WO2019205295A1 - 一种提高双气压呼吸机性能的呼吸阀及其呼吸装置 - Google Patents
一种提高双气压呼吸机性能的呼吸阀及其呼吸装置 Download PDFInfo
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- WO2019205295A1 WO2019205295A1 PCT/CN2018/094514 CN2018094514W WO2019205295A1 WO 2019205295 A1 WO2019205295 A1 WO 2019205295A1 CN 2018094514 W CN2018094514 W CN 2018094514W WO 2019205295 A1 WO2019205295 A1 WO 2019205295A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
Definitions
- the invention relates to a breathing valve for improving the performance of a dual-pressure ventilator, and to a breathing device belonging to the field of medical instruments.
- the ventilator is mainly to solve the problem of ventilation and oxygen in the clinic.
- the dual-pressure ventilator has been widely used by clinical and even families because of its simple structure, convenient use, and low price.
- the dual-pressure ventilator uses a single-tube connection to the ventilator and a nasal mask or mask for easy connection, but there are also some problems:
- the exhalation channel is not clear, the leakage of the mask, the joint with the leak, and even the leakage of the edge of the nasal mask and the mask are the discharge channels of exhaled carbon dioxide.
- the amount of leakage is uncertain.
- the inspiratory pressure is set according to the patient's condition.
- the patient's tidal volume needs, and considering the possible repeated inhalation.
- the amount of leakage is in turn dependent on the equivalent caliber of the airway pressure and leakage.
- the supply flow of the dual-pressure ventilator is much larger than the inspiratory flow of the patient.
- the humidification and humidification of the gas is also one of the problems of the dual-pressure ventilator.
- the clinical non-double-pressure ventilator works under the condition of no leakage or small leakage.
- the exhaled breath has a special exhalation channel, and there is almost no repeated inhalation.
- the ventilator's air supply flow is very close to the patient's inhalation flow. Heating and humidification is relatively easy.
- the ventilator is expensive and complicated to operate.
- the invention provides a breathing valve for improving the performance of a dual-pressure ventilator, characterized in that it comprises: an inhalation valve cover and an exhalation valve cover which are mutually engaged, a diaphragm, which is arranged on the suction valve cover and the exhalation valve cover.
- the inhalation valve chamber the inner space enclosed by the diaphragm and the inspiratory valve cover
- the inner space enclosed by the diaphragm and the exhalation valve cover is called an exhalation valve chamber
- the inhalation check valve is arranged at In the inhalation valve chamber
- the inhalation check valve seat is disposed behind the inhalation check valve
- the exhalation check valve is disposed between the exhalation interface and the exhalation valve chamber to prevent repeated inhalation.
- the exhalation valve port is arranged in the exhalation valve chamber.
- the present invention provides a breathing valve for improving the performance of a dual-pressure ventilator that improves the performance of a dual-pressure ventilator, and may also have the feature that the suction check valve seat further includes: an oxygen supply interface.
- the present invention provides a breathing valve for improving the performance of a dual-pressure ventilator, and may also have such a feature, and further includes: an oxygen check valve connected to the oxygen supply interface.
- the present invention provides a breathing valve for improving the performance of a dual-pressure ventilator that improves the performance of a dual-pressure ventilator, and may also have such a feature, further comprising: a water discharge outlet disposed on the exhalation valve cover.
- the present invention also provides a breathing apparatus comprising the above breathing valve, and: an inspiratory line, an expiratory line, and a Y-joint, wherein one end of the inspiratory line is in communication with the inspiratory valve chamber, and the other end is Y
- the type connector is connected, one end of the exhalation line is in communication with the exhalation valve chamber, and the other end is in communication with the Y-type connector.
- the breathing apparatus of the present invention may further have such a feature, further comprising: a humidifier disposed on the intake line.
- the breathing apparatus of the present invention may further have such a feature, further comprising: a water collecting cup disposed on the exhalation line.
- the breathing apparatus of the present invention may further have such a feature, further comprising: a dual pressure ventilator communicating with the suction valve chamber.
- the breathing valve and the breathing device thereof for improving the performance of the dual-pressure ventilator can achieve the effect of non-invasive ventilation of a large or professional ventilator once the breathing valve and the pipe of the present invention are connected.
- Exhaled gas has a special discharge channel, and carbon dioxide is not prone to retention.
- Exhaled gas special discharge channel can collect exhaled gas from patients, especially those who have respiratory infection.
- Oxygen can be input at the respiratory valve site because there is little or no leakage and less oxygen consumption and waste.
- the oxygen concentration is also easy to calculate and control.
- Oxygen flow has a basic flow function to improve ventilation efficiency.
- Figure 1 is an exploded view of a breathing valve that improves the performance of a dual-pressure ventilator
- Figure 2 is an exploded view of a breathing valve that improves the performance of a dual-pressure ventilator from another perspective;
- Figure 3 is a cross-sectional view of the diaphragm
- Figure 4 is a schematic structural view of the suction valve cover
- Figure 5 is a schematic structural view of an exhalation valve cover
- Fig. 6 is a schematic structural view of a breathing apparatus.
- the breathing valve for improving the performance of the dual-pressure ventilator includes: an inhalation valve cover 1, an exhalation valve cover 9, a diaphragm 5, an inhalation check valve 3, and an inhalation check valve seat. 4. Exhalation valve port 6, exhalation check valve piece 7 and exhalation check valve seat 8.
- the inspiratory valve cover 1 and the exhalation valve cover 9 are engaged with each other.
- the inspiratory valve cover 1 has a ventilator interface 21 for connection to a dual pressure ventilator.
- the suction valve cover 1 also has an oxygen supply port 10 from which oxygen can be applied.
- the inspiratory valve cover 1 has an intake duct interface 13 for connecting a pipe from a patient; for long-term stable performance, a water discharge port is arranged. The patient's exhaled breath can be collected at the vent.
- the diaphragm 5 is disposed in the middle of the inhalation valve cover 1 and the exhalation valve cover 9.
- the internal space enclosed by the diaphragm 5 and the inhalation valve cover 1 is called an inhalation valve chamber, and the diaphragm 5 and the exhalation valve cover are provided.
- the internal space enclosed by 9 is called the exhalation valve cavity.
- the diaphragm 5 has elasticity including a valve piece 51, a diaphragm body 52, a fixed edge 53, and a flexible edge 54.
- the diaphragm body 52 is circular, the valve plate 51 is disposed at the center of the diaphragm body 52, and the flexible edge 54 surrounds the diaphragm body 52.
- the fixing edge 53 holds the fixing edge 53 when the suction valve cover 1 and the exhalation valve cover 9 are engaged with each other, thereby fixing the diaphragm 5.
- the suction check valve 3 prevents the patient's exhaled air from entering the inspiratory duct and is disposed in the inspiratory valve chamber.
- the suction check valve seat 4 is disposed behind the suction check valve 3.
- the exhalation valve port 6 is disposed in the exhalation valve chamber.
- the exhalation check valve piece 7 is disposed behind the exhalation valve port 6.
- the exhalation check valve 7 is a passage for the patient to exhale. Synchronous trigger sensitivity can also be increased, while the patient does not repeatedly inhale the exhaled gas from the expiratory tube when inhaling.
- the exhalation check valve seat 8 supports the exhalation check valve piece 7.
- the exhalation valve port 6 passes through the hole in the center of the exhalation check valve piece 7 and the exhalation check valve seat 8.
- Other types of check valves can be used in other implementations.
- the oxygen check valve 2 is connected to the oxygen supply port 10. Prevent leakage when oxygen is not connected. In other embodiments, a plug may be added to the oxygen supply interface 10 to prevent leakage.
- the water discharge port 11 is provided on the exhalation valve cover 9.
- the exhalation duct interface 14 is disposed on the exhalation valve cover 9. Used to connect the expiratory duct from the patient's direction.
- the exhalation port 12 is disposed on the exhalation valve cover 9.
- gas enters from the ventilator and then enters the inspiratory valve chamber through the inspiratory check valve 3 and the inspiratory check valve seat 4, and then enters the inspiratory line 19 from the inspiratory conduit interface 13 in.
- the pressure in the inhalation valve chamber is greater than the pressure in the exhalation valve chamber, the diaphragm moves toward the exhalation valve port 6, and the exhalation valve is closed.
- the pressure provided by the dual-pressure ventilator is lowered such that the inspiratory valve chamber pressure is lower than the exhalation valve chamber, the exhalation valve is opened, and the exhaled gas enters the exhalation valve chamber from the expiratory tube interface 14, and then After the exhalation check valve seat 8 and the exhalation check valve piece 7 enter the exhalation port 12 and discharge. At this time, the suction check valve 3 is closed under the action of the air pressure, thereby preventing the patient's exhaled air from entering the inhalation duct.
- the present embodiment provides a breathing apparatus comprising a breathing valve as described in the first embodiment.
- the breathing apparatus further includes an inspiratory line 19, an expiratory line 16, and a Y-joint 20.
- the suction line 19 has one end connected to the suction duct interface 13 of the breathing valve and the other end being in communication with the Y-shaped joint 20.
- the expiratory line 16 has one end in communication with the expiratory conduit interface 14 of the breathing valve and the other end in communication with the Y-connector 20.
- the humidifier 17 is disposed on the suction line 19. The gas flowing through is humidified.
- the first water jacket 18 is disposed on the suction line 19.
- the second water collecting cup 22 is disposed on the exhalation line to reduce the accumulated water at the accumulated water discharge port 11.
- the dual air pressure ventilator 15 is in communication with the ventilator interface 21 on the inspiratory valve cover 1.
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- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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Abstract
一种提高双气压呼吸机性能的呼吸阀及呼吸装置,呼吸阀包括:相互扣合的吸气阀盖(1)和呼气阀盖(9);膜片(5),设置在吸气阀盖(1)和呼气阀盖(9)的中间,形成吸气阀腔和呼气阀腔;吸气单向阀(3),设置在吸气阀腔中;吸气单向阀座(4),设置在吸气单向阀(3)的后面;呼气单向阀片(7),设置在呼气管道接口(14)到呼气阀腔之间,以防止重复吸入;呼气阀口(6),设置在呼气阀腔中,当呼气阀腔压力低于吸气阀腔时,膜片(5)向呼气阀口(6)方向运动,使得呼气阀口(6)关闭;呼气单向阀座(8),支撑呼气单向阀片(7)。膜片(5)、吸气单向阀(3)和呼气单向阀片(7)的相互配合,使得当进行吸气或呼气的动作时,吸气单向阀(3)和呼气单向阀片(7)中的一个打开,另一个关闭,从而防止重复吸入。
Description
本发明涉及一种提高双气压呼吸机性能的呼吸阀,本发明还涉及一种呼吸装置,属于医疗器械领域。
呼吸机在临床上主要是解决通气和吸氧问题。近年来,双气压呼吸机由于结构简单,使用方便,价格便宜,广泛被临床甚至家庭采用。双气压呼吸机使用单管连接呼吸机和鼻罩或面罩,连接方便,但也存在一些问题:
一、呼气通道不明确,面罩的泄漏口、带泄漏口的接头、甚至是鼻罩和面罩的边缘的泄漏都是呼气二氧化碳的排放通道。
二、泄漏量不确定。吸气压力是根据病人的情况来设定的,除了考虑病人肺的顺应性、病人潮气量的需求,还要考虑可能存在的重复吸入。泄漏量又取决于气道压力和泄漏的等效口径。
三、由于上述2个原因,在临床上双气压呼吸机通气时二氧化碳潴留风险比较大,大的泄漏量甚至于不能在气道内建立压力,小的泄漏量二氧化碳排放不畅;需要临床经验和双气压呼吸机使用经验比较丰富的医生多次调整才能达到满意的效果。
四、也是由于泄漏量不确定,管道内加氧成为难点。提高吸入氧浓度是临床治疗缺氧的主要手段直接加在连接管道,大部分氧气随着泄漏排到大气,必须浪费大量的氧气才能提高吸入氧浓度。实际的吸入氧浓 度和泄漏量,病人的分钟通气量相关,不确定的泄漏量也意味着不确定的吸入氧浓度
五、由于存在泄漏,双气压呼吸机的供气流量远大于病人的吸气流量。在这种情况下,气体的加温湿化也成为双气压呼吸机的问题之一。
临床的非双气压类的呼吸机工作在不泄漏或者是泄漏很小的条件下,呼出气有专门的呼出通道,几乎不存在重复吸入,呼吸机的供气流量和病人的吸入流量十分接近,加温湿化比较容易。但存在呼吸机价格昂贵,操作复杂的问题。
发明内容
本发明的目的在于提供一种提高双气压呼吸机性能的呼吸阀及其呼吸装置,以解决上述问题。
本发明采用了如下技术方案:
本发明提供一种提高双气压呼吸机性能的呼吸阀,其特征在于,包括:相互扣合的吸气阀盖和呼气阀盖,膜片,设置在吸气阀盖和呼气阀盖的中间,膜片与吸气阀盖所围成的内部空间称为吸气阀腔,膜片与呼气阀盖所围成的内部空间称为呼气阀腔,吸气单向阀,设置在吸气阀腔中,吸气单向阀座,设置在所述吸气单向阀的后面,呼气单向阀片,设置在呼气接口到呼气阀腔之间,以防止重复吸入,呼气阀口,设置在呼气阀腔中,当呼气阀腔压力低于吸气阀腔时,膜片向呼气阀口方向运动,使得呼气阀口关闭,呼气单向阀座,支撑所述呼气单向阀片。
进一步,本发明提高双气压呼吸机性能的呼吸阀的提高双气压呼吸机性能的呼吸阀,还可以具有这样的特征:其中,吸气单向阀座上还包括:加氧接口。
进一步,本发明提高双气压呼吸机性能的呼吸阀的提高双气压呼吸机性能的呼吸阀,还可以具有这样的特征,还包括:氧气单向阀,与加氧接口相连接。
进一步,本发明提高双气压呼吸机性能的呼吸阀的提高双气压呼吸机性能的呼吸阀,还可以具有这样的特征,还包括:积水排出口,设置在呼气阀盖上。
本发明还提供一种呼吸装置,包括如上的呼吸阀,以及:吸气管路、呼气管路以及Y型接头,其中,吸气管路一端与吸气阀腔相连通,另一端与Y型接头相连通,呼气管路一端与呼气阀腔相连通,另一端与Y型接头相连通。
进一步,本发明的呼吸装置,还可以具有这样的特征,还具有:湿化器,设置在吸气管路上。
进一步,本发明的呼吸装置,还可以具有这样的特征,还具有:积水杯,设置在呼气管路上。
进一步,本发明的呼吸装置,还可以具有这样的特征,还具有:双气压呼吸机,与吸气阀腔相通。
发明的有益效果
本发明的提高双气压呼吸机性能的呼吸阀及其呼吸装置,双气压呼吸机一旦连接本发明的呼吸阀和管道,可以达到大型或者是专业型的呼吸机无创通气的效果。
1.呼气气体有专门的排放通道,二氧化碳不易发生潴留现象。
2.呼气气体专门的排放通道可以收集病人呼出气体,特别是有通过呼吸传染的病人使用呼吸机。
3.吸气通道内有吸气单向阀,病人呼出气不能向吸气管道流过,不存在 重复吸入问题。
4.呼气通道内有呼气单向阀,病人不可能重复吸入呼出气,同时还提高同步触发灵敏度。因为病人的吸气努力全部通过吸气管道传到呼吸机,而不是部分。
5.可以在呼吸阀部位输入氧气,因为很少或者不存在泄漏,氧气的消耗和浪费少。氧浓度也容易计算和控制。
6.氧流量兼有基础流量功能,可提高通气效率。
7.由于流过管道的流量接近于病人的分钟通气量,接入湿化器后对吸入气体的加温加湿比双气压呼吸机效果明显提高。
图1是提高双气压呼吸机性能的呼吸阀的爆炸图;
图2是另一个视角下的提高双气压呼吸机性能的呼吸阀的爆炸图;
图3是膜片的剖面图;
图4是吸气阀盖的结构示意图;
图5是呼气阀盖的结构示意图;
图6是呼吸装置的结构示意图。
以下结合附图来说明本发明的具体实施方式。
<实施例一>
如图1和图2所示,提高双气压呼吸机性能的呼吸阀,包括:吸气阀盖1、呼气阀盖9、膜片5、吸气单向阀3、吸气单向阀座4、呼气阀口6、呼气单向阀片7以及呼气单向阀座8。
吸气阀盖1和呼气阀盖9相互扣合。
吸气阀盖1具有呼吸机接口21,用于连接双气压呼吸机。吸气阀盖 1上还具有加氧接口10,可以从此处进行加氧。
如图5所示,吸气阀盖1具有吸气管道接口13,可连接从病人来的管道;为了长期稳定的性能,安排有积水排出口。病人呼出气可以在排气口收集。
膜片5,设置在吸气阀盖1和呼气阀盖9的中间,膜片5与吸气阀盖1所围成的内部空间称为吸气阀腔,膜片5与呼气阀盖9所围成的内部空间称为呼气阀腔。
膜片5具有弹性,包括:阀片51,膜片本体52,固定边缘53,柔性边缘54。膜片本体52为圆形,阀片51设置在膜片本体52的中央,柔性边缘54环绕膜片本体52一周。固定边缘53,当吸气阀盖1和呼气阀盖9相互扣合时,夹住固定边缘53,从而将膜片5固定住。
吸气单向阀3,防止病人呼出气进入吸气管道,设置在吸气阀腔中。
吸气单向阀座4,设置在吸气单向阀3的后面。
呼气阀口6,设置在呼气阀腔中。
呼气单向阀片7,设置在呼气阀口6的后面。
当呼气阀腔压力低于吸气阀腔时,膜片5向呼气阀口6方向运动,封闭呼气阀口6。呼气单向阀片7,是病人呼出气的通道。还可提高同步触发灵敏度,同时病人吸气时不会从呼气管道重复吸入已经呼出的气体。
呼气单向阀座8,支撑呼气单向阀片7。呼气阀口6从呼气单向阀片7和呼气单向阀座8的中央的孔穿过。其他实施时可以使用其他类型的单向阀。
氧气单向阀2,与加氧接口10相连接。不连接氧气时防止泄漏。在 其它的实施方式中,也可在加氧接口10处加塞子来防止泄漏。
积水排放口11,设置在呼气阀盖9上。
呼气管道接口14,设置在呼气阀盖9上。用于连接来自病人方向的呼气管道。
呼出口12,设置在呼气阀盖9上。
当进行吸气时,气体从呼吸机进入,然后经吸气单向阀3和吸气单向阀座4进入到吸气阀腔,然后从吸气管道接口13中进入到吸气管路19中。此时,吸气阀腔中的压力大于呼气阀腔的压力,膜片向呼气阀口6方向运动,并将呼气阀封闭。当进行呼气时,双气压呼吸机提供的压力下降,使得吸气阀腔压力低于呼气阀腔,呼气阀打开,呼出的气体从呼气管道接口14进入到呼气阀腔,然后经过呼气单向阀座8和呼气单向阀片7进入到呼出口12中排出。此时吸气单向阀3在气压的作用下处于关闭状态,从而防止病人呼出气进入吸气管道。
<实施例二>
本实施方式提供一种呼吸装置,包括如实施例一中所描述的呼吸阀。
如图6所示,呼吸装置还包括:吸气管路19、呼气管路16以及Y型接头20。
吸气管路19,一端与呼吸阀的吸气管道接口13相连通,另一端与Y型接头20相连通。
呼气管路16,一端与呼吸阀的呼气管道接口14相连通,另一端与Y型接头20相连通。
湿化器17,设置在吸气管路19上。对流经的气体进行加湿。
第一积水杯18,设置在吸气管路19上。
第二积水杯22,设置在呼气管路上,以减少积水排放口11处的积水。
双气压呼吸机15,与吸气阀盖1上的呼吸机接口21相连通。
Claims (8)
- 一种提高双气压呼吸机性能的呼吸阀,其特征在于,包括:相互扣合的吸气阀盖和呼气阀盖,膜片,设置在吸气阀盖和呼气阀盖的中间,膜片与吸气阀盖所围成的内部空间称为吸气阀腔,膜片与呼气阀盖所围成的内部空间称为呼气阀腔,吸气单向阀,设置在吸气阀腔中,吸气单向阀座,设置在所述吸气单向阀的后面,呼气单向阀片,设置在呼气接口到呼气阀腔之间,以防止重复吸入,呼气阀口,设置在呼气阀腔中,当呼气阀腔压力低于吸气阀腔时,膜片向呼气阀口方向运动,使得呼气阀口关闭,呼气单向阀座,支撑所述呼气单向阀片。
- 如权利要求1所述的提高双气压呼吸机性能的呼吸阀,其特征在于:其中,所述吸气单向阀座上还包括:加氧接口。
- 如权利要求2所述的提高双气压呼吸机性能的呼吸阀,其特征在于,还包括:氧气单向阀,与所述加氧接口相连接。
- 如权利要求1所述的提高双气压呼吸机性能的呼吸阀,其特征在 于,还包括:积水排出口,设置在所述呼气阀盖上。
- 一种呼吸装置,包括如权利要求1所述的呼吸阀,以及:吸气管路、呼气管路以及Y型接头,其中,所述吸气管路一端与吸气阀腔相连通,另一端与所述Y型接头相连通,所述呼气管路一端与呼气阀腔相连通,另一端直接与所述Y型接头相连通或通过湿化器与Y型接头相连通。
- 如权利要求5所述的呼吸装置,其特征在于:其中,湿化器设置在吸气管路上。
- 如权利要求5所述的呼吸装置,其特征在于,还具有:积水杯,设置在呼气管路上。
- 如权利要求5所述的呼吸装置,其特征在于,还具有:双气压呼吸机,与所述吸气阀腔相通。
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CN113855950A (zh) * | 2021-08-23 | 2021-12-31 | 河南辉瑞生物医电技术有限公司 | 一种小型呼吸机 |
CN113908388A (zh) * | 2021-08-23 | 2022-01-11 | 河南辉瑞生物医电技术有限公司 | 一种便携呼吸机 |
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