WO2017140280A1 - Trigger-type high frequency jet ventilator for cardiopulmonary resuscitation, and sensing and regulating ventilator for cardiopulmonary resuscitation - Google Patents

Trigger-type high frequency jet ventilator for cardiopulmonary resuscitation, and sensing and regulating ventilator for cardiopulmonary resuscitation Download PDF

Info

Publication number
WO2017140280A1
WO2017140280A1 PCT/CN2017/080579 CN2017080579W WO2017140280A1 WO 2017140280 A1 WO2017140280 A1 WO 2017140280A1 CN 2017080579 W CN2017080579 W CN 2017080579W WO 2017140280 A1 WO2017140280 A1 WO 2017140280A1
Authority
WO
WIPO (PCT)
Prior art keywords
cardiopulmonary resuscitation
ventilator
thoracic
sensing
jet
Prior art date
Application number
PCT/CN2017/080579
Other languages
French (fr)
Chinese (zh)
Inventor
潘楚雄
Original Assignee
潘楚雄
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
Priority claimed from CN201610087882.9A external-priority patent/CN105749395B/en
Priority claimed from CN201620123724.XU external-priority patent/CN205698776U/en
Application filed by 潘楚雄 filed Critical 潘楚雄
Publication of WO2017140280A1 publication Critical patent/WO2017140280A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/02Crutches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes

Definitions

  • the present application claims the invention as "a trigger type high-frequency jet ventilator for cardiopulmonary resuscitation", the invention patent application of the Chinese patent application No. CN201610087882.9 filed on February 16, 2016, and the name "a cardiopulmonary resuscitation”
  • the triggering type high-frequency jet ventilator the priority of the utility model patent application filed on Feb. 16, 2016, which is incorporated herein by reference.
  • the invention relates to the technical field of medical ventilators, in particular to a trigger type high frequency jet ventilator for cardiopulmonary resuscitation and a sensory ventilator for cardiopulmonary resuscitation.
  • the 2015 AHA Cardiopulmonary Resuscitation Basic Life Support Guide states that when a patient with cardiopulmonary resuscitation with cardiopulmonary resuscitation has established an advanced airway, the rescuer may no longer follow a 30:2 compression-to-breathing cycle (ie, 2 ventilation). When the chest compression is no longer interrupted). Instead, it can be ventilated every 6 s (respiration rate 10 beats / min) while continuing to perform chest compressions (Class IIb, LOE C-LD) without interruption.
  • This mode may have the following problems: When the mechanical ventilation inhalation conflicts with the compression, the airway pressure is too high to enter the lungs normally; when the expiratory phase is synchronized with the thoracic rebound, the expiratory efficiency is lowered. Clinical manifestations of low oxygen saturation, CO 2 accumulation, difficulty in re-jumping, decreased cardiopulmonary resuscitation success rate, poor prognosis.
  • An object of the present invention is to provide a trigger type high frequency jet ventilator for cardiopulmonary resuscitation instead of a normal ventilator or artificial assisted ventilation in view of the technical deficiencies existing in the prior art.
  • the present invention provides a trigger type high frequency jet ventilator for cardiopulmonary resuscitation, comprising a control unit and a jet venting device; the jet ventilating device is connected to the artificial airway through an airway; the control unit is connected for sensing thoracic undulation or respiratory airflow Perceptual unit or artificial cardiopulmonary resuscitation machine; after receiving the sensing signal from the sensing unit or the pressing signal from the artificial cardiopulmonary resuscitation machine, the control unit sprays at the end of the thoracic compression (ie, the starting point of the thoracic rebound)
  • the venting device issues a start jet command; a stop jet command is issued at the end of the thoracic rebound (ie, the beginning of the thoracic compression); Received instructions to start jet ventilation or stop jet ventilation to the artificial airway.
  • the trigger type high-frequency jet ventilator for cardiopulmonary resuscitation provided by the present invention is for achieving a state in which the thoracic compression is uninterrupted during ventilation and is not synchronized with the thoracic compression during inhalation.
  • control unit is connected to the sensing unit.
  • the sensing unit is a flow sensor for monitoring changes in airway airflow during pressing.
  • the flow sensor senses inspiratory or expiratory flow, it sends a sensing signal to the control unit.
  • the control unit sends a start jet command to the jet venting device at the end of the thoracic compression (ie, the starting point of the thoracic rebound) according to the received sensing signal; the control unit issues a stop jet command at the end of the thoracic rebound (ie, the starting point of the thoracic compression).
  • the jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
  • the sensing unit is a positioning sensor for monitoring changes in thoracic relief.
  • the number of positioning sensors is two, which are placed in the chest and ventral position of the patient, or two positioning sensors are placed on the midline of the patient's sides; the distance between the sensors is sensed and the patient's thorax is pressed or rebounded. State; during the pressing process, when the distance between the two positioning sensors is the smallest, it is the starting point of the rebound, and when the distance is the largest, it is the starting point of the pressing.
  • the control unit sends a start air injection command to the jet ventilation device according to the received sensing signal at the end point of the thoracic compression (ie, the starting point of the thoracic rebound), and the control unit issues a stop jet command at the end point of the thoracic rebound (ie, the starting point of the thoracic compression).
  • the jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
  • the sensing unit includes a flow sensor for monitoring changes in airway airflow during pressing and a positioning sensor for monitoring changes in thoracic relief.
  • the control unit receives a pressing signal from the artificial cardiopulmonary resuscitation machine when the artificial chest card resuscitation machine performs automatic chest compression according to the set pressing mode.
  • the ventilating frequency of the high-frequency jet ventilator is 10 to 200 times/min, and the maximum ventilation is not less than 20 L/min.
  • the present invention is directed to a patient who is undergoing cardiopulmonary resuscitation, and the patient has completed an endotracheal tube or a laryngeal mask, and can be replaced by a thoracic rebound-triggered high-frequency jet ventilator provided by the present invention.
  • Traditional ventilator or manual assisted ventilation with the following advantages:
  • the thoracic rebound phase jet ventilation effectively promotes the complete rebound of the thorax.
  • the compression of the pulmonary blood vessels by the ventilation can promote the return of the blood to the heart, increase the amount of blood returned to the heart, and promote the compression under the chest. blood circulation.
  • the present invention is directed to the technical deficiencies existing in the prior art, and further provides a perceptually regulated ventilator for cardiopulmonary resuscitation instead of a normal ventilator or artificial assisted ventilation.
  • a perceptually regulated ventilator for cardiopulmonary resuscitation comprising a sensing unit, a control module and a venting device;
  • the ventilating device is connected to the airway through an airway;
  • the control module is wireless Or a wired connection with a sensing unit for sensing a chest compression starting point or a thoracic rebound starting point during cardiopulmonary resuscitation;
  • the control module sends a command to the ventilation device after receiving the sensing signal sent by the sensing unit;
  • the ventilation device According to the instruction, the airway is ventilated at the starting point of the thoracic rebound, and the ventilation is stopped at the starting point of the thoracic compression.
  • the venting device stops the ventilation at the beginning of the thoracic compression as directed.
  • the control module issues an instruction when the sensing press is stopped (time greater than 10 seconds), and the venting device vents in a mechanical ventilation mode.
  • the mechanical ventilation mode may be a preset mode.
  • the sensing unit is a flow sensor for monitoring the suction negative pressure generated by the thoracic rebound; when the flow sensor detects the inspiratory or expiratory flow, sending a signal to the control module, and the control module issues a command to the ventilation.
  • the device regulates the start or stop of ventilation.
  • the sensing unit is a displacement sensor that determines whether the cardiopulmonary resuscitation thorax is in a rebound or compression state by a distance change; the displacement sensor senses whether the patient's thorax is in a pressed state or a rebound state; and the control module receives the signal of the displacement sensor After that, the control module issues a command to the venting device to regulate the start or stop of the venting.
  • the sensing unit is a pressure sensor for sensing a change in force during cardiac compression, and the time at which the pressure is maximum and suddenly decreases rapidly is the starting point of the thoracic rebound and the pressure is suddenly felt.
  • the time point of rapid increase is the pressing start point; after the control module receives the signal of the pressure sensor, the control module issues a command to the ventilation device to regulate the start or stop of the ventilation.
  • the sensing unit includes techniques and devices for sensing a thoracic motion state or a breathing state of the human body, including but not limited to one or more of the above-described pressure sensor, flow sensor, and displacement sensor.
  • the control module receives the sensing information, and analyzes the thoracic motion state or the respiratory state, and sends a command to the air supply at the end of the end of the breath or the inhalation, and at the end of inhalation or exhalation or designation.
  • the time is issued to stop the air supply, and the air supply and the air supply frequency which are proportional to the thoracic undulation or the respiratory frequency are issued according to the sensing information, and the ventilation is automatically switched to the preset ventilation when there is no thoracic motion or breathing for a long time.
  • Mode control module is configured to control module.
  • the ventilation device is a ventilation device currently used in clinical practice, preferably a ventilator or an anesthesia machine, and the ventilator can be a ventilation device such as a non-invasive ventilator, a high-frequency ventilator or a transport ventilator.
  • the high frequency ventilator used has a venting frequency of 20 to 200 times/min and a jet volume of 0.1 to 50 L/min.
  • the anesthesia machine used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
  • the ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
  • the non-invasive ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
  • the venting device used may be a venting device that uses a compressed air pump as an output air source to provide a stable and adjustable pressure, a maximum flow output of 100 L/min, and a maximum output pressure of 5 kPa.
  • the venting device used is a venting device that uses a high pressure oxygen cylinder or a high pressure air bottle as an output gas source to provide a stable and adjustable pressure.
  • the invention can ventilate the thoracic rebound phase in the patient's cardiopulmonary resuscitation, ensure uninterrupted pressing during ventilation, and is not synchronized with the pressing during inhalation, thereby effectively improving the ventilation effect during cardiac resuscitation, and the compression of the pulmonary blood vessel by the ventilation can promote the lung Blood returns to the heart, increasing the amount of blood returned to the heart and promoting blood circulation under external chest compressions.
  • the perceived thoracic undulation information regulating ventilation device provided by the present invention can replace the ordinary ventilator or the artificial assisted ventilation, and has the following advantages.
  • Figure 1 shows a block diagram of a connection for a triggered high-frequency jet ventilator for cardiopulmonary resuscitation.
  • Figure 2 shows a block diagram of the connection of a sensory-controlled ventilator for cardiopulmonary resuscitation.
  • Figure 1 shows a trigger type high-frequency jet ventilator for cardiopulmonary resuscitation, comprising a control unit and a jet venting device; the jet venting device is connected to the artificial airway through a pneumatic circuit; the control unit is connected for sensing the thorax a sensing unit of an undulating or respiratory airflow or an artificial cardiopulmonary resuscitation machine; the control unit receives a sensing signal from the sensing unit or a pressing signal from an artificial cardiopulmonary resuscitation machine, at the end of the thoracic compression (ie, thoracic rebound Starting point) issuing a start air injection command to the jet ventilation device; issuing a stop air injection command at the end point of the thoracic rebound (ie, the starting point of the thoracic compression); the injection ventilation device starts the injection airflow or stops the injection to the artificial airway according to the received command Ventilation.
  • a sensing signal from the sensing unit or a pressing signal from an artificial cardiopulmonary resuscitation machine, at the
  • the trigger type high-frequency jet ventilator for cardiopulmonary resuscitation provided by the present invention is for achieving a state in which the thoracic compression is uninterrupted during ventilation and is not synchronized with the thoracic compression during inhalation.
  • the sensing unit is a flow sensor for monitoring changes in airway airflow during pressing.
  • the flow sensor senses inspiratory or expiratory flow, it sends a sensing signal to the control unit.
  • the control unit loads the jet vent according to the received sensing signal at the end of the thoracic compression (ie, the starting point of the thoracic rebound)
  • the start of the jet command is issued;
  • the control unit issues a stop jet command at the end of the thoracic rebound (ie, the beginning of the thoracic compression).
  • the jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
  • the flow sensor uses Drager's hot-wire air flow sensor.
  • the basic structure includes a platinum hot wire (platinum wire) that senses air flow, a temperature compensation resistor (cold wire) that is corrected according to the intake air temperature, controls the hot wire current, and produces an output.
  • the hot wire has a wire diameter of 70 ⁇ m (RH), which is arranged in the support ring and whose resistance changes with temperature. It is an arm of the Wheatstone bridge circuit.
  • a platinum film resistor is mounted in the plastic sheath at the front end of the hot wire support ring. The resistance varies with the temperature of the intake air. It is called the temperature compensation resistor (RK) and is the other arm of the Wheatstone bridge circuit.
  • a precision resistor is attached to the plastic sheath at the rear end of the heat wire support ring.
  • This resistor can be trimmed with a laser and is also an arm of the Wheatstone bridge.
  • the voltage drop across the resistor is the output signal voltage of the hot wire air flow sensor.
  • the Wheatstone bridge also has an arm resistor RB mounted on the control board.
  • the sensing unit is a positioning sensor for monitoring changes in thoracic relief
  • the positioning sensor uses two commercially available positioning electrode pieces.
  • Two positioning electrode pieces are respectively placed in the chest and ventral position of the patient, or two positioning electrode pieces are placed on the midline position of the patient on both sides; the distance between the positioning electrode pieces is sensed and judged whether the patient's thorax is pressed or back.
  • the state of the bullet during the pressing process, when the distance between the two positioning electrode pieces is the smallest, it is the starting point of the rebound, and when the distance is the largest, it is the starting point of the pressing.
  • the control unit sends a start air injection command to the jet ventilation device according to the received sensing signal at the end point of the thoracic compression (ie, the starting point of the thoracic rebound), and the control unit issues a stop jet command at the end point of the thoracic rebound (ie, the starting point of the thoracic compression).
  • the jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
  • the sensing unit includes a flow sensor for monitoring changes in airway airflow during pressing and a positioning sensor for monitoring changes in thoracic relief.
  • control unit receives a pressing signal from the artificial cardiopulmonary resuscitation machine when the artificial chest card resuscitation machine performs automatic chest compression according to the set pressing mode.
  • the ventilating frequency of the high-frequency jet ventilator is 10 to 200 times/min, and the maximum ventilation volume is not less than 20L/min.
  • the thoracic rebound can be used to trigger a high-frequency jet ventilator instead of a normal ventilator or artificial assisted ventilation.
  • Uninterrupted chest compression can be used to reduce the intermittent interval of compression; in the patient's cardiopulmonary resuscitation thoracic rebound phase jet ventilation, effectively promote the complete rebound of the thoracic cavity, at this time ventilation of the pulmonary blood vessels can promote pulmonary blood return to the heart, Increase the amount of blood returned to the heart and promote blood circulation under chest compressions.
  • Chest compression is a key step in effective cardiopulmonary resuscitation.
  • the frequency of chest compressions and the time between compressions determine the quality of cardiopulmonary resuscitation. If the compression interval can be shortened, the coronary artery and the heart can be better perfused, and the prognosis will be improved.
  • the invention realizes the ventilation of the patient without uninterrupted chest compression, greatly reduces the pressing interval time, can accurately ventilate during the thoracic rebound of the patient, and can effectively improve the coronary artery and the heart and brain perfusion. Thereby giving patients a better prognosis.
  • a perceptually regulated ventilator for cardiopulmonary resuscitation comprising a sensing unit, a control module and a venting device, the venting device being connected to the artificial airway or the natural airway through an airway;
  • the control module is connected for a sensing unit for sensing a thoracic undulation state during cardiopulmonary resuscitation;
  • the control module after receiving the sensing signal sent by the sensing module, issues a command to the ventilation device according to a ratio (perception: the command is 1:1-5:1);
  • the ventilation device ventilates the airway during the thoracic rebound period, and stops ventilation during the thoracic compression period.
  • the control module issues a command when the sensing press is stopped (time greater than 10 seconds), and the venting device vents according to a predetermined mechanical ventilation mode.
  • the sensing unit is a flow sensor for monitoring the suction negative pressure generated by the thoracic rebound; when the flow sensor detects the inspiratory or expiratory flow, sending a signal to the control module, and the control module issues a command to the ventilation.
  • the device regulates the start or stop of ventilation.
  • the sensing unit is a displacement sensor that determines whether the cardiopulmonary resuscitation thorax is in a rebound or compression state by a distance change; the displacement sensor senses whether the patient's thorax is in a pressed state or a rebound state; and the control module receives the signal of the displacement sensor After that, the control module issues a command to the venting device to regulate the start or stop of the venting.
  • the sensing unit is a pressure sensor for sensing a change in force during cardiac compression, and the time at which the pressure is maximum and suddenly decreases rapidly is the starting point of the thoracic rebound and the pressure is suddenly felt.
  • the time point of rapid increase is the pressing start point; after the control module receives the signal of the pressure sensor, the control module issues a command to the ventilation device to regulate the start or stop of the ventilation.
  • the control module receives the sensing information, and analyzes the thoracic motion state or the respiratory state, and sends a command to the air supply at the end of the end of the breath or the inhalation, and at the end of inhalation or exhalation or designation.
  • the time is issued to stop the air supply, and the air supply and the air supply frequency which are proportional to the thoracic undulation or the respiratory frequency are issued according to the sensing information, and the ventilation is automatically switched to the preset ventilation when there is no thoracic motion or breathing for a long time.
  • Mode control module is configured to control module.
  • the ventilation device is a ventilation device such as a ventilator, an anesthesia machine, a non-invasive ventilator, a high-frequency ventilator, and the like currently used in clinical practice.
  • the high frequency ventilator used has a venting frequency of 20 to 200 times/min and a jet volume of 0.1 to 50 L/min.
  • the anesthesia machine used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
  • the ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
  • the non-invasive ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
  • the venting device used may be a venting device that uses a compressed air pump as an output air source to provide a stable and adjustable pressure, a maximum flow output of 100 L/min, and a maximum output pressure of 5 kPa.
  • the venting device used is a venting device that uses a high pressure oxygen cylinder or a high pressure air bottle as an output gas source to provide a stable and adjustable pressure.
  • the flow sensor uses Drager's hot-wire air flow sensor.
  • the basic structure includes a platinum hot wire (platinum wire) that senses air flow, a temperature compensation resistor (cold wire) that is corrected according to the intake air temperature, controls the hot wire current, and produces an output.
  • the hot wire has a wire diameter of 70 ⁇ m (RH), which is arranged in the support ring and whose resistance changes with temperature. It is an arm of the Wheatstone bridge circuit.
  • a platinum film resistor is mounted in the plastic sheath at the front end of the hot wire support ring. The resistance varies with the temperature of the intake air. It is called the temperature compensation resistor (RK) and is the other arm of the Wheatstone bridge circuit.
  • a precision resistor is attached to the plastic sheath at the rear end of the heat wire support ring.
  • This resistor can be trimmed with a laser and is also an arm of the Wheatstone bridge. Voltage drop across the resistor This is the output signal voltage of the hot wire air flow sensor.
  • the Wheatstone bridge also has an arm resistor RB mounted on the control board.
  • the present invention is directed to a patient who is undergoing cardiopulmonary resuscitation, such as the establishment of an artificial airway (ie, completion of an endotracheal tube or a laryngeal mask), which can be replaced by a perceptual thoracic undulating ventilator provided by the present invention instead of a normal ventilator or artificial assisted ventilation.
  • Ventilation during thoracic rebound during uninterrupted chest compression can effectively promote complete thoracic rebound.
  • the ventilation process will simultaneously squeeze the pulmonary vessels, promote pulmonary blood return to the heart, increase cardiac return, and promote chest. Press the blood circulation under it.
  • the mask is ventilated after completely removing the secretions in the oropharynx, and the pleural undulating ventilator provided by the present invention is used instead of the ordinary ventilator or artificial assisted ventilation, and if there is airway obstruction, A certain positive end-expiratory pressure was applied to ventilate during thoracic rebound during uninterrupted chest compression.
  • the chest compression operation can be achieved either by manual pressing by a medical staff or by an automatic chest compression machine.
  • the automatic chest compression machine is adopted, and the automatic chest compression machine and the monitoring module can work together to help the monitoring module to better monitor the starting point of the thoracic rebound and the starting point of the thoracic compression.
  • the automatic chest compression press reduces the pressing time.
  • the 2015 AHA Cardiopulmonary Resuscitation Guidelines emphasize the reduction of intermittent time for chest compressions.
  • the 2015 AHA Cardiopulmonary Resuscitation Guidelines emphasize that chest compressions are the key to effective CPR.
  • the frequency of chest compressions and the time between compressions are important components in determining the quality of CPR. Shortening the time between compressions, coronary and heart can be better perfused, and the prognosis will be improved.
  • the invention can complete the ventilation of the patient without uninterrupted chest compression, greatly reducing the pressing interval time, and more in line with the 2015 AHA cardiopulmonary resuscitation guide standard, and the invention can effectively improve while obtaining better ventilation effect. Coronary and cardiac, cerebral perfusion, so that patients get a better prognosis.

Landscapes

  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Rehabilitation Therapy (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Pain & Pain Management (AREA)
  • Epidemiology (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

Disclosed is a trigger-type high frequency jet ventilator for cardiopulmonary resuscitation, said ventilator comprising a control unit and a jet ventilation device. The jet ventilation device is connected to an artificial airway via an air pipe, and the control unit is connected to a sensing unit used for sensing thorax rising and falling or a breathing airflow, or to an artificial cardiopulmonary resuscitation machine. The control unit receives a sensing signal sent by the sensing unit or a pressing signal from the artificial cardiopulmonary resuscitation machine, and then issues a jet start command to the jet ventilation device at a thorax pressing end point. Also disclosed is a sensing and regulating ventilator for cardiopulmonary resuscitation, said ventilator comprising a sensing unit, a control module and a ventilation device. The sensing and regulating ventilator is connected to an artificial airway or a natural human airway via an air pipe. The sensing unit is used for sensing a thorax rising and falling state during cardiopulmonary resuscitation, and issuing a sensing signal to the control module. The control module receives the sensing signal sent by the sensing unit, and then issues a command to the ventilation device. The ventilators ventilate at a patient cardiopulmonary resuscitation thorax rebound phase, ensure uninterrupted pressing during ventilation and asynchronous pressing during breathing, and effectively improve a ventilation effect during cardiopulmonary resuscitation. The pressing of this kind of ventilation on pulmonary blood vessels encourages pulmonary blood to flow back to the heart, increases the amount of blood returning to the heart, and promotes blood circulation under chest pressing.

Description

一种心肺复苏用触发式高频喷射呼吸机和心肺复苏用感知调控呼吸机Trigger high frequency jet ventilator for cardiopulmonary resuscitation and perceptual regulation ventilator for cardiopulmonary resuscitation
相关申请Related application
本申请要求名称为“一种心肺复苏用触发式高频喷射呼吸机”、于2016年2月16日提交的中国专利申请号为CN201610087882.9的发明专利申请以及名称为“一种心肺复苏用触发式高频喷射呼吸机”、于2016年2月16日提交的中国专利申请号为CN201620123724.X的实用新型专利申请优先权,在此通过引用包括该件申请。The present application claims the invention as "a trigger type high-frequency jet ventilator for cardiopulmonary resuscitation", the invention patent application of the Chinese patent application No. CN201610087882.9 filed on February 16, 2016, and the name "a cardiopulmonary resuscitation" The triggering type high-frequency jet ventilator, the priority of the utility model patent application filed on Feb. 16, 2016, which is incorporated herein by reference.
技术领域Technical field
本发明涉及医用呼吸机技术领域,特别是涉及一种心肺复苏用触发式高频喷射呼吸机和心肺复苏用感知调控呼吸机。The invention relates to the technical field of medical ventilators, in particular to a trigger type high frequency jet ventilator for cardiopulmonary resuscitation and a sensory ventilator for cardiopulmonary resuscitation.
背景技术Background technique
2015年AHA心肺复苏基础生命支持指南中指出,当正在实施心肺复苏的心跳骤停患者已建立高级气道后,施救者可以不再按照30∶2的按压呼吸比循环作业(即2次通气时不再中断胸外按压)。相反,可每隔6s通气一次(呼吸频率10次/分),同时持续不间断地行胸外按压(Class IIb,LOE C-LD)。The 2015 AHA Cardiopulmonary Resuscitation Basic Life Support Guide states that when a patient with cardiopulmonary resuscitation with cardiopulmonary resuscitation has established an advanced airway, the rescuer may no longer follow a 30:2 compression-to-breathing cycle (ie, 2 ventilation). When the chest compression is no longer interrupted). Instead, it can be ventilated every 6 s (respiration rate 10 beats / min) while continuing to perform chest compressions (Class IIb, LOE C-LD) without interruption.
在这种模式下,胸外按压与机械通气是同时进行的。此模式可能存在以下问题:当机械通气吸气相与按压冲突,气道压过高气体无法正常进入肺部;当呼气相与胸廓回弹相同步时,呼气效率降低。临床可表现为血氧饱和度低,CO2蓄积,复跳困难,心肺复苏成功率下降,预后差等。In this mode, chest compressions and mechanical ventilation are performed simultaneously. This mode may have the following problems: When the mechanical ventilation inhalation conflicts with the compression, the airway pressure is too high to enter the lungs normally; when the expiratory phase is synchronized with the thoracic rebound, the expiratory efficiency is lowered. Clinical manifestations of low oxygen saturation, CO 2 accumulation, difficulty in re-jumping, decreased cardiopulmonary resuscitation success rate, poor prognosis.
发明内容Summary of the invention
本发明的一个目的是针对现有技术中存在的技术缺陷,提供一种代替普通呼吸机或人工辅助通气的心肺复苏用触发式高频喷射呼吸机。An object of the present invention is to provide a trigger type high frequency jet ventilator for cardiopulmonary resuscitation instead of a normal ventilator or artificial assisted ventilation in view of the technical deficiencies existing in the prior art.
本发明提供的心肺复苏用触发式高频喷射呼吸机,包括控制单元和喷射通气装置;所述喷射通气装置通过气路连接至人工气道;所述控制单元连接有用于感知胸廓起伏或呼吸气流的感知单元或人工心肺复苏机;所述控制单元收到所述感知单元发来的感知信号或来自人工心肺复苏机的按压信号后,在胸廓按压的终点(即胸廓回弹的始点)向喷射通气装置发出开始喷气指令;在胸廓回弹的终点(即胸廓按压的始点)发出停止喷气指令;所述喷射通气装置根据接 收到的指令,向人工气道开始喷射通气或停止喷射通气。The present invention provides a trigger type high frequency jet ventilator for cardiopulmonary resuscitation, comprising a control unit and a jet venting device; the jet ventilating device is connected to the artificial airway through an airway; the control unit is connected for sensing thoracic undulation or respiratory airflow Perceptual unit or artificial cardiopulmonary resuscitation machine; after receiving the sensing signal from the sensing unit or the pressing signal from the artificial cardiopulmonary resuscitation machine, the control unit sprays at the end of the thoracic compression (ie, the starting point of the thoracic rebound) The venting device issues a start jet command; a stop jet command is issued at the end of the thoracic rebound (ie, the beginning of the thoracic compression); Received instructions to start jet ventilation or stop jet ventilation to the artificial airway.
本发明提供的上述心肺复苏用触发式高频喷射呼吸机是为了实现通气时胸廓按压不间断,且吸气时与胸廓按压不同步的状态。The trigger type high-frequency jet ventilator for cardiopulmonary resuscitation provided by the present invention is for achieving a state in which the thoracic compression is uninterrupted during ventilation and is not synchronized with the thoracic compression during inhalation.
当医护人员手动实施胸外按压时,所述控制单元连接的是感知单元。When the medical staff manually performs the chest compression, the control unit is connected to the sensing unit.
优选的,所述感知单元为用于监测按压过程中气道气流变化的流量传感器。流量传感器感知到吸气或呼气流量时,发送感知信号给控制单元。控制单元根据收到的感知信号在胸廓按压的终点(即胸廓回弹的始点)向喷射通气装置发出开始喷气指令;控制单元在胸廓回弹的终点(即胸廓按压的始点)发出停止喷气指令。所述喷射通气装置根据接收指令后,向人工气道开始喷射通气或停止喷射通气。Preferably, the sensing unit is a flow sensor for monitoring changes in airway airflow during pressing. When the flow sensor senses inspiratory or expiratory flow, it sends a sensing signal to the control unit. The control unit sends a start jet command to the jet venting device at the end of the thoracic compression (ie, the starting point of the thoracic rebound) according to the received sensing signal; the control unit issues a stop jet command at the end of the thoracic rebound (ie, the starting point of the thoracic compression). The jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
另外的技术方案是,所述感知单元为用于监测胸廓起伏变化的定位传感器。定位传感器的数量为2个,分别放置在患者胸及腹背位置,或者将2个定位传感器放置在患者两侧腋中线位置;通过定位传感器间的距离变化感知并判断患者胸廓处于按压状态还是回弹状态;按压过程中,当两个定位传感器之间的距离最小时为回弹始点,距离最大时为按压始点。控制单元根据收到的感知信号,在胸廓按压的终点(即胸廓回弹的始点)向喷射通气装置发出开始喷气指令,控制单元在胸廓回弹的终点(即胸廓按压的始点)发出停止喷气指令;所述喷射通气装置根据接收指令后,向人工气道开始喷射通气或停止喷射通气。In another technical solution, the sensing unit is a positioning sensor for monitoring changes in thoracic relief. The number of positioning sensors is two, which are placed in the chest and ventral position of the patient, or two positioning sensors are placed on the midline of the patient's sides; the distance between the sensors is sensed and the patient's thorax is pressed or rebounded. State; during the pressing process, when the distance between the two positioning sensors is the smallest, it is the starting point of the rebound, and when the distance is the largest, it is the starting point of the pressing. The control unit sends a start air injection command to the jet ventilation device according to the received sensing signal at the end point of the thoracic compression (ie, the starting point of the thoracic rebound), and the control unit issues a stop jet command at the end point of the thoracic rebound (ie, the starting point of the thoracic compression). The jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
更进一步的,为了使感知信号更加准确,所述感知单元包括用于监测按压过程中气道气流变化的流量传感器和用于监测胸廓起伏变化的定位传感器。通过流量传感器和定位传感器配合工作,能够更加准确判断心肺复苏时胸廓按压的始终点或胸廓回弹的始终点。Further, in order to make the sensing signal more accurate, the sensing unit includes a flow sensor for monitoring changes in airway airflow during pressing and a positioning sensor for monitoring changes in thoracic relief. By working with the flow sensor and the positioning sensor, it is possible to more accurately determine the always point of the thoracic compression or the point of the thoracic rebound during cardiopulmonary resuscitation.
当采用人工心肺复苏机按照设定的按压模式进行自动胸外按压时,所述控制单元接收来自所述人工心肺复苏机发出的按压信号。The control unit receives a pressing signal from the artificial cardiopulmonary resuscitation machine when the artificial chest card resuscitation machine performs automatic chest compression according to the set pressing mode.
所述高频喷射呼吸机的通气频率为10~200次/min,最大通气量不小于20L/min。The ventilating frequency of the high-frequency jet ventilator is 10 to 200 times/min, and the maximum ventilation is not less than 20 L/min.
与现有技术相比,本发明针对正在实施心肺复苏的患者,且该患者已经完成气管插管或喉罩,可以通过本发明提供的胸廓回弹触发高频喷射呼吸机代替 传统的呼吸机或人工辅助通气,并具有以下优势:Compared with the prior art, the present invention is directed to a patient who is undergoing cardiopulmonary resuscitation, and the patient has completed an endotracheal tube or a laryngeal mask, and can be replaced by a thoracic rebound-triggered high-frequency jet ventilator provided by the present invention. Traditional ventilator or manual assisted ventilation with the following advantages:
(1)可进行全程、完全不间断的胸外按压,同时确保在胸廓回弹期间(即胸廓按压的终点至胸廓回弹的终点)实现有效通气;(1) Full and uninterrupted chest compressions can be performed while ensuring effective ventilation during thoracic rebound (ie, the end of thoracic compression to the end of thoracic rebound);
(2)在胸廓回弹期间(即胸廓按压的终点至胸廓回弹的终点)向人工气道提供不间断喷气,有效的提高了心肺复苏时患者氧合,增加抢救的成功率,减少并发症的出现;(2) Providing uninterrupted jets to the artificial airway during thoracic rebound (ie, the end of thoracic compression to the end of thoracic rebound), effectively improving oxygenation in patients during cardiopulmonary resuscitation, increasing the success rate of rescue, and reducing complications Appearance
(3)在患者心肺复苏胸廓回弹相喷射通气,有效的促进胸廓完全回弹,此时通气对肺血管的挤压可促进肺血回流心脏,增加心脏回血量,促进胸外按压下的血液循环。(3) In the patient's cardiopulmonary resuscitation, the thoracic rebound phase jet ventilation effectively promotes the complete rebound of the thorax. At this time, the compression of the pulmonary blood vessels by the ventilation can promote the return of the blood to the heart, increase the amount of blood returned to the heart, and promote the compression under the chest. blood circulation.
本发明针对现有技术中存在的技术缺陷,还提供另外一种代替普通呼吸机或人工辅助通气的心肺复苏用感知调控呼吸机。The present invention is directed to the technical deficiencies existing in the prior art, and further provides a perceptually regulated ventilator for cardiopulmonary resuscitation instead of a normal ventilator or artificial assisted ventilation.
为实现本发明的目的所采用的技术方案是:一种心肺复苏用感知调控呼吸机,包括感知单元、控制模块和通气装置;所述通气装置通过气路连接至气道;所述控制模块无线或有线连接有用于感知心肺复苏时胸廓按压起始点或胸廓回弹起始点的感知单元;所述控制模块收到所述感知单元发来的感知信号后,向通气装置发出指令;所述通气装置按照指令,在胸廓回弹起始点时向气道进行通气,在胸廓按压起始点时停止通气。The technical solution adopted for the purpose of the present invention is: a perceptually regulated ventilator for cardiopulmonary resuscitation, comprising a sensing unit, a control module and a venting device; the ventilating device is connected to the airway through an airway; the control module is wireless Or a wired connection with a sensing unit for sensing a chest compression starting point or a thoracic rebound starting point during cardiopulmonary resuscitation; the control module sends a command to the ventilation device after receiving the sensing signal sent by the sensing unit; the ventilation device According to the instruction, the airway is ventilated at the starting point of the thoracic rebound, and the ventilation is stopped at the starting point of the thoracic compression.
优选的,所述通气装置按照指令,在胸廓按压起始点时停止通气。所述控制模块在感知按压停止时(时间大于10秒)发出指令,所述通气装置按照机械通气模式进行通气。所述机械通气模式可以为预先设置的模式。Preferably, the venting device stops the ventilation at the beginning of the thoracic compression as directed. The control module issues an instruction when the sensing press is stopped (time greater than 10 seconds), and the venting device vents in a mechanical ventilation mode. The mechanical ventilation mode may be a preset mode.
优选的,所述感知单元为用于监测胸廓回弹产生的吸气负压流量的流量传感器;当流量传感器监测到吸气或呼气流量时,发送信号给控制模块,控制模块发出指令至通气装置,调控通气开始或停止。Preferably, the sensing unit is a flow sensor for monitoring the suction negative pressure generated by the thoracic rebound; when the flow sensor detects the inspiratory or expiratory flow, sending a signal to the control module, and the control module issues a command to the ventilation. The device regulates the start or stop of ventilation.
优选的,所述感知单元为通过距离变化来判断心肺复苏胸廓处于回弹或按压状态的位移传感器;通过位移传感器感知患者胸廓处于按压状态还是回弹状态;所述控制模块接收到位移传感器的信号后,控制模块发出指令至通气装置,调控通气开始或停止。Preferably, the sensing unit is a displacement sensor that determines whether the cardiopulmonary resuscitation thorax is in a rebound or compression state by a distance change; the displacement sensor senses whether the patient's thorax is in a pressed state or a rebound state; and the control module receives the signal of the displacement sensor After that, the control module issues a command to the venting device to regulate the start or stop of the venting.
优选的,所述感知单元为用于感知心脏按压过程中力量变化的压力传感器,感知压力最大而突然快速减小的时间点为胸廓回弹起始点而感知压力突然 快速变大的时间点为按压起始点;所述控制模块接收到压力传感器的信号后,控制模块发出指令至通气装置,调控通气开始或停止。Preferably, the sensing unit is a pressure sensor for sensing a change in force during cardiac compression, and the time at which the pressure is maximum and suddenly decreases rapidly is the starting point of the thoracic rebound and the pressure is suddenly felt. The time point of rapid increase is the pressing start point; after the control module receives the signal of the pressure sensor, the control module issues a command to the ventilation device to regulate the start or stop of the ventilation.
优选的,所述感知单元包括为感知人体胸廓运动状态或呼吸状态的技术和设备,包括但是不限于上述压力传感器、流量传感器和位移传感器中的一种或多种。Preferably, the sensing unit includes techniques and devices for sensing a thoracic motion state or a breathing state of the human body, including but not limited to one or more of the above-described pressure sensor, flow sensor, and displacement sensor.
优选的,所述控制模块为接受感知信息,通过分析胸廓运动状态或呼吸状态,在呼气末或吸气初向呼吸机发出指令向机体供气,并在吸气末或呼气初或指定时间发出指令停止供气,并可根据感知信息发出与胸廓起伏或呼吸频率成比例的供气和停止供气频率,同时在感知较长时间无胸廓运动或呼吸时自动切换到预先设定的通气模式的控制模块。Preferably, the control module receives the sensing information, and analyzes the thoracic motion state or the respiratory state, and sends a command to the air supply at the end of the end of the breath or the inhalation, and at the end of inhalation or exhalation or designation. The time is issued to stop the air supply, and the air supply and the air supply frequency which are proportional to the thoracic undulation or the respiratory frequency are issued according to the sensing information, and the ventilation is automatically switched to the preset ventilation when there is no thoracic motion or breathing for a long time. Mode control module.
所述通气装置为目前临床所用通气设备,优选呼吸机或麻醉机,所述呼吸机可以为无创呼吸机、高频呼吸机或转运呼吸机等通气设备。The ventilation device is a ventilation device currently used in clinical practice, preferably a ventilator or an anesthesia machine, and the ventilator can be a ventilation device such as a non-invasive ventilator, a high-frequency ventilator or a transport ventilator.
优选的,所用高频呼吸机的通气频率为20-200次/min,喷气量为0.1~50L/min。Preferably, the high frequency ventilator used has a venting frequency of 20 to 200 times/min and a jet volume of 0.1 to 50 L/min.
优选的,所用麻醉机为定容通气模式和/或定压通气模式,通气频率可以最高达120次/分钟。Preferably, the anesthesia machine used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
优选的,所用呼吸机为定容通气模式和/或定压通气模式,通气频率可以最高达120次/分钟。Preferably, the ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
优选的,所用无创呼吸机为定容通气模式和/或定压通气模式,通气频率可以最高达120次/分钟。Preferably, the non-invasive ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
优选的,所用通气装置可为以压缩空气泵是输出气源的通气装置,能提供稳定可调的压力,最大流量输出为100L/min,最大输出压力为5Kpa。Preferably, the venting device used may be a venting device that uses a compressed air pump as an output air source to provide a stable and adjustable pressure, a maximum flow output of 100 L/min, and a maximum output pressure of 5 kPa.
优选的,所用通气装置为以高压氧气瓶或高压空气瓶为输出气源的通气装置,能提供稳定可调的压力。Preferably, the venting device used is a venting device that uses a high pressure oxygen cylinder or a high pressure air bottle as an output gas source to provide a stable and adjustable pressure.
本发明能够在患者心肺复苏胸廓回弹相通气,保证通气时按压不间断且吸气时与按压不同步,有效提高心脏复苏时的通气效果,且此种通气对肺血管的挤压可促进肺血回流心脏,增加心脏回血量,促进胸外按压下的血液循环。The invention can ventilate the thoracic rebound phase in the patient's cardiopulmonary resuscitation, ensure uninterrupted pressing during ventilation, and is not synchronized with the pressing during inhalation, thereby effectively improving the ventilation effect during cardiac resuscitation, and the compression of the pulmonary blood vessel by the ventilation can promote the lung Blood returns to the heart, increasing the amount of blood returned to the heart and promoting blood circulation under external chest compressions.
本发明的工作原理及有益效果是:The working principle and beneficial effects of the present invention are:
与现有技术相比,本发明的有益效果是:针对正在实施心肺复苏的患者, 可以通过本发明提供的感知的胸廓起伏信息调控通气装置代替普通呼吸机或人工辅助通气,并具有以下优势,Compared with the prior art, the beneficial effects of the present invention are: for patients who are undergoing cardiopulmonary resuscitation, The perceived thoracic undulation information regulating ventilation device provided by the present invention can replace the ordinary ventilator or the artificial assisted ventilation, and has the following advantages.
(1)可进行不间断胸外按压,降低了按压间歇时间,符合2015年AHA心肺复苏基础生命支持指南推荐标准;(1) Uninterrupted chest compressions can be performed, reducing the intermittent interval of compression, in line with the 2015 AHA cardiopulmonary resuscitation basic life support guidelines recommended standards;
(2)能够在患者心肺复苏胸廓回弹相喷射通气,有效的促进胸廓完全回弹,此时通气对肺血管的挤压可促进肺血回流心脏,增加心脏回血量,促进胸外按压下的血液循环;(2) can in the patient's cardiopulmonary resuscitation thoracic rebound phase jet ventilation, effectively promote the complete rebound of the thoracic cavity, at this time ventilation of the pulmonary blood vessels can promote pulmonary blood return to the heart, increase the amount of blood return to the heart, promote chest compression Blood circulation
(3)有效的提高了心肺复苏时患者氧合,增加抢救的成功率,减少并发症的出现。(3) Effectively improve the oxygenation of patients during cardiopulmonary resuscitation, increase the success rate of rescue, and reduce the occurrence of complications.
附图说明DRAWINGS
图1所示为一种心肺复苏用触发式高频喷射呼吸机的连接框图。Figure 1 shows a block diagram of a connection for a triggered high-frequency jet ventilator for cardiopulmonary resuscitation.
图2所示为一种心肺复苏用感知调控呼吸机的连接框图。Figure 2 shows a block diagram of the connection of a sensory-controlled ventilator for cardiopulmonary resuscitation.
具体实施方式detailed description
以下结合具体实施例对本发明作进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。The invention will be further described in detail below in conjunction with specific embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
实施例1:Example 1:
如图1所示为一种心肺复苏用触发式高频喷射呼吸机,包括控制单元和喷射通气装置;所述喷射通气装置通过气路连接至人工气道;所述控制单元连接有用于感知胸廓起伏或呼吸气流的感知单元或人工心肺复苏机;所述控制单元收到所述感知单元发来的感知信号或来自人工心肺复苏机的按压信号后,在胸廓按压的终点(即胸廓回弹的始点)向喷射通气装置发出开始喷气指令;在胸廓回弹的终点(即胸廓按压的始点)发出停止喷气指令;所述喷射通气装置根据接收到的指令,向人工气道开始喷射通气或停止喷射通气。Figure 1 shows a trigger type high-frequency jet ventilator for cardiopulmonary resuscitation, comprising a control unit and a jet venting device; the jet venting device is connected to the artificial airway through a pneumatic circuit; the control unit is connected for sensing the thorax a sensing unit of an undulating or respiratory airflow or an artificial cardiopulmonary resuscitation machine; the control unit receives a sensing signal from the sensing unit or a pressing signal from an artificial cardiopulmonary resuscitation machine, at the end of the thoracic compression (ie, thoracic rebound Starting point) issuing a start air injection command to the jet ventilation device; issuing a stop air injection command at the end point of the thoracic rebound (ie, the starting point of the thoracic compression); the injection ventilation device starts the injection airflow or stops the injection to the artificial airway according to the received command Ventilation.
本发明提供的上述心肺复苏用触发式高频喷射呼吸机是为了实现通气时胸廓按压不间断,且吸气时与胸廓按压不同步的状态。The trigger type high-frequency jet ventilator for cardiopulmonary resuscitation provided by the present invention is for achieving a state in which the thoracic compression is uninterrupted during ventilation and is not synchronized with the thoracic compression during inhalation.
优选的,所述感知单元为用于监测按压过程中气道气流变化的流量传感器。流量传感器感知到吸气或呼气流量时,发送感知信号给控制单元。控制单元根据收到的感知信号在胸廓按压的终点(即胸廓回弹的始点)向喷射通气装 置发出开始喷气指令;控制单元在胸廓回弹的终点(即胸廓按压的始点)发出停止喷气指令。所述喷射通气装置根据接收指令后,向人工气道开始喷射通气或停止喷射通气。Preferably, the sensing unit is a flow sensor for monitoring changes in airway airflow during pressing. When the flow sensor senses inspiratory or expiratory flow, it sends a sensing signal to the control unit. The control unit loads the jet vent according to the received sensing signal at the end of the thoracic compression (ie, the starting point of the thoracic rebound) The start of the jet command is issued; the control unit issues a stop jet command at the end of the thoracic rebound (ie, the beginning of the thoracic compression). The jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
所述流量传感器选用Drager公司的热线式空气流量传感器,基本结构包括感知空气流量的白金热线(铂金属线)、根据进气温度进行修正的温度补偿电阻(冷线)、控制热线电流并产生输出信号的控制线路板以及空气流量传感器的壳体。热线的线径为70μm的白金丝(RH),布置在支承环内,其阻值随温度变化,是惠斯顿电桥电路的一个臂。热线支承环前端的塑料护套内安装一个白金薄膜电阻器,其阻值随进气温度变化,称为温度补偿电阻(RK),是惠斯顿电桥电路的另一个臂。热线支承环后端的塑料护套上粘结着一只精密电阻(RA)。此电阻能用激光修整,也是惠斯顿电桥的一个臂。该电阻上的电压降即为热线式空气流量传感器的输出信号电压。惠斯顿电桥还有一个臂的电阻RB安装在控制线路板上。The flow sensor uses Drager's hot-wire air flow sensor. The basic structure includes a platinum hot wire (platinum wire) that senses air flow, a temperature compensation resistor (cold wire) that is corrected according to the intake air temperature, controls the hot wire current, and produces an output. The control circuit board of the signal and the housing of the air flow sensor. The hot wire has a wire diameter of 70 μm (RH), which is arranged in the support ring and whose resistance changes with temperature. It is an arm of the Wheatstone bridge circuit. A platinum film resistor is mounted in the plastic sheath at the front end of the hot wire support ring. The resistance varies with the temperature of the intake air. It is called the temperature compensation resistor (RK) and is the other arm of the Wheatstone bridge circuit. A precision resistor (RA) is attached to the plastic sheath at the rear end of the heat wire support ring. This resistor can be trimmed with a laser and is also an arm of the Wheatstone bridge. The voltage drop across the resistor is the output signal voltage of the hot wire air flow sensor. The Wheatstone bridge also has an arm resistor RB mounted on the control board.
优选的,所述感知单元为用于监测胸廓起伏变化的定位传感器,所述定位传感器选用2个市售的定位电极片。2个定位电极片分别放置在患者胸及腹背位置,或者将2个定位电极片放置在患者两侧腋中线位置;通过所述定位电极片间的距离变化感知并判断患者胸廓处于按压状态还是回弹状态;按压过程中,当两个定位电极片之间的距离最小时为回弹始点,距离最大时为按压始点。控制单元根据收到的感知信号,在胸廓按压的终点(即胸廓回弹的始点)向喷射通气装置发出开始喷气指令,控制单元在胸廓回弹的终点(即胸廓按压的始点)发出停止喷气指令;所述喷射通气装置根据接收指令后,向人工气道开始喷射通气或停止喷射通气。Preferably, the sensing unit is a positioning sensor for monitoring changes in thoracic relief, and the positioning sensor uses two commercially available positioning electrode pieces. Two positioning electrode pieces are respectively placed in the chest and ventral position of the patient, or two positioning electrode pieces are placed on the midline position of the patient on both sides; the distance between the positioning electrode pieces is sensed and judged whether the patient's thorax is pressed or back. The state of the bullet; during the pressing process, when the distance between the two positioning electrode pieces is the smallest, it is the starting point of the rebound, and when the distance is the largest, it is the starting point of the pressing. The control unit sends a start air injection command to the jet ventilation device according to the received sensing signal at the end point of the thoracic compression (ie, the starting point of the thoracic rebound), and the control unit issues a stop jet command at the end point of the thoracic rebound (ie, the starting point of the thoracic compression). The jet ventilation device starts the injection ventilation or stops the injection ventilation to the artificial airway according to the receiving instruction.
更进一步的,为了使感知信号更加准确,所述感知单元包括用于监测按压过程中气道气流变化的流量传感器和用于监测胸廓起伏变化的定位传感器。通过流量传感器和定位传感器配合工作,能够更加准确判断心肺复苏时胸廓按压的始终点或胸廓回弹的始终点。Further, in order to make the sensing signal more accurate, the sensing unit includes a flow sensor for monitoring changes in airway airflow during pressing and a positioning sensor for monitoring changes in thoracic relief. By working with the flow sensor and the positioning sensor, it is possible to more accurately determine the always point of the thoracic compression or the point of the thoracic rebound during cardiopulmonary resuscitation.
优选的,当采用人工心肺复苏机按照设定的按压模式进行自动胸外按压时,所述控制单元接收来自所述人工心肺复苏机发出的按压信号。Preferably, the control unit receives a pressing signal from the artificial cardiopulmonary resuscitation machine when the artificial chest card resuscitation machine performs automatic chest compression according to the set pressing mode.
所述高频喷射呼吸机的通气频率为10~200次/min,最大通气量不小于 20L/min。The ventilating frequency of the high-frequency jet ventilator is 10 to 200 times/min, and the maximum ventilation volume is not less than 20L/min.
针对正在实施心肺复苏的患者,且该患者已经建立人工气道(即完成气管插管或喉罩),可以通过本发明提供的胸廓回弹触发高频喷射呼吸机代替普通呼吸机或人工辅助通气,可进行不间断胸外按压,降低了按压间歇时间;在患者心肺复苏胸廓回弹相喷射通气,有效的促进胸廓完全回弹,此时通气对肺血管的挤压可促进肺血回流心脏,增加心脏回血量,促进胸外按压下的血液循环。For patients who are undergoing cardiopulmonary resuscitation, and the patient has established an artificial airway (ie, completes an endotracheal intubation or a laryngeal mask), the thoracic rebound can be used to trigger a high-frequency jet ventilator instead of a normal ventilator or artificial assisted ventilation. Uninterrupted chest compression can be used to reduce the intermittent interval of compression; in the patient's cardiopulmonary resuscitation thoracic rebound phase jet ventilation, effectively promote the complete rebound of the thoracic cavity, at this time ventilation of the pulmonary blood vessels can promote pulmonary blood return to the heart, Increase the amount of blood returned to the heart and promote blood circulation under chest compressions.
胸外按压是进行有效的心肺复苏的关键步骤。胸外按压的频率和按压间断时间是决定了心肺复苏的质量。如果能够缩短按压间断时间,冠脉及心脏可获得更好的灌注,其预后也将得到改善。本发明实现了在不间断胸外按压的情况下完成对患者的通气,大大减少了按压间歇时间,能够准确的在患者的胸廓回弹期间进行通气,可有效改善冠脉及心脏、大脑灌注,从而使患者获得更好的预后。Chest compression is a key step in effective cardiopulmonary resuscitation. The frequency of chest compressions and the time between compressions determine the quality of cardiopulmonary resuscitation. If the compression interval can be shortened, the coronary artery and the heart can be better perfused, and the prognosis will be improved. The invention realizes the ventilation of the patient without uninterrupted chest compression, greatly reduces the pressing interval time, can accurately ventilate during the thoracic rebound of the patient, and can effectively improve the coronary artery and the heart and brain perfusion. Thereby giving patients a better prognosis.
实施例2:Example 2:
如图2所示的一种心肺复苏用感知调控呼吸机,包括感知单元、控制模块和通气装置,所述通气装置通过气路连接至人工气道或自然气道;所述控制模块连接有用于感知心肺复苏时胸廓起伏状态的感知单元;所述控制模块收到所述感知模块发来的感知信号后,按比例(感知:指令为1∶1-5∶1)向通气装置发出指令;所述通气装置按照指令,在胸廓回弹期向气道进行通气,在胸廓按压期停止通气。在感知按压停止时(时间大于10秒)控制模块发出指令,所述通气装置按照预先设定之机械通气模式进行通气。A perceptually regulated ventilator for cardiopulmonary resuscitation, as shown in FIG. 2, comprising a sensing unit, a control module and a venting device, the venting device being connected to the artificial airway or the natural airway through an airway; the control module is connected for a sensing unit for sensing a thoracic undulation state during cardiopulmonary resuscitation; the control module, after receiving the sensing signal sent by the sensing module, issues a command to the ventilation device according to a ratio (perception: the command is 1:1-5:1); According to the instruction, the ventilation device ventilates the airway during the thoracic rebound period, and stops ventilation during the thoracic compression period. The control module issues a command when the sensing press is stopped (time greater than 10 seconds), and the venting device vents according to a predetermined mechanical ventilation mode.
优选的,所述感知单元为用于监测胸廓回弹产生的吸气负压流量的流量传感器;当流量传感器监测到吸气或呼气流量时,发送信号给控制模块,控制模块发出指令至通气装置,调控通气开始或停止。Preferably, the sensing unit is a flow sensor for monitoring the suction negative pressure generated by the thoracic rebound; when the flow sensor detects the inspiratory or expiratory flow, sending a signal to the control module, and the control module issues a command to the ventilation. The device regulates the start or stop of ventilation.
优选的,所述感知单元为通过距离变化来判断心肺复苏胸廓处于回弹或按压状态的位移传感器;通过位移传感器感知患者胸廓处于按压状态还是回弹状态;所述控制模块接收到位移传感器的信号后,控制模块发出指令至通气装置,调控通气开始或停止。Preferably, the sensing unit is a displacement sensor that determines whether the cardiopulmonary resuscitation thorax is in a rebound or compression state by a distance change; the displacement sensor senses whether the patient's thorax is in a pressed state or a rebound state; and the control module receives the signal of the displacement sensor After that, the control module issues a command to the venting device to regulate the start or stop of the venting.
优选的,所述感知单元为用于感知心脏按压过程中力量变化的压力传感器,感知压力最大而突然快速减小的时间点为胸廓回弹起始点而感知压力突然 快速变大的时间点为按压起始点;所述控制模块接收到压力传感器的信号后,控制模块发出指令至通气装置,调控通气开始或停止。Preferably, the sensing unit is a pressure sensor for sensing a change in force during cardiac compression, and the time at which the pressure is maximum and suddenly decreases rapidly is the starting point of the thoracic rebound and the pressure is suddenly felt. The time point of rapid increase is the pressing start point; after the control module receives the signal of the pressure sensor, the control module issues a command to the ventilation device to regulate the start or stop of the ventilation.
优选的,所述控制模块为接受感知信息,通过分析胸廓运动状态或呼吸状态,在呼气末或吸气初向呼吸机发出指令向机体供气,并在吸气末或呼气初或指定时间发出指令停止供气,并可根据感知信息发出与胸廓起伏或呼吸频率成比例的供气和停止供气频率,同时在感知较长时间无胸廓运动或呼吸时自动切换到预先设定的通气模式的控制模块。Preferably, the control module receives the sensing information, and analyzes the thoracic motion state or the respiratory state, and sends a command to the air supply at the end of the end of the breath or the inhalation, and at the end of inhalation or exhalation or designation. The time is issued to stop the air supply, and the air supply and the air supply frequency which are proportional to the thoracic undulation or the respiratory frequency are issued according to the sensing information, and the ventilation is automatically switched to the preset ventilation when there is no thoracic motion or breathing for a long time. Mode control module.
所述通气装置为目前临床所用通气设备如呼吸机、麻醉机、无创呼吸机、高频呼吸机等通气设备。The ventilation device is a ventilation device such as a ventilator, an anesthesia machine, a non-invasive ventilator, a high-frequency ventilator, and the like currently used in clinical practice.
优选的,所用高频呼吸机的通气频率为20-200次/min,喷气量为0.1~50L/min。Preferably, the high frequency ventilator used has a venting frequency of 20 to 200 times/min and a jet volume of 0.1 to 50 L/min.
优选的,所用麻醉机为定容通气模式和/或定压通气模式,通气频率可以最高达120次/分钟。Preferably, the anesthesia machine used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
优选的,所用呼吸机为定容通气模式和/或定压通气模式,通气频率可以最高达120次/分钟。Preferably, the ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
优选的,所用无创呼吸机为定容通气模式和/或定压通气模式,通气频率可以最高达120次/分钟。Preferably, the non-invasive ventilator used is a constant volume ventilation mode and/or a constant pressure ventilation mode, and the ventilation frequency can be up to 120 times/minute.
优选的,所用通气装置可为以压缩空气泵是输出气源的通气装置,能提供稳定可调的压力,最大流量输出为100L/min,最大输出压力为5Kpa。Preferably, the venting device used may be a venting device that uses a compressed air pump as an output air source to provide a stable and adjustable pressure, a maximum flow output of 100 L/min, and a maximum output pressure of 5 kPa.
优选的,所用通气装置为以高压氧气瓶或高压空气瓶为输出气源的通气装置,能提供稳定可调的压力。Preferably, the venting device used is a venting device that uses a high pressure oxygen cylinder or a high pressure air bottle as an output gas source to provide a stable and adjustable pressure.
所述流量传感器选用Drager公司的热线式空气流量传感器,基本结构包括感知空气流量的白金热线(铂金属线)、根据进气温度进行修正的温度补偿电阻(冷线)、控制热线电流并产生输出信号的控制线路板以及空气流量传感器的壳体。热线的线径为70μm的白金丝(RH),布置在支承环内,其阻值随温度变化,是惠斯顿电桥电路的一个臂。热线支承环前端的塑料护套内安装一个白金薄膜电阻器,其阻值随进气温度变化,称为温度补偿电阻(RK),是惠斯顿电桥电路的另一个臂。热线支承环后端的塑料护套上粘结着一只精密电阻(RA)。此电阻能用激光修整,也是惠斯顿电桥的一个臂。该电阻上的电压降 即为热线式空气流量传感器的输出信号电压。惠斯顿电桥还有一个臂的电阻RB安装在控制线路板上。The flow sensor uses Drager's hot-wire air flow sensor. The basic structure includes a platinum hot wire (platinum wire) that senses air flow, a temperature compensation resistor (cold wire) that is corrected according to the intake air temperature, controls the hot wire current, and produces an output. The control circuit board of the signal and the housing of the air flow sensor. The hot wire has a wire diameter of 70 μm (RH), which is arranged in the support ring and whose resistance changes with temperature. It is an arm of the Wheatstone bridge circuit. A platinum film resistor is mounted in the plastic sheath at the front end of the hot wire support ring. The resistance varies with the temperature of the intake air. It is called the temperature compensation resistor (RK) and is the other arm of the Wheatstone bridge circuit. A precision resistor (RA) is attached to the plastic sheath at the rear end of the heat wire support ring. This resistor can be trimmed with a laser and is also an arm of the Wheatstone bridge. Voltage drop across the resistor This is the output signal voltage of the hot wire air flow sensor. The Wheatstone bridge also has an arm resistor RB mounted on the control board.
本发明针对正在实施心肺复苏的患者,如该患者已经建立人工气道(即完成气管插管或喉罩),可以通过本发明提供的感知胸廓起伏调控呼吸机代替普通呼吸机或人工辅助通气,在不间断胸外按压的胸廓回弹期间进行通气,能够有效的促进胸廓完全回弹,此时的通气过程会同时挤压肺血管,促进肺血回流心脏,增加心脏回血量,促进胸外按压下的血液循环。如该患者没有建立人工气道,在完全清除口咽腔内分泌物后采用面罩通气,应用本发明提供的感知胸廓起伏调控呼吸机代替普通呼吸机或人工辅助通气,如还存在气道梗阻,可加用一定的呼气末正压,在不间断胸外按压的胸廓回弹期间进行通气。胸外按压操作既可以通过医护人员人工按压来实现,也可以通过自动胸外按压机来实现。优选采用自动胸外按压机,自动胸外按压机与监测模块能够互相配合工作,帮助监测模块更好的对胸廓回弹起始点和胸廓按压起始点进行监测。另外,自动胸外按压机降低了按压间歇时间。The present invention is directed to a patient who is undergoing cardiopulmonary resuscitation, such as the establishment of an artificial airway (ie, completion of an endotracheal tube or a laryngeal mask), which can be replaced by a perceptual thoracic undulating ventilator provided by the present invention instead of a normal ventilator or artificial assisted ventilation. Ventilation during thoracic rebound during uninterrupted chest compression can effectively promote complete thoracic rebound. At this time, the ventilation process will simultaneously squeeze the pulmonary vessels, promote pulmonary blood return to the heart, increase cardiac return, and promote chest. Press the blood circulation under it. If the patient does not establish an artificial airway, the mask is ventilated after completely removing the secretions in the oropharynx, and the pleural undulating ventilator provided by the present invention is used instead of the ordinary ventilator or artificial assisted ventilation, and if there is airway obstruction, A certain positive end-expiratory pressure was applied to ventilate during thoracic rebound during uninterrupted chest compression. The chest compression operation can be achieved either by manual pressing by a medical staff or by an automatic chest compression machine. Preferably, the automatic chest compression machine is adopted, and the automatic chest compression machine and the monitoring module can work together to help the monitoring module to better monitor the starting point of the thoracic rebound and the starting point of the thoracic compression. In addition, the automatic chest compression press reduces the pressing time.
与2010年CPR指南一样,2015年AHA心肺复苏指南强调缩短胸外按压的间歇时间。2015年AHA心肺复苏指南强调胸外按压是进行有效的CPR的关键。胸外按压的频率和按压间断时间是决定CPR质量的重要组成部分,缩短按压间断时间,冠脉及心脏可获得更好的灌注,其预后也将得到改善。本发明可以在不间断胸外按压的情况下完成对患者的通气,大大降低了按压间歇时间,更符合2015年AHA心肺复苏指南标准,本发明在获得更好的通气效果的同时,可有效改善冠脉及心脏、大脑灌注,从而使患者获得更好的预后。As with the 2010 CPR guidelines, the 2015 AHA Cardiopulmonary Resuscitation Guidelines emphasize the reduction of intermittent time for chest compressions. The 2015 AHA Cardiopulmonary Resuscitation Guidelines emphasize that chest compressions are the key to effective CPR. The frequency of chest compressions and the time between compressions are important components in determining the quality of CPR. Shortening the time between compressions, coronary and heart can be better perfused, and the prognosis will be improved. The invention can complete the ventilation of the patient without uninterrupted chest compression, greatly reducing the pressing interval time, and more in line with the 2015 AHA cardiopulmonary resuscitation guide standard, and the invention can effectively improve while obtaining better ventilation effect. Coronary and cardiac, cerebral perfusion, so that patients get a better prognosis.
最后所应说明的是,以上实施例仅用以说明本发明的技术方案而非限制。尽管参照实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,对本发明的技术方案进行修改或者等同替换,都不脱离本发明技术方案的精神和范围,其均应涵盖在本发明的权利要求范围当中。 Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention and not limiting. While the invention has been described in detail herein with reference to the embodiments of the embodiments of the invention Within the scope of the claims.

Claims (12)

  1. 一种心肺复苏用触发式高频喷射呼吸机,其特征在于,所述心肺复苏用触发式高频喷射呼吸机包括控制单元和喷射通气装置;所述喷射通气装置通过气路连接至人工气道;所述控制单元连接有用于感知胸廓起伏或呼吸气流的感知单元或人工心肺复苏机;所述控制单元收到所述感知单元发来的感知信号或来自人工心肺复苏机的按压信号后,在胸廓按压的终点向喷射通气装置发出开始喷气指令;在胸廓回弹的终点发出停止喷气指令;所述喷射通气装置根据接收到的指令,向人工气道开始喷射通气或停止喷射通气。A trigger type high frequency jet ventilator for cardiopulmonary resuscitation, characterized in that the trigger type high frequency jet ventilator for cardiopulmonary resuscitation comprises a control unit and a jet venting device; the jet ventilating device is connected to the artificial airway through a gas path The control unit is connected with a sensing unit or an artificial cardiopulmonary resuscitation machine for sensing thoracic undulation or respiratory airflow; after receiving the sensing signal sent by the sensing unit or the pressing signal from the artificial cardiopulmonary resuscitation machine, the control unit The end point of the thoracic compression is issued to the jet venting device to initiate a jet command; a stop jet command is issued at the end of the thoracic rebound; the jet venting device initiates a jet venting or stops jet venting to the artificial airway based on the received command.
  2. 根据权利要求1所述的一种心肺复苏用触发式高频喷射呼吸机,其特征在于,所述感知单元为用于监测按压过程中气道气流变化的流量传感器。A trigger type high frequency jet ventilator for cardiopulmonary resuscitation according to claim 1, wherein said sensing unit is a flow sensor for monitoring a change in airflow of the airway during pressing.
  3. 根据权利要求1所述的一种心肺复苏用触发式高频喷射呼吸机,其特征在于,所述感知单元为用于监测胸廓起伏变化的定位传感器。A triggered high frequency jet ventilator for cardiopulmonary resuscitation according to claim 1, wherein said sensing unit is a positioning sensor for monitoring changes in thoracic relief.
  4. 根据权利要求1所述的一种心肺复苏用触发式高频喷射呼吸机,其特征在于,所述感知单元包括用于监测按压过程中气道气流变化的流量传感器和用于监测胸廓起伏变化的定位传感器。A triggered high frequency jet ventilator for cardiopulmonary resuscitation according to claim 1, wherein said sensing unit comprises a flow sensor for monitoring changes in airway airflow during pressing and for monitoring changes in thoracic relief Position the sensor.
  5. 根据权利要求1所述的一种心肺复苏用触发式高频喷射呼吸机,其特征在于,所述控制单元接收来自所述人工心肺复苏机发出的按压信号。A triggered high frequency jet ventilator for cardiopulmonary resuscitation according to claim 1, wherein said control unit receives a pressing signal from said artificial cardiopulmonary resuscitation machine.
  6. 根据权利要求1所述的一种心肺复苏用触发式高频喷射呼吸机,其特征在于,所述高频喷射呼吸机的通气频率为10~200次/min,最大通气量不小于20L/min。The trigger type high-frequency jet ventilator for cardiopulmonary resuscitation according to claim 1, wherein the ventilating frequency of the high-frequency jet ventilator is 10 to 200 times/min, and the maximum ventilation volume is not less than 20 L/min. .
  7. 一种心肺复苏用感知调控呼吸机,其特征在于,所述心肺复苏用感知调控呼吸机包括感知单元、控制模块和通气装置;所述通气装置通过气路连接至气道;所述控制模块无线或有线连接有用于感知心肺复苏时胸廓按压起始点或胸廓回弹起始点的感知单元;所述控制模块收到所述感知单元发来的感知信号后,向通气装置发出指令;所述通气装置按照指令,在胸廓回弹起始点时向气道进行通气,在胸廓按压起始点时停止通气。A perceptually regulated ventilator for cardiopulmonary resuscitation, characterized in that the perceptually regulated ventilator for cardiopulmonary resuscitation comprises a sensing unit, a control module and a venting device; the venting device is connected to the airway through a pneumatic circuit; the control module is wireless Or a wired connection with a sensing unit for sensing a chest compression starting point or a thoracic rebound starting point during cardiopulmonary resuscitation; the control module sends a command to the ventilation device after receiving the sensing signal sent by the sensing unit; the ventilation device According to the instruction, the airway is ventilated at the starting point of the thoracic rebound, and the ventilation is stopped at the starting point of the thoracic compression.
  8. 根据权利要求7所述的一种心肺复苏用感知调控呼吸机,其特征在于,所述感知单元为用于监测胸廓回弹产生的吸气负压流量的流量传感器。The sensory ventilator for cardiopulmonary resuscitation according to claim 7, wherein the sensing unit is a flow sensor for monitoring an inspiratory negative pressure flow generated by a thoracic rebound.
  9. 根据权利要求7所述的一种心肺复苏用感知调控呼吸机,其特征在于,所述感知单元为通过距离变化来判断心肺复苏胸廓处于回弹或按压状态的位移传 感器。The perceptually controlled ventilator for cardiopulmonary resuscitation according to claim 7, wherein the sensing unit is configured to determine a displacement of the thoracic resuscitation of the cardiopulmonary resuscitation by a change in distance Sensor.
  10. 根据权利要求7所述的一种心肺复苏用感知调控呼吸机,其特征在于,所述感知单元包括用于感知按压胸廓中的压力或胸廓起伏中产生的压力的压力传感器。A sensory-controlled ventilator for cardiopulmonary resuscitation according to claim 7, wherein said sensing unit includes a pressure sensor for sensing a pressure generated in a pressing thorax or a pressure generated in a thoracic undulation.
  11. 根据权利要求7所述的一种心肺复苏用感知调控呼吸机,其特征在于,所述的控制模块为接受感知信息,通过分析胸廓运动状态或呼吸状态,在呼气末或吸气初向呼吸机发出指令向机体供气,并在吸气末或呼气初或指定时间发出指令停止供气,并可根据感知信息发出与胸廓起伏或呼吸频率成比例的供气和停止供气频率,同时在感知较长时间无胸廓运动或呼吸时自动切换到预先设定的通气模式。The sensory ventilator for cardiopulmonary resuscitation according to claim 7, wherein the control module receives the sensory information, and analyzes the thoracic motion state or the respiratory state, at the end of expiration or inhalation. The machine sends a command to supply air to the air body, and sends an instruction to stop the air supply at the end of inhalation or at the beginning of exhalation or at a specified time, and can provide a gas supply proportional to the thoracic undulation or respiratory frequency and stop the gas supply frequency according to the sensing information, and simultaneously Automatically switches to a preset ventilation mode when there is no thoracic motion or breathing for a long time.
  12. 根据权利要求7所述的一种心肺复苏用感知调控呼吸机,其特征在于,所述通气装置为麻醉机或呼吸机。 A sensory-controlled ventilator for cardiopulmonary resuscitation according to claim 7, wherein the ventilating device is an anesthesia machine or a ventilator.
PCT/CN2017/080579 2016-02-16 2017-04-14 Trigger-type high frequency jet ventilator for cardiopulmonary resuscitation, and sensing and regulating ventilator for cardiopulmonary resuscitation WO2017140280A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN201620123724.X 2016-02-16
CN201610087882.9A CN105749395B (en) 2016-02-16 2016-02-16 A kind of CPR trigger-type high frequency jet ventilator
CN201620123724.XU CN205698776U (en) 2016-02-16 2016-02-16 A kind of cardio-pulmonary resuscitation trigger-type high frequency jet ventilator
CN201610087882.9 2016-02-16

Publications (1)

Publication Number Publication Date
WO2017140280A1 true WO2017140280A1 (en) 2017-08-24

Family

ID=59625600

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2017/080579 WO2017140280A1 (en) 2016-02-16 2017-04-14 Trigger-type high frequency jet ventilator for cardiopulmonary resuscitation, and sensing and regulating ventilator for cardiopulmonary resuscitation

Country Status (1)

Country Link
WO (1) WO2017140280A1 (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108066866A (en) * 2017-12-29 2018-05-25 上海德尔格医疗器械有限公司 A kind of respiratory system and modular breathing equipment
CN110464935A (en) * 2019-08-02 2019-11-19 郭俭 A kind of device and method for succouring sudden cardiac arrest myocardial infarction patient
CN111963898A (en) * 2020-07-23 2020-11-20 应急总医院 A kind of breathing workstation and oxygen supply method thereof
CN112970072A (en) * 2018-11-09 2021-06-15 安奇昂公司 Auxiliary device for performing emergency care procedures, auxiliary system for synchronizing cardiopulmonary resuscitation, and related methods
CN117815500A (en) * 2024-01-17 2024-04-05 苏州尚领医疗科技有限公司 Method, device, equipment and storage medium for controlling gas

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996028128A1 (en) * 1995-03-15 1996-09-19 Johns Hopkins University Improved pneumatic control system design for a cardiopulmonary resuscitation system
US5772613A (en) * 1996-10-09 1998-06-30 Cardiologic Systems, Inc. Cardiopulmonary resuscitation system with centrifugal compression pump
CN1909867A (en) * 2003-12-04 2007-02-07 综合医院公司附属之麻萨诸塞综合医院 Negative pressure ventilation and resuscitation system
CN102114293A (en) * 2009-12-31 2011-07-06 北京谊安医疗系统股份有限公司 Control system and method for implementing double horizontal pressures in air passage, breathing machine and anaesthetic machine
CN202892368U (en) * 2012-05-23 2013-04-24 天津市普瑞仪器有限公司 Belly pressing cardio-pulmonary resuscitator negative pressure device
CN104717951A (en) * 2012-09-06 2015-06-17 佐尔医药公司 Method and device for mechanical chest compression with optical alignment
CN105749395A (en) * 2016-02-16 2016-07-13 潘楚雄 Trigger type high-frequency jet ventilator for cardio-pulmonary resuscitation
CN205698776U (en) * 2016-02-16 2016-11-23 潘楚雄 A kind of cardio-pulmonary resuscitation trigger-type high frequency jet ventilator

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996028128A1 (en) * 1995-03-15 1996-09-19 Johns Hopkins University Improved pneumatic control system design for a cardiopulmonary resuscitation system
US5772613A (en) * 1996-10-09 1998-06-30 Cardiologic Systems, Inc. Cardiopulmonary resuscitation system with centrifugal compression pump
CN1909867A (en) * 2003-12-04 2007-02-07 综合医院公司附属之麻萨诸塞综合医院 Negative pressure ventilation and resuscitation system
CN102114293A (en) * 2009-12-31 2011-07-06 北京谊安医疗系统股份有限公司 Control system and method for implementing double horizontal pressures in air passage, breathing machine and anaesthetic machine
CN202892368U (en) * 2012-05-23 2013-04-24 天津市普瑞仪器有限公司 Belly pressing cardio-pulmonary resuscitator negative pressure device
CN104717951A (en) * 2012-09-06 2015-06-17 佐尔医药公司 Method and device for mechanical chest compression with optical alignment
CN105749395A (en) * 2016-02-16 2016-07-13 潘楚雄 Trigger type high-frequency jet ventilator for cardio-pulmonary resuscitation
CN205698776U (en) * 2016-02-16 2016-11-23 潘楚雄 A kind of cardio-pulmonary resuscitation trigger-type high frequency jet ventilator

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108066866A (en) * 2017-12-29 2018-05-25 上海德尔格医疗器械有限公司 A kind of respiratory system and modular breathing equipment
CN108066866B (en) * 2017-12-29 2023-11-03 上海德尔格医疗器械有限公司 Respiratory system and modularized respiratory device
CN112970072A (en) * 2018-11-09 2021-06-15 安奇昂公司 Auxiliary device for performing emergency care procedures, auxiliary system for synchronizing cardiopulmonary resuscitation, and related methods
CN110464935A (en) * 2019-08-02 2019-11-19 郭俭 A kind of device and method for succouring sudden cardiac arrest myocardial infarction patient
CN111963898A (en) * 2020-07-23 2020-11-20 应急总医院 A kind of breathing workstation and oxygen supply method thereof
CN117815500A (en) * 2024-01-17 2024-04-05 苏州尚领医疗科技有限公司 Method, device, equipment and storage medium for controlling gas

Similar Documents

Publication Publication Date Title
US11541200B2 (en) Ventilation system
WO2017140280A1 (en) Trigger-type high frequency jet ventilator for cardiopulmonary resuscitation, and sensing and regulating ventilator for cardiopulmonary resuscitation
CN103619392B (en) For the auxiliary device carrying out air flue removing
JP2012530556A5 (en)
JPH01223966A (en) Respirator
EP2111247A2 (en) System for providing flow-targeted ventilation synchronized to a patient's breathing cycle
CN109731195A (en) Respiration parameter setting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment
CN105749395B (en) A kind of CPR trigger-type high frequency jet ventilator
CN109172978B (en) Intelligent adjustable one-way exhaust device
CA2578246A1 (en) Method and apparatus for non-rebreathing positive airway pressure ventilation
WO2020037519A1 (en) Ventilation trigger detection method and apparatus, ventilation device, and storage medium
CN109718437A (en) Respiration parameter adjusting method, device and the Breathing Suppotion equipment of Breathing Suppotion equipment
US20180154094A1 (en) Artificial ventilation apparatus able to deliver ventilation and monitoring which are specific to the patients receiving cardiac massage
CN109718443A (en) Breathing Suppotion process control method, device and Breathing Suppotion equipment
CN112955204B (en) Respiratory support apparatus, ventilation control method thereof, and computer-readable storage medium
CN116831842A (en) A hyperbaric oxygen chamber oxygen supply system and a hyperbaric oxygen chamber monitoring system
CN105664313A (en) Respirator and ventilation control device and method thereof
JP2018518293A (en) Positive pressure pulse cardiopulmonary resuscitation device
CN113490523B (en) Respiratory support equipment and its control method and storage medium
CN107296737B (en) a ventilator
JP2014501123A (en) Exhalation synchronization
CN107362427A (en) Vent method and lung ventilator during a kind of CPR
CN110237375B (en) Breathing machine and negative pressure sputum excretion machine
CN205698776U (en) A kind of cardio-pulmonary resuscitation trigger-type high frequency jet ventilator
CN209827897U (en) Heating pipe sleeve of breathing machine trachea and breathing machine

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17752712

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 17752712

Country of ref document: EP

Kind code of ref document: A1