WO2015081589A1 - Gilet gonflable pouvant surveiller et contrôler l'amplitude et la phase d'un mouvement respiratoire - Google Patents

Gilet gonflable pouvant surveiller et contrôler l'amplitude et la phase d'un mouvement respiratoire Download PDF

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Publication number
WO2015081589A1
WO2015081589A1 PCT/CN2013/090041 CN2013090041W WO2015081589A1 WO 2015081589 A1 WO2015081589 A1 WO 2015081589A1 CN 2013090041 W CN2013090041 W CN 2013090041W WO 2015081589 A1 WO2015081589 A1 WO 2015081589A1
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WO
WIPO (PCT)
Prior art keywords
inflatable vest
inflatable
vest
gas
layer
Prior art date
Application number
PCT/CN2013/090041
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English (en)
Chinese (zh)
Inventor
刘苗生
王崇宇
刘泰华
Original Assignee
刘苗生
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 刘苗生 filed Critical 刘苗生
Publication of WO2015081589A1 publication Critical patent/WO2015081589A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/113—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing
    • A61B5/1135—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb occurring during breathing by monitoring thoracic expansion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/6804—Garments; Clothes
    • A61B5/6805—Vests
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247—Pressure sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1064—Monitoring, verifying, controlling systems and methods for adjusting radiation treatment in response to monitoring
    • A61N5/1068—Gating the beam as a function of a physiological signal

Definitions

  • the present invention relates to an inflatable vest that can monitor and control the amplitude and phase of respiratory motion, which can monitor and control the amplitude of respiratory motion in real time. And the time. Background technique
  • the technical solution adopted by the present invention to solve the technical problem is to design an inflatable vest made of a material such as a gas impermeable polymer material such as a gas impermeable plastic or rubber, including at least one of a front sheet, a back sheet, a front sheet and a back sheet. Divided into inner layer, outer layer and intermediate aeration layer.
  • the inflatable vest can be connected to a pressure measuring device to monitor the pressure of the gas in the inflatable vest inflatable layer at any time.
  • a two-way air pump pressurizing device can be used to quantitatively inflate or decompress the inflatable vest inflatable layer.
  • the present invention provides an inflatable vest that can monitor and control the amplitude and phase of respiratory motion, the inflatable vest comprising at least one of a front panel, a back panel, a front panel and a back panel, an outer layer, and An intermediate inflatable layer (i.e., a closed plenum), wherein at least one of the front and back panels is made of a gas impermeable polymeric material, and the inflatable vest is provided with a venting tube for inflating the inflatable layer. That is, the inner and outer layers of the front or back sheet of the inner layer, the outer layer and the intermediate layer are both airtight to achieve the function of inflating the gas-filled layer between the inner layer and the outer layer.
  • the front sheet (including the inner layer of the front sheet and the outer layer of the front sheet in the case of having the inner layer and the outer layer) Made of a gas permeable polymer material, or a front sheet and a back sheet (including the inner and outer layers of the back sheet in the case where the back sheet has inner and outer layers) are made of a gas impermeable polymer material.
  • the front panel is divided into a front panel inner layer, a front panel outer layer and an intermediate inflation layer, i.e., a closed inflation chamber, and the back panel is a single layer.
  • the gas-impermeable polymer material is preferably a gas-impermeable plastic cloth (for example, polyurethane cloth, polyamide cloth (nylon cloth), polyester cloth, etc., preferably air-impermeable transparent plastic cloth (air-tight transparent polyurethane cloth, polyamide cloth ( A nylon cloth, a polyester cloth, or a non-breathable rubber cloth (preferably a gas-impermeable transparent rubber cloth) may also be a gas-impermeable material formed by coating a gas-impermeable fiber cloth with a gas-impermeable coating.
  • a gas-impermeable plastic cloth for example, polyurethane cloth, polyamide cloth (nylon cloth), polyester cloth, etc.
  • air-impermeable transparent plastic cloth air-tight transparent polyurethane cloth, polyamide cloth ( A nylon cloth, a polyester cloth, or a non-breathable rubber cloth (preferably a gas-impermeable transparent rubber cloth) may also be a gas-impermeable material formed by coating a gas-imperme
  • the inner layer of the front sheet is made of a non-breathable polymer material having a thin thickness, such as a gas-tight elastic spandex swimsuit fabric or a gas-tight elastic polyester fabric, preferably having a thickness of 1 to 50 ⁇ m, preferably 5 ⁇ 20 microns, more preferably 10 15 microns thick, the inner layer of the front piece is well deformed to conform to the respiratory motion of the thorax; the outer layer of the front piece is made of airtight or non-elastic (for example, having a certain rigidity or stiffness)
  • the material is, for example, a thickness of 100 micrometers to 2.0 millimeters, preferably a thickness of 400 micrometers to 1.5 millimeters, more preferably a gas-impermeable plastic cloth or a rubber cloth having a thickness of 600 micrometers to 1.0 millimeters (for example, a gas-impermeable polyurethane cloth, a polyamide cloth (nylon cloth), Made of polyester cloth, etc.).
  • the inner layer of the front panel has a smaller size than the outer layer of the front panel.
  • Polymer materials having a certain thickness are generally less elastic.
  • the size of the outer and inner layers of the front panel can be divided into large, medium and small models depending on the size of the patient.
  • the inflatable vest may be a side opening or a front opening, preferably a side opening.
  • Inflatable vests can be attached to the body surface by zippers or ties.
  • the inflatable vest can be connected to a pressure measuring device by which the pressure of the gas in the aerated layer of the inflatable mascar is monitored in real time.
  • the pressure measuring device is preferably a sensor capable of converting pressure into an electrical signal or a digital signal such as a pressure sensor, a photoelectric sensor, an infrared sensor or a flow sensor.
  • the sensor records the gas pressure in the inflated vest in real time and can be controlled by an electrical signal to control the system to control the CT and the accelerator.
  • the sensor such as a pressure sensor, a photoelectric sensor or an infrared sensor, converts the pressure into an electrical or digital signal and outputs it to a control system (e. g., a computer) through which the operation of the CT and the accelerator is controlled.
  • the inflatable vest can be connected to an air pump, preferably a two-way air pump, by which the pneumatic inflation or suction decompression in the inflatable vest inflation layer is quantitatively quantified as needed.
  • an air pump preferably a two-way air pump, by which the pneumatic inflation or suction decompression in the inflatable vest inflation layer is quantitatively quantified as needed.
  • the pressure measuring device is an integrated U-tube water column pressure measuring device, which comprises a chassis, a proximal cylindrical tube and a distal cylindrical tube connected to the chassis, a photoelectric sensor or an infrared sensor mounted on the distal cylindrical tube, and a proximal cylindrical tube communicating with the distal cylindrical tube (for example, through a small hole at the bottom)
  • a water column is built in, and the proximal cylindrical tube is connected to a vent pipe provided on the inflatable vest via a switch, and the opening at the top of the distal cylindrical tube communicates with the outside air through a conduit and a switch.
  • the switch is a three-way switch, the first port is connected to the vent pipe on the inflatable vest, the second port is connected to the proximal cylindrical tube, and the third port is connected to the pressure sensor.
  • the switch is a four-way switch, the first port is connected to the vent pipe on the inflatable vest, the second port is connected to the proximal cylindrical tube, the third port is connected to the pressure sensor, and the fourth port is connected to the air pump.
  • the integrated U-tube can be conveniently placed on the bed surface through the chassis.
  • the above switches and air pumps can be controlled by the power supply automatic control system, and the switches can be turned on or off at the site or at a distance (for example, outside the machine room).
  • a pressure sensor or photoelectric or infrared sensor integrated in the integrated U-tube can convert the pressure change into an electrical signal or a digital signal, record the gas pressure value in the inflatable vest in real time, and can control the CT and the accelerator through the electrical signal triggering and control system. .
  • the underside of the inflatable vest is a neck.
  • FIG. 1 is an inner layer plan view of an inflated vest according to an embodiment of the present invention.
  • FIG. 1 is an inner layer plan view of an inflated vest according to an embodiment of the present invention.
  • FIG. 2 is an inner layer of an inflatable vest according to another embodiment of the present invention.
  • Floor plan is a schematic view of an integrated U-shaped water column pressure measuring device for a pneumatic vest.
  • Figure 4 is a cross-sectional axial view of the patient after inhalation in a pneumatic vest.
  • Figure 5 is a cross-sectional axial view of the end of expiration in the use of an inflatable vest.
  • Figure 6 is a cross-sectional axial view of a front opening inflatable vest attached to a vacuum pad.
  • 1 is a plan view of an inner layer of an inflatable vest according to an embodiment of the present invention, wherein 1 is the front inner layer of the inflatable vest, 2 is the rear piece of the inflatable vest, 3 is the cuff of the inflatable vest, 4 is inflated
  • the zipper of the vest 5 is the undercut of the inflatable vest, and 6 is the marking hole of the opaque inflatable vest.
  • 1 is a front opening (the zipper is centered), and the aeration layer 8 is not shown due to the back side of the front panel 1.
  • Fig. 2 is a plan view showing the inner layer of the inflatable vest after deployment of another embodiment of the present invention.
  • 1 is the inner layer of the inflatable vest
  • 2 is the rear piece of the inflatable vest
  • 3 is the cuff of the inflatable vest
  • 104 is the vest of the inflatable vest
  • 5 is the underside of the inflatable vest
  • 6 is the opaque inflatable vest Mark the hole.
  • the inflatable vest is side open, and the inflatable layer 8 and the front outer layer 101 are not shown due to the back side of the outer layer of the front panel.
  • the marking hole 6 of the opaque inflatable vest is a slit extending through the inner and outer layers perpendicular to the long axis of the body surface. After the opaque inflatable vest is inflated, the marking of the patient's body surface can be observed through the marking hole 6.
  • FIG. 3 is a schematic view of an integrated U-shaped water column pressure measuring device for a pneumatic vest, the pressure measuring device comprising: a chassis 203, a proximal cylindrical tube 202 and a distal cylindrical tube 201 forming an integrated U-shaped tube connected to the chassis 203
  • a water column is built in, and the proximal cylindrical tube 202 is connected via a switch 10 through a conduit 205 to a vent tube 9 disposed on the inflatable vest.
  • the opening at the top of the distal cylindrical tube 201 communicates with outside air through the conduit 206 and the switch 207.
  • the first port of the switch is connected to the vent tube 9 on the inflatable vest,
  • the second port is connected to the proximal cylindrical tube 202,
  • the third port is connected to the pressure sensor 13, and the fourth port is connected to the air pump 12.
  • the integrated U-tube is conveniently placed on the bed by the chassis (203).
  • the bottom of the two cylindrical tubes is communicated with a small hole (204), and the proximal cylindrical tube (202) communicates with the inflation layer 8 (inflating chamber) through the inflation tube (9) provided on the inflatable vest, and the top end of the distal cylindrical tube (201)
  • the opening is communicated with the outside air through the gas tube (206) and the three-way switch (207), and the switch 207 and the air pump (12) can be controlled by the power supply automatic control system, and can be opened on site or remotely (for example, outside the machine room). Or turn off the switch.
  • the pressure sensor (13) or the photoelectric or infrared sensor (208) can convert the pressure change into an electrical or digital signal, record the gas pressure in the inflated vest in real time, and control the CT and the accelerator through the electrical signal triggering and control system.
  • Figure 4 is a cross-sectional axial view of the inflated vest after the patient inhales: At this time, when the patient inhales, the chest and abdomen expand, and the inner layer 1 of the front of the inflatable vest is squeezed to swell upward, and then the inflatable vest Due to the lack of elasticity of the outer layer of the front piece, the shape is basically unchanged.
  • the gas volume in the aerated layer of the inflatable vest (inflating chamber) 8 is reduced, and the gas vent pipe 9 enters the open integrated "U" type water column manometer 11 to push The water column in the distal end of the integrated U-shaped tube rises, and the water column of the proximal U-tube is lowered.
  • 1 is the inner layer of the inflatable vest
  • 2 is the inflatable vest
  • 101 is the outer layer of the inflatable vest.
  • 8 is the inflatable layer of the inflatable vest
  • 9 is the snorkel of the inflatable vest
  • 10 is the switch connected on the inflatable vest snorkel
  • 11 is a "U" type water column pressure measuring device connected by the inflatable vest.
  • FIG. 12 is an air pump
  • 13 is a pressure sensor connected to the switch of the inflatable vest
  • 208 is an infrared sensor or a photoelectric sensor
  • the pressure sensor or the photoelectric or infrared sensor can convert the movement change of the pressure or the water column into an electrical signal or a digital signal.
  • the value of the gas pressure in the inflatable vest is recorded in real time, and the CT and the accelerator can be controlled by the electrical signal triggering and control system.
  • Figure 5 is a cross-sectional axial view of the end of expiration in the use of an inflatable vest. In contrast to Fig.
  • the end-expiratory chest and abdomen contraction the inner layer 1 of the inflatable vest front piece moves under the pressure of the water column and the elasticity of the inner layer 1 of the front piece is closely attached to the surface of the patient, and the gas enters through the vent pipe 9 from the outside.
  • the aerated layer and the aerated layer are enlarged.
  • the vent pipe 9, 201 is opened at the end of inhalation, and the U-tube switch 10, 207 is integrated, so that the aeration layer 8 communicates with the outside, the pressure and atmospheric pressure in the aeration layer balance.
  • the elastic force causes the inner layer 1 of the front panel to contract with the contraction of the chest and abdomen.
  • the outer layer of the inflatable vest front piece has no elasticity and the shape does not change much, so the inflatable layer 8 is enlarged, as shown in Fig. 5.
  • the chest and abdomen expand, squeeze the inner layer of the inflatable vest to expand at the same time, because the outer layer of the inflatable vest front piece has no elasticity and cannot expand, as a result, the pressure in the inflatable vest inflatable layer is increased, and the gas vent pipe 9 is opened.
  • the integrated "U"-type water column pressure gauge 11 pushes the water level of the 202 pipe of the integrated U-shaped pipe to drop while the water column of the pipe rises in 201;
  • an air pump 12 can be connected to the three-way switch 10 to inflate the inflatable vest inflatable layer 8 as needed to induce and train the patient according to the required amplitude and time.
  • Breathing if necessary, can compress the chest and abdomen for a short time to force the patient to suffocate at the end of expiration.
  • This all-round chest and abdomen compression is more effective than the current use of the abdominal belt to compress the abdomen to control breathing, and can also achieve periodic pressure-decompression as required, or even by sensing the phase of the patient's spontaneous breathing cycle. Simultaneous pressurization and decompression.
  • FIG. 6 is a cross-sectional axial view of a front-opening inflatable vest attached to a vacuum pad: The two front panels 1 of the inflatable vest are directly stitched or bonded to the vacuum pad 14 to form a combined inflatable vest, vacuum The pad 14 replaces the inflatable vest back piece 2.
  • the water column pressure measuring device 12 is a two-way air pump connected to the three-way switch of the inflatable vest, and 13 is a pressure sensor connected to the three-way switch of the inflatable vest.
  • the pressure sensor 13 or the infrared or photoelectric sensor 208 can convert the movement of the pressure or the water column into an electrical signal or a digital signal, and record the value of the gas pressure in the inflatable vest in real time, thereby detecting the amplitude and time of the breathing movement.
  • the pressure sensor, photosensor or infrared sensor converts the pressure into an electrical or digital signal and outputs it to a control system (such as a computer) through which the operation of the CT and the accelerator is controlled.
  • the switches and the switches of the inflated two-way air pump 12 are all controlled by the power supply automatic control system, and these switches can be turned on or off as needed in the field or outside the machine room.

Abstract

L'invention concerne un gilet gonflable pouvant surveiller et contrôler l'amplitude et la phase d'un mouvement respiratoire, le gilet gonflable comprenant des parties avant (1), une partie arrière (2), au moins une couche gonflable (8), dans les parties avant (1) et la partie arrière (2), divisée en une couche interne, une couche externe et une couche centrale, et au moins l'une des parties avant (1) et de la partie arrière (2) est constituée d'un matériau polymère imperméable à l'air. Le gilet gonflable peut être relié à un dispositif de mesure de pression (11), c'est-à-dire un capteur d'écoulement (14) ou un capteur de pression (13), et, au moyen du dispositif de mesure de pression (11), la pression du gaz dans la couche gonflable (8) du gilet gonflable est surveillée en temps réel et changée en un signal électrique. Dans le gilet gonflable, la couche interne et la couche externe des parties avant (1) peuvent être cousues directement ou fixées de façon adhésive sur un coussinet sous vide (14), le coussinet sous vide (14) servant de partie arrière (2), formant ainsi un gilet gonflable combiné ; ou, après avoir fixé une membrane de corps, le gilet gonflable est à nouveau placé sous la membrane de corps et utilisé en combinaison. Au moyen de la surveillance et du contrôle de la pression à l'intérieur de la couche gonflable (8) du gilet gonflable, l'amplitude et la phase de mouvement respiratoire peuvent être surveillées et contrôlées en temps réel.
PCT/CN2013/090041 2013-12-06 2013-12-20 Gilet gonflable pouvant surveiller et contrôler l'amplitude et la phase d'un mouvement respiratoire WO2015081589A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201310656456.9A CN104689487B (zh) 2013-12-06 2013-12-06 一种可监测和控制呼吸运动的幅度和时相的充气马甲
CN201310656456.9 2013-12-06

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WO2015081589A1 true WO2015081589A1 (fr) 2015-06-11

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WO (1) WO2015081589A1 (fr)

Families Citing this family (3)

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Publication number Priority date Publication date Assignee Title
CN107569230B (zh) 2017-08-29 2022-03-25 上海联影医疗科技股份有限公司 一种医疗系统中用于固定物体的装置
CN108682223B (zh) * 2018-06-14 2019-10-22 王伟刚 一种歌唱中胸腹式联合呼吸演示带
CN117282047B (zh) * 2023-11-24 2024-02-06 四川省肿瘤医院 肿瘤靶区放疗的智能辅助系统

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US20050234372A1 (en) * 2000-07-11 2005-10-20 Hansen Craig N Respiratory vest
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JPH0819581A (ja) * 1994-07-06 1996-01-23 Shiro Katagiri 呼吸制御装置
US20050234372A1 (en) * 2000-07-11 2005-10-20 Hansen Craig N Respiratory vest
US20060004281A1 (en) * 2004-06-30 2006-01-05 Michael Saracen Vest-based respiration monitoring system
CN101224105A (zh) * 2008-01-09 2008-07-23 新奥博为技术有限公司 一种气压式呼吸门控系统
CN101884536A (zh) * 2009-05-14 2010-11-17 深圳迈瑞生物医疗电子股份有限公司 一种呼吸门控充气系统及充气方法、医疗影像设备
CN102058936A (zh) * 2010-11-17 2011-05-18 山东省肿瘤防治研究院 一种用于胸部肿瘤放射治疗的呼吸控制定位装置

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