comprises a gas flow monitoring part, a chest and abdomen mobility monitoring part and a control system;
the gas flow monitoring part comprises a detachable mouth-nose breathing mask (1), a gas filter (2) and a bidirectional gas mass flowmeter (3); the detachable mouth-nose breathing mask (1) is connected with the bidirectional gas mass flowmeter (3) through the gas filter (2);
the chest and abdomen motility monitoring device comprises a chest waistband (4) and an abdomen waistband (5), wherein the chest waistband (4) and the abdomen waistband (5) are internally provided with wearable flexible strain sensors (13) which are respectively arranged below a nipple connecting line and a rib above the navel, and the chest and abdomen motility is measured and sent to a control system;
the control system comprises a microprocessor (6), a power module (7), a video display (8) and an audio player and an A/D, D/A conversion module (9) and is used for realizing storage operation processing of various sensor return signals and calling the video display (8) and the audio player to carry out real-time audio-visual guidance on a patient.
2. An audio-visual guiding type deep-inhalation breath-screen breathing training instrument according to claim 1, wherein the mouth-nose breathing mask (1) comprises an elastic bandage, the elastic bandage is used for being fixed on the head of a patient and keeping a sealing state with the mouth and the nose, the gas filter (2) has a filtering and cleaning effect on the exhaled gas so as to prevent unknown secretion from entering the gas transmission channel and influencing the normal operation of the gas flowmeter, the bidirectional gas mass flowmeter (3) adopts a forward and reverse gas mass flowmeter to monitor the inhaled breath volume, and a monitoring signal is fed back to a microprocessor of the control system to obtain a curve of the gas volume change along with time through integral operation.
3. An audiovisual guidance type deep inhalation breath-hold training machine according to claim 1, characterized in that the microprocessor (6) is connected with its input to a power supply module (7) and a/D, D/a conversion module (9) and its output to a video screen display (8) and an audio player, the audio player comprises a speaker (11) connected to the microprocessor (6) via a power amplifier (10), the a/D, D/a conversion module (9) is connected to a wearable flexible strain sensor (13) of a two-way gas mass flow meter (3).
4. An audiovisual guiding deep-inhalation breath-holding training apparatus according to claim 1, characterized in that the gas filter (2) is detachable and comprises a filter cotton (12) in the gas passage of the detachable oral-nasal breathing mask (1) and the bidirectional gas mass flow meter (3).
5. An audiovisual guiding deep-inhalation breath-holding training instrument according to claim 1, characterized in that the gas filter (2), the detachable mouth-nose breathing mask (1) and the bidirectional gas mass flow meter (3) are connected by screw threads, and can be replaced by detaching if the gas filter is contaminated.
6. An audiovisual-guided deep-breathing breath-holding training machine according to claim 1, characterized in that the wearable flexible strain sensor (13) is a flexible capacitive strain sensor based on carbon nanotubes, between a pair of stretchable electrodes is a dielectric layer, the stretching strain changes the distance between the two electrodes, resulting in a change in capacitance, thus converting the change in the breathing profile of the human body into an electrical signal.
CN202121796268.2U 2021-08-03 2021-08-03 Audio-visual guiding type deep-inhalation breath-shielding breathing training instrument Active CN215691455U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116369898A (en) * 2023-06-06 2023-07-04 青岛市第五人民医院 Respiratory data reminding system for critical diseases
CN117717330A (en) * 2024-02-07 2024-03-19 中日友好医院(中日友好临床医学研究所) Respiratory motion adapter for respiratory motion monitoring and quantitative measurement
CN117831379A (en) * 2024-03-06 2024-04-05 天津市胸科医院 Data processing's breathing training medical robot system

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116369898A (en) * 2023-06-06 2023-07-04 青岛市第五人民医院 Respiratory data reminding system for critical diseases
CN116369898B (en) * 2023-06-06 2024-02-20 青岛市第五人民医院 Respiratory data reminding system for critical diseases
CN117717330A (en) * 2024-02-07 2024-03-19 中日友好医院(中日友好临床医学研究所) Respiratory motion adapter for respiratory motion monitoring and quantitative measurement
CN117717330B (en) * 2024-02-07 2024-06-11 中日友好医院(中日友好临床医学研究所) Respiratory motion adapter for respiratory motion monitoring and quantitative measurement
CN117831379A (en) * 2024-03-06 2024-04-05 天津市胸科医院 Data processing's breathing training medical robot system

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