CN218305743U - Breathing machine gas circuit system and breathing machine - Google Patents

Breathing machine gas circuit system and breathing machine Download PDF

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Publication number
CN218305743U
CN218305743U CN202221616835.6U CN202221616835U CN218305743U CN 218305743 U CN218305743 U CN 218305743U CN 202221616835 U CN202221616835 U CN 202221616835U CN 218305743 U CN218305743 U CN 218305743U
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air
oxygen
mounting hole
hole
communicated
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CN202221616835.6U
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饶青超
高贵锋
蒋文豪
唐克锋
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Ambulanc Shenzhen Tech Co Ltd
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Ambulanc Shenzhen Tech Co Ltd
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Abstract

The utility model belongs to the technical field of medical instrument, especially, relate to a breathing machine gas circuit system and breathing machine. The breathing machine gas circuit system comprises a gas transmission module and an air-oxygen mixing module; the gas transmission module comprises a first mounting block and an adjusting component; the adjusting assembly comprises an air proportion electromagnetic valve and an oxygen proportion electromagnetic valve which are symmetrically distributed, and an air flow monitor and an oxygen flow monitor which are symmetrically distributed; the gas transmission module comprises a second installation block, the second installation block is provided with a mixing chamber, an air interface, an oxygen interface, a gas outlet interface and a third installation hole, the air interface, the oxygen interface, the gas outlet interface and the third installation hole are all communicated with the mixing chamber, the air flow monitor is communicated between the first through hole and the air interface of the first installation block, and the oxygen flow monitor is communicated between the second through hole and the oxygen interface of the first installation block. The utility model discloses in, this breathing machine gas circuit system's weight distribution is even, compact structure, the dismouting and the storage of this breathing machine gas circuit system of being convenient for.

Description

Breathing machine gas circuit system and breathing machine
Technical Field
The utility model belongs to the technical field of medical instrument, especially, relate to a breathing machine gas circuit system and breathing machine.
Background
At present, various types of ventilators are widely applied in hospitals, and the ventilators can be divided into two categories according to the control principle, one category is a pneumatic electric control ventilator, namely, a ventilator with an air compressor air source, and the other category is an electric control ventilator, namely, a turbine ventilator without the air compressor air source. The turbine breathing machine can automatically compress an air source, high-pressure air does not need to be supplied from the outside, so that the limitation of the turbine breathing machine is smaller, and the turbine breathing machine is more popular among various hospitals.
The gas circuit module is a core component of the respirator, and different functions are realized by controlling electronic components on the gas circuit through software; however, various components of the existing air channel module are arranged in a messy manner, so that the air channel module has the problems of unbalance, inconvenience for assembly and the like.
SUMMERY OF THE UTILITY MODEL
The utility model discloses there is unbalanced, the difficult technical problem of assembly operation to the gas circuit module among the prior art in the breathing machine, provides a breathing machine gas circuit system and breathing machine.
In view of the above technical problems, an embodiment of the present invention provides a ventilator gas circuit system, which includes a gas transmission module and an air-oxygen mixing module; the gas transmission module comprises a first mounting block and an adjusting component; the regulating component comprises an air proportional electromagnetic valve and an oxygen proportional electromagnetic valve which are symmetrically distributed, and an air flow monitor and an oxygen flow monitor which are symmetrically distributed; the first mounting block is provided with a first through hole, a second through hole, a first mounting hole communicated with the first through hole and a second mounting hole communicated with the second through hole, the air proportional solenoid valve is mounted in the first through hole, and the oxygen proportional solenoid valve is mounted in the second through hole;
the air delivery module comprises a second mounting block and a flow sensor, the second mounting block is provided with a mixing chamber, and an air interface, an oxygen interface, an air outlet interface and a third mounting hole which are all communicated with the mixing chamber, the air flow monitor is communicated between the first through hole and the air interface, and the oxygen flow monitor is communicated between the second through hole and the oxygen interface; the flow sensor is mounted in the third mounting hole.
Optionally, the adjusting part still includes the air relief valve and the oxygen relief valve of symmetric distribution, still be equipped with the intercommunication on the first installation piece the fourth mounting hole of first through-hole and intercommunication the fifth mounting hole of second through-hole, the air relief valve is installed in the fourth mounting hole, the oxygen relief valve is installed the fifth mounting hole.
Optionally, the adjusting assembly further includes an air safety valve and an oxygen safety valve which are symmetrically distributed, the first mounting block is further provided with a sixth mounting hole communicated with the first through hole and a seventh mounting hole communicated with the second through hole, the air safety valve is mounted in the sixth mounting hole, and the oxygen safety valve is mounted in the seventh mounting hole.
Optionally, the adjusting assembly further includes an air pressure monitor and an oxygen pressure monitor which are symmetrically distributed, the first mounting block is further provided with an eighth mounting hole communicated with the first through hole and a ninth mounting hole communicated with the second through hole, the air pressure monitor is mounted in the eighth mounting hole, and the oxygen pressure monitor is located in the ninth mounting hole.
Optionally, the first mounting hole, the second mounting hole, the sixth mounting hole, the seventh mounting hole, the eighth mounting hole, and the ninth mounting hole are all disposed on a first side surface of the first mounting block, and the fourth mounting hole and the fifth mounting hole are all disposed on a second side surface of the first mounting block, which deviates from the first side surface.
Optionally, the gas delivery module further comprises an air connector and an oxygen connector, the air connector is installed at one end of the first through hole far away from the air flow monitor, and the oxygen connector is installed at one end of the second through hole far away from the oxygen flow monitor.
Optionally, the air-oxygen mixing module further comprises a stop valve, the second mounting hole is further provided with a turbine inlet communicated with the mixing chamber and a tenth mounting hole communicated with the turbine inlet, the stop valve is installed in the tenth mounting hole, and the stop valve is used for controlling the on-off of the turbine inlet.
Optionally, the air-oxygen mixing module further comprises a turbine adapter mounted in the turbine inlet.
Optionally, the ventilator gas circuit system further includes a fixing plate, and the first mounting block and the second mounting block are both mounted on the fixing plate.
The utility model also provides a respirator, including foretell respirator gas circuit system.
In the utility model, the adjusting component comprises an air proportional solenoid valve and an oxygen proportional solenoid valve which are symmetrically distributed, and an air flow monitor and an oxygen flow monitor which are symmetrically distributed; therefore, the breathing machine gas circuit system is uniform in weight distribution and compact in structure, the breathing machine gas circuit system is convenient to disassemble, assemble and store, the manufacturing difficulty of the first installation block and the second installation block is reduced, the disordered layout of the breathing machine gas circuit system pipelines is avoided, and the leakage accidents of the breathing machine gas circuit system are reduced. In addition, the gas circuit system of the breathing machine is divided into a gas transmission module and an air-oxygen mixing module, namely, the modular design is adopted, so that the investigation, the replacement of parts and the assembly of the parts, which solve the market feedback problem, are facilitated.
Drawings
The present invention will be further explained with reference to the drawings and examples.
Fig. 1 is a schematic structural diagram of a ventilator gas circuit system according to an embodiment of the present invention;
fig. 2 is a schematic structural diagram of another view angle of a ventilator gas circuit system according to an embodiment of the present invention;
fig. 3 is a schematic structural diagram of a gas delivery module of a gas circuit system of a ventilator according to an embodiment of the present invention;
fig. 4 is a schematic structural diagram of an air-oxygen mixing module of a breathing machine air path system according to an embodiment of the present invention;
fig. 5 is a cross-sectional view of a second mounting block of a ventilator air circuit system according to an embodiment of the present invention.
The reference numerals in the specification are as follows:
1. a gas delivery module; 11. a first mounting block; 12. an adjustment assembly; 121. an air proportional solenoid valve; 122. an oxygen proportional solenoid valve; 123. an air flow monitor; 124. an oxygen flow monitor; 125. an air relief valve; 126. an oxygen pressure reducing valve; 127. an air safety valve; 128. an oxygen safety valve; 129. an air pressure monitor; 1201. an oxygen pressure monitor; 13. an air connection; 14. an oxygen connector; 2. an air-oxygen mixing module; 21. a second mounting block; 211. a mixing chamber; 212. an air interface; 213. an oxygen interface; 214. an air outlet interface; 215. a turbine inlet; 22. a flow sensor; 23. a stop valve; 24. a turbine joint; 3. and (7) fixing the plate.
Detailed Description
In order to make the technical problems, technical solutions and advantageous effects of the present invention more clearly understood, the following description is given in conjunction with the accompanying drawings and embodiments to illustrate the present invention in further detail. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the invention.
It is to be understood that the terms "upper", "lower", "left", "right", "front", "rear", "middle", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience in describing and simplifying the present invention, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed in a particular orientation, and be operated, and thus, should not be construed as limiting the present invention.
As shown in fig. 1 to 5, an embodiment of the present invention provides a ventilator gas circuit system, which includes a gas transmission module 1 and an air-oxygen mixing module 2; the gas transmission module 1 comprises a first mounting block 11 and an adjusting component 12; the regulating assembly 12 comprises a symmetrically distributed air proportional solenoid valve 121 and oxygen proportional solenoid valve 122, and a symmetrically distributed air flow monitor 123 and oxygen flow monitor 124; a first through hole, a second through hole, a first mounting hole communicated with the first through hole and a second mounting hole communicated with the second through hole are formed in the first mounting block 11, the air proportional solenoid valve 121 is mounted in the first mounting hole, and the oxygen proportional solenoid valve 122 is mounted in the second mounting hole; it is understood that the first and second through holes are symmetrically distributed, and the first and second mounting holes are symmetrically distributed, so that the air proportional solenoid valve 121 mounted in the first mounting hole is symmetrically distributed with the oxygen proportional solenoid valve 122 mounted in the second mounting hole. The air proportional solenoid valve 121 can adjust the flow of air in the first through hole, and the oxygen proportional solenoid valve 122 can adjust the flow of oxygen in the second through hole; and the air flow monitor 123 and the oxygen flow monitor 124 each include, but are not limited to, a differential pressure flow monitor, or the like.
The gas transmission module 1 comprises a second mounting block 21 and a flow sensor 22, wherein a mixing chamber 211, an air interface 212, an oxygen interface 213, an air outlet interface 214 and a third mounting hole which are all communicated with the mixing chamber 211 are arranged on the second mounting block 21, the air flow monitor 123 is communicated between the first through hole and the air interface 212, and the oxygen flow monitor 124 is communicated between the second through hole and the oxygen interface 213; the flow sensor 22 is mounted in the third mounting hole. As can be appreciated, the flow sensor 22 can monitor the flow of the mixed gas in the mixing chamber 211 in real time; the oxygen interface 213 and the air interface 212 are symmetrically arranged, and the first through hole and the second through hole are symmetrically arranged, so that the air flow monitor 123 and the oxygen flow monitor 124 are symmetrically arranged.
Specifically, the air in the first through hole is adjusted in flow rate by the air proportional solenoid valve 121, and then flows into the mixing chamber 211 through the air interface 212 after the flow rate value is monitored by the air flow rate monitor 123; and the air flow monitor 123 may monitor the flow value of the air output from the first through hole in real time and feed the flow value back to the air proportional solenoid valve 121 to adjust, so as to ensure that the air proportional solenoid valve 121 adjusts the flow of the air in the first through hole to a proper range.
The air in the second through hole has its flow rate regulated by the oxygen proportional solenoid valve 122, and then has its flow rate value monitored by the oxygen flow rate monitor 124, and flows into the mixing chamber 211 through the oxygen interface 213; and the oxygen flow monitor 124 may monitor the flow value of the oxygen output from the second through hole in real time, and feed the flow value back to the oxygen proportional solenoid valve 122 for adjustment, so as to ensure that the oxygen proportional solenoid valve 122 adjusts the flow of the oxygen in the second through hole to a proper range.
The mixing chamber 211 mixes the air and the oxygen, and then inputs the mixture to the inspiration end of the patient through the outlet port 214; and the flow sensor 22 can monitor the flow value of the mixed gas output by the mixing chamber 211 in real time, so as to monitor the breathing parameters of the patient.
In the present invention, the adjusting assembly 12 includes a symmetrically distributed air proportional solenoid valve 121 and an oxygen proportional solenoid valve 122, and a symmetrically distributed air flow monitor 123 and an oxygen flow monitor 124; therefore, the breathing machine air path system is uniform in weight distribution and compact in structure, the breathing machine air path system is convenient to disassemble, assemble and store, the manufacturing difficulty of the first installation block 11 and the second installation block 21 is reduced, the disordered layout of the breathing machine air path system pipelines is avoided, and the leakage accidents of the breathing machine air path system are reduced. In addition, the gas circuit system of the breathing machine is divided into a gas transmission module 1 and an air-oxygen mixing module 2, namely the gas transmission module and the air-oxygen mixing module adopt a modular design, and the gas circuit system is favorable for solving the problem of market feedback, replacing components and assembling the components.
In an embodiment, as shown in fig. 3, the adjusting assembly 12 further includes an air pressure reducing valve 125 and an oxygen pressure reducing valve 126 which are symmetrically distributed, a fourth mounting hole communicated with the first through hole and a fifth mounting hole communicated with the second through hole are further provided on the first mounting block 11, the air pressure reducing valve 125 is mounted in the fourth mounting hole, and the oxygen pressure reducing valve 126 is mounted in the fifth mounting hole. It is understood that the fourth mounting hole and the fifth mounting hole are symmetrically distributed on the first mounting block 11, so that the air pressure reducing valve 125 and the oxygen pressure reducing valve 126 are symmetrically mounted on the first mounting block 11; since the first through hole is externally connected with a high-pressure air source, the air reducing valve 125 can reduce the pressure of the high-pressure air in the first through hole; the second through hole is externally connected with a high-pressure oxygen source, and the oxygen pressure reducing valve 126 can reduce the pressure of the high-pressure oxygen in the second through hole, so that the oxygen and the air entering the mixing chamber 211 are in a proper pressure range, and the safety of the breathing machine gas path system is further ensured.
In an embodiment, as shown in fig. 2, the adjusting assembly 12 further includes an air safety valve 127 and an oxygen safety valve 128 which are symmetrically distributed, a sixth mounting hole communicated with the first through hole and a seventh mounting hole communicated with the second through hole are further provided on the first mounting block 11, the air safety valve 127 is mounted in the sixth mounting hole, and the oxygen safety valve 128 is mounted in the seventh mounting hole. It is understood that the sixth mounting hole and the seventh mounting hole are symmetrically disposed, so that the air safety valve 127 and the oxygen safety valve 128 are symmetrically mounted on the first mounting block 11. Specifically, when the air pressure in the first through hole is greater than the preset air pressure, the air safety valve 127 will perform pressure relief processing on the high-pressure air in the first through hole; when the oxygen pressure in the second through hole is greater than the preset oxygen pressure, the oxygen safety valve 128 will perform a pressure relief process on the high pressure oxygen in the second through hole, so as to avoid an accident that the high pressure oxygen and the high pressure air damage the air path system of the breathing machine.
In an embodiment, as shown in fig. 2, the adjusting assembly 12 further includes an air pressure monitor 129 and an oxygen pressure monitor 1201 which are symmetrically distributed, the first mounting block 11 is further provided with an eighth mounting hole communicated with the first through hole and a ninth mounting hole communicated with the second through hole, the air pressure monitor 129 is mounted in the eighth mounting hole, and the oxygen pressure monitor 1201 is located in the ninth mounting hole. It is understood that the eighth mounting hole and the ninth mounting hole are symmetrically disposed, so that the air pressure monitor 129 and the oxygen pressure monitor 1201 are symmetrically mounted on the first mounting block 11; the air pressure monitor 129 may monitor the pressure value of the air in the first through hole in real time, and the oxygen pressure monitor 1201 may monitor the pressure value of the oxygen in the second through hole in real time. Further, an air pressure value detected by the air pressure monitor 129 is fed back to the air pressure reducing valve 125, so that the air pressure reducing valve 125 adjusts the pressure value of the air in the first through hole to be within a proper range; the oxygen pressure value detected by the oxygen pressure monitor 1201 is fed back to the oxygen pressure reducing valve 126, so that the oxygen pressure reducing valve 126 adjusts the pressure value of the air in the second through hole to be within a proper range.
In one embodiment, as shown in fig. 1 and 2, the first mounting hole, the second mounting hole, the sixth mounting hole, the seventh mounting hole, the eighth mounting hole, and the ninth mounting hole are all disposed on a first side surface (lower surface) of the first mounting block 11, and the fourth mounting hole and the fifth mounting hole are all disposed on a second side surface (upper surface) of the first mounting block 11 facing away from the first side surface. It is to be understood that the air proportional solenoid valve 121, the oxygen proportional solenoid valve 122, the air safety valve 127, the oxygen safety valve 128, the air pressure monitor 129, and the oxygen pressure monitor 1201 are all mounted on the lower surface of the first mounting block 11, and the air pressure reducing valve 125 and the oxygen pressure reducing valve 126 are all mounted on the upper surface of the first mounting block 11; and the device installed on the lower surface of the first installation block 11 has small volume and light weight, and the device installed on the upper surface of the first installation block 11 has large volume and heavy weight, so that the weight distribution of the gas transmission module 1 is uniform and the balance is good.
In one embodiment, as shown in fig. 1 and 3, the gas delivery module 1 further includes an air connector 13 and an oxygen connector 14, the air connector 13 is installed at an end of the first through hole far from the air flow monitor 123, and the oxygen connector 14 is installed at an end of the second through hole far from the oxygen flow monitor 124. It is understood that the first through hole is connected to an external high-pressure air source through the air connector 13, and the second through hole is connected to an external high-pressure oxygen source through the oxygen connector 14. In this embodiment, the design of the air joint 13 and the oxygen joint 14 improves the convenience of the air path system of the breathing machine.
In an embodiment, as shown in fig. 4 and 5, the air-oxygen mixing module 2 further includes a stop valve 23, the second mounting block 21 is further provided with a turbine inlet 215 communicated with the mixing chamber 211 and a tenth mounting hole communicated with the turbine inlet 215, the stop valve 23 is mounted in the tenth mounting hole, and the stop valve 23 is used for controlling on and off of the turbine inlet 215. It will be appreciated that the outlet of the external turbine is connected to the turbine inlet 215; when the first through hole cannot provide high-pressure air into the mixing chamber 211, the stop valve 23 enables the turbine inlet 215 to be communicated, and after an external turbine performs turbocharging on the air, the air is input into the mixing chamber 211 through the turbine inlet 215, so that the air circuit system of the respirator can continue to work even when no high-pressure air source exists. Further, the shut-off valve 23 closes the turbine inlet 215 when the first through hole, which inputs high-pressure air into the mixing chamber 211, is available to supply high-pressure air.
In one embodiment, as shown in fig. 4 and 5, the air-oxygen mixing module 2 further comprises a turbine joint 24 installed in the turbine inlet 215. As can be appreciated, the turbine inlet 215 is connected to the outlet of the external turbine via the turbine joint 24, thereby improving the convenience of the ventilator circuit system. In addition, the design of the turbine interface ensures that the air passage system of the respirator not only supports a pneumatic electric control respirator, but also can support an electric control respirator.
In one embodiment, as shown in fig. 1, the ventilator circuit system further includes a fixing plate 3, and the first mounting block 11 and the second mounting block 21 are both mounted on the fixing plate 3. It can be understood that the first mounting block 11 and the second mounting block 21 are both mounted above the fixing plate 3, and the fixing plate 3 integrates the gas delivery module 1 and the air-oxygen mixing module 2, thereby facilitating the taking, assembly, disassembly and transportation of the breathing machine gas circuit system.
The utility model also provides a respirator, including foretell respirator gas circuit system.
The above description is only an embodiment of the breathing machine gas circuit system of the present invention, and should not be construed as limiting the present invention, and any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. A breathing machine gas circuit system is characterized by comprising a gas transmission module and an air-oxygen mixing module; the gas transmission module comprises a first mounting block and an adjusting component; the regulating component comprises an air proportional electromagnetic valve and an oxygen proportional electromagnetic valve which are symmetrically distributed, and an air flow monitor and an oxygen flow monitor which are symmetrically distributed; the first mounting block is provided with a first through hole, a second through hole, a first mounting hole communicated with the first through hole and a second mounting hole communicated with the second through hole, the air proportional solenoid valve is mounted in the first mounting hole, and the oxygen proportional solenoid valve is mounted in the second mounting hole;
the air delivery module comprises a second mounting block and a flow sensor, the second mounting block is provided with a mixing chamber, an air interface, an oxygen interface, an air outlet interface and a third mounting hole which are all communicated with the mixing chamber, the air flow monitor is communicated between the first through hole and the air interface, and the oxygen flow monitor is communicated between the second through hole and the oxygen interface; the flow sensor is mounted in the third mounting hole.
2. The breathing machine gas circuit system of claim 1, wherein the regulating assembly further comprises a symmetrically distributed air pressure reducing valve and an oxygen pressure reducing valve, the first mounting block is further provided with a fourth mounting hole communicated with the first through hole and a fifth mounting hole communicated with the second through hole, the air pressure reducing valve is mounted in the fourth mounting hole, and the oxygen pressure reducing valve is mounted in the fifth mounting hole.
3. The ventilation system of claim 2, wherein the regulating assembly further comprises a symmetrically-distributed air safety valve and an oxygen safety valve, the first mounting block further comprises a sixth mounting hole communicated with the first through hole and a seventh mounting hole communicated with the second through hole, the air safety valve is mounted in the sixth mounting hole, and the oxygen safety valve is mounted in the seventh mounting hole.
4. The ventilator circuit system of claim 3, wherein the regulating assembly further comprises an air pressure monitor and an oxygen pressure monitor, which are symmetrically distributed, and the first mounting block further comprises an eighth mounting hole communicated with the first through hole and a ninth mounting hole communicated with the second through hole, the air pressure monitor is mounted in the eighth mounting hole, and the oxygen pressure monitor is disposed in the ninth mounting hole.
5. The ventilator circuit system of claim 4, wherein said first mounting hole, said second mounting hole, said sixth mounting hole, said seventh mounting hole, said eighth mounting hole, and said ninth mounting hole are all disposed on a first side of said first mounting block, and said fourth mounting hole and said fifth mounting hole are all disposed on a second side of said first mounting block facing away from said first side.
6. The ventilator circuit system of claim 1, wherein said gas delivery module further comprises an air connector and an oxygen connector, said air connector is mounted at an end of said first bore distal from said air flow monitor, and said oxygen connector is mounted at an end of said second bore distal from said oxygen flow monitor.
7. The breathing machine gas circuit system according to claim 1, wherein the air-oxygen mixing module further comprises a stop valve, the second mounting block is further provided with a turbine inlet communicated with the mixing chamber and a tenth mounting hole communicated with the turbine inlet, the stop valve is mounted in the tenth mounting hole, and the stop valve is used for controlling the on-off of the turbine inlet.
8. The ventilator circuit system of claim 7 wherein said air and oxygen mixing module further comprises a turbine fitting mounted in said turbine inlet.
9. The ventilator circuit system of claim 1 further comprising a fixed plate, wherein said first mounting block and said second mounting block are both mounted on said fixed plate.
10. A ventilator comprising a ventilator circuit system according to any one of claims 1-9.
CN202221616835.6U 2022-06-23 2022-06-23 Breathing machine gas circuit system and breathing machine Active CN218305743U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202221616835.6U CN218305743U (en) 2022-06-23 2022-06-23 Breathing machine gas circuit system and breathing machine

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202221616835.6U CN218305743U (en) 2022-06-23 2022-06-23 Breathing machine gas circuit system and breathing machine

Publications (1)

Publication Number Publication Date
CN218305743U true CN218305743U (en) 2023-01-17

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202221616835.6U Active CN218305743U (en) 2022-06-23 2022-06-23 Breathing machine gas circuit system and breathing machine

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CN (1) CN218305743U (en)

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Address after: 518000, Building 1, 101, Evergrande Fashion Huigu Building, Fulong Road, Shanghenglang Community, Dalang Street, Longhua District, Shenzhen City, Guangdong Province

Patentee after: Shenzhen Security Medical Technology Co.,Ltd.

Country or region after: China

Address before: A1302, Shenzhen national engineering laboratory building, No.20, Gaoxin South 7th Road, high tech Zone community, Yuehai street, Nanshan District, Shenzhen, Guangdong 518000

Patentee before: Shenzhen Security Medical Technology Co.,Ltd.

Country or region before: China