WO2021093842A1 - Subglottic suction system and control method thereof - Google Patents

Subglottic suction system and control method thereof Download PDF

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Publication number
WO2021093842A1
WO2021093842A1 PCT/CN2020/128609 CN2020128609W WO2021093842A1 WO 2021093842 A1 WO2021093842 A1 WO 2021093842A1 CN 2020128609 W CN2020128609 W CN 2020128609W WO 2021093842 A1 WO2021093842 A1 WO 2021093842A1
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Prior art keywords
suction
pressure
data
valve
phase
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PCT/CN2020/128609
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French (fr)
Chinese (zh)
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李维
李小苗
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北京雅果科技有限公司
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Publication of WO2021093842A1 publication Critical patent/WO2021093842A1/en

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    • A61M1/0023
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/73Suction drainage systems comprising sensors or indicators for physical values
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • A61M1/743Suction control by changing the cross-section of the line, e.g. flow regulating valves
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • A61M1/75Intermittent or pulsating suction
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3327Measuring
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/065Throat; Pharynx

Definitions

  • This application relates to the field of medical auxiliary equipment, and in particular to a subglottic suction system and a control method thereof.
  • VAP ventilator associated pneumonia
  • Continuous subglottic suction is to connect the sputum drainage tube to the negative pressure suction device, and use constant negative pressure to continuously suck.
  • the advantage of this method is that it can prevent the retention of secretions above the air sac.
  • the disadvantage is that it is easy to cause drying and bleeding of the respiratory mucosa. infection.
  • Intermittent subglottic suction is intermittent suction with constant negative pressure. This method can make the mucosa above the airbag fully rest, and the airway temperature and humidity will change little, alleviate the damage of negative pressure to the mucosa, and avoid the disadvantages of continuous subglottic suction. .
  • the current intermittent subglottic suction is mainly done manually by nurses, such as intermittent suction using a syringe.
  • This manual method will greatly increase the workload of medical staff and cannot guarantee sufficient frequency of attraction.
  • the amount of secretions on the capsule cannot be directly observed, it is difficult to determine the timing of suction and to monitor the quality of suction care, which may lead to insufficient suction care on the capsule.
  • the existing subglottic suction method increases the manual workload, and there is a problem that the control timing cannot be determined.
  • This application aims to solve at least one of the technical problems existing in the prior art.
  • the present application provides a subglottic suction system and a control method thereof to solve the problem that the subglottic suction method in the related art increases the manual workload and cannot determine the control timing.
  • an embodiment of the present application provides a subglottic suction system, which includes: a secretion collection device for collecting secretions sucked from the patient's subglottis through a suction tube; a pressure part, and the suction tube Connection, used to provide negative pressure for the suction pipe, and adjust the magnitude of the negative pressure provided according to the pressure adjustment signal; a sensing unit, connected to the suction pipe, for real-time control of the suction pipe The flow and/or pressure in the road are monitored to obtain monitoring data; a control unit, connected to the pressure part and connected to the sensing unit, for receiving the monitoring data and generating the pressure adjustment based on the monitoring data Signal, the pressure adjustment signal is sent to the pressure part, and the suction of the suction system is controlled according to the calculation, judgment and decision-making of the monitoring data.
  • it further includes: an on-off valve, connected between the pressure part and the suction pipe, for controlling whether the pressure part is directed to the suction pipe according to the opening or closing of the on-off valve. Negative pressure is introduced into the pipeline.
  • the on-off valve is also connected to the control unit for controlling the on-off valve to open according to an opening instruction from the control unit, and controlling the on-off valve according to a closing instruction from the control unit.
  • the on-off valve is closed.
  • the embodiment of the present application also provides a method for controlling the subglottic suction system, which includes: monitoring the flow and/or pressure in the suction pipeline in real time to obtain monitoring data; and calculating, according to the monitoring data, Judgment and decision-making, control the suction of the suction system, and generate a pressure adjustment signal according to the monitoring data, and send the pressure adjustment signal to the pressure part; and perform the magnitude of the negative pressure provided according to the pressure adjustment signal adjust.
  • the subglottic suction system includes an on-off valve, which is connected between the pressure part and the suction pipeline, and is used to control the station according to the opening or closing of the on-off valve.
  • the calculation, judgment, and decision based on the monitoring data, controlling the suction of the suction system, and generating a pressure adjustment signal according to the monitoring data includes: controlling The subglottic suction system works in manual mode, timing mode, or automatic mode and performs mode switching; in the manual mode, the suction time and the suction interval are determined according to the operator's operation of the on-off valve, and continue Suction or intermittent suction; in the timing mode, the opening and closing instructions are sent to the on-off valve according to the preset suction time and the suction interval time, and the suction is performed at a time; in the automatic mode, according to the monitoring data
  • the pressure adjustment signal is generated in combination with a preset threshold, and an opening command or a closing command is generated to
  • the monitoring data includes flow data and/or pressure data
  • the automatic mode includes a trial suction phase and a formal suction phase.
  • the method further includes: judging jointly based on the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase Or judge according to at least one of the flow data and the pressure data, and control the start and end of the trial suction phase and the formal suction phase.
  • the joint judgment based on the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase includes: sending to the on-off valve Open the command, open the on-off valve, and the trial suction phase begins.
  • the product of the pressure data and the inverse of the flow data is greater than or equal to the first preset threshold
  • the joint judgment based on the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase includes: sending to the on-off valve
  • the opening instruction is to open the on-off valve, and the suction test phase begins.
  • the formal suction is entered.
  • the suction phase otherwise the test suction phase ends.
  • the judging based on at least one of the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase includes:
  • the on-off valve sends an opening instruction to open the on-off valve and enter the suction test phase.
  • the suction test is stopped; When the pressure data is greater than the first pressure threshold and/or the flow data is less than the first flow data, enter the formal suction phase; in the formal suction phase, when the pressure data is less than the second pressure threshold And/or when the flow data is greater than the second flow threshold, a closing instruction is issued to the on-off valve, and the formal suction phase ends, wherein the first pressure threshold is greater than the second pressure threshold, and the first flow threshold Less than the second flow threshold.
  • the beneficial effects of this application are: the subglottic suction system and its control method provided by the embodiments of this application are performed by monitoring the flow and/or pressure of the suction line connecting the patient and the secretion collection device in the subglottic suction system. Monitor, and then control and adjust the working conditions of the suction system according to the monitoring results.
  • the suction operation on the capsule can be automatically completed, and the suction can be automatically activated by detecting the amount of secretions accumulated under the glottis of the patient, which not only reduces the labor intensity of the nurse, but also It can protect the patient's respiratory mucosa, and also ensure sufficient suction frequency and suction quality.
  • Figure 1 is a schematic diagram of a subglottic suction system according to an embodiment of the application.
  • FIG. 2 is a schematic diagram of the connection relationship when the subglottic suction system works in an embodiment of the application
  • Fig. 3 is a flowchart of a control method of a subglottic suction system according to another embodiment of the application.
  • FIG. 1 is a schematic diagram of a subglottic suction system provided by an embodiment of the application.
  • the system 100 (that is, the subglottic suction system) includes: a secretion collection device 110, a pressure part 120, and a sensing unit 130 and control unit 140.
  • the secretion collection device 110 is used to collect secretions sucked from the patient's subglottis through a suction pipeline; the pressure part 120 is connected to the suction pipeline and is used to provide negative pressure for the suction pipeline, and to provide negative pressure to the suction pipeline according to the pressure regulation signal.
  • the sensing unit 130 is connected to the suction pipeline to monitor the flow and/or pressure in the suction pipeline in real time to obtain monitoring data; the control unit 140 is connected to the pressure unit 120 and senses The unit 130 is connected (the control unit 140 is connected to the pressure unit 120 and the sensing unit 130 respectively), and is used to receive monitoring data and generate a pressure adjustment signal according to the monitoring data, send the pressure adjustment signal to the pressure unit 120, and calculate, Judgment and decision-making, to control the suction of the suction system.
  • the system 100 further includes: an on-off valve (not shown in the figure).
  • the on-off valve is connected between the pressure part 120 and the suction pipe for controlling the pressure part according to the opening or closing of the on-off valve. Whether to pass negative pressure to the suction pipeline.
  • the on-off valve is also connected to the control unit 140 for controlling the on-off valve to open according to the opening instruction from the control unit 140 and controlling the on-off valve to close according to the closing instruction from the control unit 140.
  • FIG 2 is a schematic diagram of the connection relationship when a subglottic suction system of this application works.
  • the secretion collection device 6 receives secretions from the patient through a suction pipe (not marked), and is set on the suction pipe
  • the sensing unit 5 is connected to the control unit 3.
  • the pressure part includes a negative pressure source 1 and a pressure regulating unit 2.
  • the negative pressure source 1 is used to provide negative pressure with suction power;
  • the pressure regulating unit 2 is connected to the negative pressure source 1 and the control unit 3, It is used to adjust the magnitude of the negative pressure provided by the negative pressure source 1 according to the pressure adjustment signal from the control unit 3.
  • an on-off valve 4 is also provided on the connecting pipeline between the pressure regulating unit 2 and the suction pipeline.
  • the negative pressure source 1 in FIG. 2 provides suction power for the entire subglottic suction system, which can be an independent vacuum pump, such as a piston, rotary vane, or water ring vacuum pump, or It is a negative pressure turbine, it can also be a central suction system configured on the treatment belt of a hospital ward, or a commercially available sputum suction device that can generate negative pressure.
  • an independent vacuum pump such as a piston, rotary vane, or water ring vacuum pump
  • It is a negative pressure turbine
  • it can also be a central suction system configured on the treatment belt of a hospital ward, or a commercially available sputum suction device that can generate negative pressure.
  • the pressure adjusting unit 2 in FIG. 2 can adjust the magnitude of the negative pressure value output by the negative pressure source, and keep the output negative pressure value dynamically stable, which can be a separate mechanical or electronic type
  • the negative pressure source 1 is independent, such as a vacuum pump or a fan, the pressure can also be adjusted directly by adjusting the speed of the drive motor in a closed loop.
  • control unit 3 in FIG. 2 is used to receive information such as external instructions or monitoring data of the sensing unit 5, and after processing, can send a signal for adjusting the pressure value to the pressure adjustment unit 2 (ie Pressure adjustment signal) to adjust the negative pressure; it is also possible to send instructions to the on-off valve 4 to control the on-off valve 4 to open or close, so as to start the attraction and stop the attraction.
  • a signal for adjusting the pressure value to the pressure adjustment unit 2 (ie Pressure adjustment signal) to adjust the negative pressure
  • pressure adjustment unit 2 ie Pressure adjustment signal
  • the on-off valve 4 in FIG. 2 may be a two-position, two-way solenoid valve, a pneumatic valve, an electric valve, or a manual on-off valve.
  • the on-off valve 4 can be controlled by the control unit 3 to realize opening and closing through command control, or it can be manually opened and closed to control when to supply and stop supplying negative pressure to the suction pipeline.
  • the sensing unit 5 in FIG. 2 monitors the pressure and/or flow rate in the suction pipeline. It can monitor the pressure through a pressure sensor, and use a flow sensor (or through measured different parts). Calculate the flow value based on the pressure value) to monitor the flow rate.
  • the secretion collection device 6 in FIG. 2 collects secretions (such as sputum) sucked from the patient's glottis through the suction tube into a container, and after the accumulation reaches a certain amount, the nursing staff will act as Medical waste treatment.
  • secretions such as sputum
  • the sensing unit 5 by adding the sensing unit 5, by monitoring the flow and/or pressure in the suction pipeline, the working condition of the suction system can be monitored according to the monitoring results. Control and adjustment, can automatically complete the suction operation on the capsule, and can automatically start the suction by detecting the amount of secretions accumulated under the glottis of the patient, which not only reduces the labor intensity of the nurse, but also protects the respiratory mucosa of the patient, and ensures sufficient suction frequency And attract quality.
  • the working modes of the subglottic suction system provided in the above embodiments include manual mode, timing mode and automatic mode.
  • the control method provided in this application can switch between different modes, and can also perform continuous and intermittent suction to achieve Automatic and appropriate suction can not only reduce manual operation but also protect the patient's respiratory mucosa.
  • FIG. 3 is a flowchart of a method for controlling a subglottic suction system according to another embodiment of the application. As shown in FIG. 3, it specifically includes the following steps:
  • step S310 the flow rate and/or pressure in the suction pipeline are monitored in real time to obtain monitoring data
  • step S320 control the suction of the suction system according to the monitoring data calculation, judgment and decision, generate a pressure adjustment signal according to the monitoring data, and send the pressure adjustment signal to the pressure part;
  • step S330 the magnitude of the negative pressure provided is adjusted according to the pressure adjustment signal.
  • the subglottic suction system in the control method, is controlled to work in manual mode, timing mode, or automatic mode, and to perform mode switching;
  • the suction time and the suction interval are determined according to the operator's operation of the on-off valve, and continuous suction or intermittent suction is performed.
  • the suction can be started by pressing the manual suction button and opening the on-off valve 4, and pressing it again will close the on-off valve 4 and the suction will stop.
  • a single subglottic suction can be realized by manual operation, and the suction time and the suction interval time are determined by the time the operator presses the manual suction button twice next to each other to achieve intermittent suction.
  • continuous attraction can also be performed, that is, after the manual attraction start button is pressed, the manual attraction button is no longer pressed within a certain period of time, so as to achieve continuous attraction.
  • the opening and closing instructions are sent to the on-off valve according to the preset suction time and the suction interval time, and the suction is carried out at a fixed time.
  • the control unit 3 is used to replace the function of manually pressing the suction button.
  • the control unit 3 sets the suction duration and suction interval time by setting instructions.
  • the instructions are applied to the on-off valve 4, and then according to the control unit 3 Send an opening command to open the on-off valve 4, and open and close the on-off valve according to the closing command to realize the timing control of the suction time and the suction interval.
  • the timing control can be intermittent suction within a period of time, or continuous suction.
  • the sensor unit 5 does not participate in the operation of the system.
  • the pressure adjustment signal is generated according to the monitoring data combined with the preset threshold, and the opening instruction or the closing instruction is generated to control the on-off valve and automatically attract.
  • the sensing unit 5 works after the test suction is started, and the obtained monitoring data includes flow data and/or pressure data.
  • the system will periodically detect whether secretions have accumulated, and if so, the suction system will be activated.
  • the automatic mode includes a test suction phase and a formal suction phase, that is, the general control flow is: open the on-off valve ⁇ enter the test suction phase ⁇ meet the condition one and stop the test suction ⁇ meet the condition two and enter Formal suction stage ⁇ Stop formal suction when condition 3 is met.
  • an opening instruction and a closing instruction are sent to the on-off valve according to the preset test suction time period, and the test suction is performed.
  • the situation (1) specifically includes:
  • the negative pressure in the normal suction phase is determined by the operator; if it is automatic mode, the operator sets the maximum pressure through the control unit, and the control unit adjusts it from 0 to the maximum pressure.
  • the principle of adjustment is The F flow rate reaches at least a certain threshold, for example, the threshold can be 2L/min.
  • the integral over a period of time may also be considered, which specifically includes:
  • the test suction phase ends.
  • the product of the above-mentioned pressure value P and the reciprocal (1/F) of the flow value F can be changed to the integral of the product of the pressure value P and the reciprocal (1/F) of the flow value F within a period of time T1, the formula is:
  • the cumulative value over a period of time is calculated, and then divided by the time to get the average value over a period of time.
  • the average value obtained by solving is different from the instantaneous value of a single moment in the above situation.
  • the sensing unit 5 may simultaneously detect pressure and flow rate for joint judgment, or may only detect pressure and/or flow rate for judgment, that is, situation (2) specifically includes:
  • (2.1) Send an opening instruction to the on-off valve, open the on-off valve, and enter the test suction stage.
  • the pressure data is less than the first pressure threshold and/or the flow data is greater than the first flow threshold, stop the test suction.
  • the control unit 3 regularly issues an opening instruction to the on-off valve 4 to open the on-off valve 4, and at the same time, the sensing unit 5 monitors the airflow data/pressure data in real time, and performs a test suction.
  • the pressure value P detected by the sensing unit 5 is lower than a pressure threshold value P1 and/or the detected flow rate is greater than a flow threshold value F1, the suction is stopped immediately.
  • the formal suction phase is entered.
  • the control unit 3 Adjust the suction pressure to a suitable value and continue to suck.
  • the maximum pressure is set by the control unit 3, and the control unit automatically adjusts to a suitable value within the range of 0 to the maximum pressure.
  • the pressure and flow thresholds P1, P2, F1, and F2 in the above method may be preset or calculated based on pressure and flow detection values over a period of time.
  • the pressure value, flow value and each threshold value are all absolute values.
  • the pressure adjustment in this application can be manual or automatic closed-loop adjustment of the vacuum pressure control valve or adjustment of the motor driving the negative pressure source. Rotation speed to achieve the desired pressure value.
  • the method for controlling the subglottic suction system provided in the embodiments of the present application, by monitoring the flow or pressure in the suction pipeline, and controlling and adjusting the working conditions of the suction system according to the monitoring results, it can be automatically
  • the suction operation on the capsule is completed, and the suction can be automatically activated by detecting the amount of secretions accumulated under the glottis of the patient, which not only reduces the labor intensity of the nurse, but also protects the respiratory mucosa of the patient, and also ensures sufficient suction frequency and suction quality.
  • modules or units of the device for action execution are mentioned in the above detailed description, this division is not mandatory.
  • the features and functions of two or more modules or units described above may be embodied in one module or unit.
  • the features and functions of a module or unit described above can be further divided into multiple modules or units to be embodied.

Abstract

A subglottic suction system (100) and a control method thereof, the subglottic suction system (100) comprising: a secretion collection apparatus (110), used to collect secretions suctioned from the subglottis of a patient by means of a suction tube; a pressure component (120), used to provide negative pressure to the suction tube, and to perform adjustment of a magnitude of the provided negative pressure according to a pressure adjustment signal; a sensing unit (130) used to monitor flow volume and/or pressure in the suction tube in real time, obtaining monitoring data; a control unit (140) connected separately to the pressure component (120) and the sensing unit (130), used to receive the monitoring data and generate a pressure adjustment signal according to the monitoring data, send the pressure adjustment signal to the pressure component, and also to perform calculation, determination and decision according to the monitoring data, controlling suction of the suction system.

Description

一种声门下吸引系统及其控制方法Subglottic suction system and control method thereof
相关申请的交叉引用Cross-references to related applications
本申请基于申请号为201911112220.2、申请日为2019年11月14日的中国专利申请提出,并要求上述中国专利申请的优先权,上述中国专利申请的全部内容在此引入本申请作为参考。This application is filed based on the Chinese patent application with the application number 201911112220.2 and the application date on November 14, 2019, and claims the priority of the above-mentioned Chinese patent application. The entire content of the above-mentioned Chinese patent application is hereby incorporated into this application by reference.
技术领域Technical field
本申请涉及医疗辅助器械领域,尤其涉及一种声门下吸引系统及其控制方法。This application relates to the field of medical auxiliary equipment, and in particular to a subglottic suction system and a control method thereof.
背景技术Background technique
机械通气作为危重患者抢救的主要措施之一,在临床特别是重症监护室内得到广泛应用,但随之引起的与其应用相关的呼吸机相关性肺炎(Ventilator associatedpneumonia,简称VAP)成为临床中常见而又严重的并发症,患者一旦发生VAP,则易造成脱机困难,从而延长住院时间,增加住院费用,严重者甚至威胁患者生命,导致患者死亡。口腔内分泌物经过人工气道球囊误吸至下呼吸道是导致VAP发生的重要途径,采取声门下吸引等有效的预防措施是控制VAP流行,降低其病死率的重要方法。Mechanical ventilation, as one of the main measures for the rescue of critically ill patients, has been widely used in clinics, especially in intensive care units. However, the subsequent ventilator associated pneumonia (VAP) related to its application has become a common and frequent clinical practice. Severe complications, once a patient develops VAP, it is easy to cause difficulty in weaning, thereby prolonging the hospital stay, increasing the hospitalization cost, and even threatening the life of the patient and leading to the death of the patient. Aspiration of oral secretions into the lower respiratory tract through artificial airway balloons is an important way to cause VAP. Taking effective preventive measures such as subglottic suction is an important method to control the epidemic of VAP and reduce its mortality.
目前临床上声门下吸引的方式主要有两种,即持续声门下吸引和间歇声门下吸引。持续声门下吸引是将痰液引流管连接于负压吸引装置,用恒定负压持续吸引,这种方式的优点是可以防止气囊上方分泌物滞留,缺点是容易引起呼吸道粘膜干燥、出血,进而引起感染。间歇声门下吸引是用恒定负压间歇吸引,这种方式能使气囊上方的粘膜得到充分休息,气道温湿度变化小,缓解负压对粘膜的损伤作用,避免持续声门下吸引带来的缺点。但是目前间歇声门下吸引主要是依靠护士手工完成,例如使用注射器间歇吸引。这种手工方式会大大增加医护人员的工作量,不能保证足够的吸引频次。同时,因为囊上分泌物的量无法直接观测,吸引时机的确定及吸引护理质量的监督也变得很困难,可能导致囊上吸引护理的不充分。At present, there are two main ways of clinical subglottic attraction, namely continuous subglottic attraction and intermittent subglottic attraction. Continuous subglottic suction is to connect the sputum drainage tube to the negative pressure suction device, and use constant negative pressure to continuously suck. The advantage of this method is that it can prevent the retention of secretions above the air sac. The disadvantage is that it is easy to cause drying and bleeding of the respiratory mucosa. infection. Intermittent subglottic suction is intermittent suction with constant negative pressure. This method can make the mucosa above the airbag fully rest, and the airway temperature and humidity will change little, alleviate the damage of negative pressure to the mucosa, and avoid the disadvantages of continuous subglottic suction. . However, the current intermittent subglottic suction is mainly done manually by nurses, such as intermittent suction using a syringe. This manual method will greatly increase the workload of medical staff and cannot guarantee sufficient frequency of attraction. At the same time, because the amount of secretions on the capsule cannot be directly observed, it is difficult to determine the timing of suction and to monitor the quality of suction care, which may lead to insufficient suction care on the capsule.
基于上述,现有的声门下吸引的方式增大人工的工作量,且存在无法确定控制时机的问题。Based on the above, the existing subglottic suction method increases the manual workload, and there is a problem that the control timing cannot be determined.
上述缺陷是本领域技术人员期望克服的。The above-mentioned shortcomings are expected to be overcome by those skilled in the art.
发明内容Summary of the invention
本申请旨在至少解决现有技术中存在的技术问题之一。This application aims to solve at least one of the technical problems existing in the prior art.
(一)要解决的技术问题(1) Technical problems to be solved
为了解决相关技术的上述问题,本申请提供一种声门下吸引系统及其控制方法,以解决相关技术中声门下吸引的方式增大人工的工作量,无法确定控制时机的问题。In order to solve the above-mentioned problems of the related art, the present application provides a subglottic suction system and a control method thereof to solve the problem that the subglottic suction method in the related art increases the manual workload and cannot determine the control timing.
本申请的其他特性和优点将通过下面的详细描述变得显然,或部分地通过本申请的实践而习得。Other characteristics and advantages of the present application will become apparent through the following detailed description, or partly learned through the practice of the present application.
(二)技术方案(2) Technical solution
为了达到上述目的,本申请采用的主要技术方案包括:In order to achieve the above objectives, the main technical solutions adopted in this application include:
一方面,本申请的实施例提供一种声门下吸引系统,其包括:分泌物收集装置,用于通过吸引管路来收集从患者声门下吸出的分泌物;压力部,与所述吸引管路连接,用于为所述吸引管路提供负压,并根据压力调节信号对所提供的负压的大小进行调节;传感单元,与所述吸引管路连接,用于实时对所述吸引管路内的流量和/或压力进行监测,得到监测数据;控制单元,与所述压力部连接和所述传感单元连接,用于接收所述监测数据并根据所述监测数据产生所述压力调节信号,将所述压力调节信号发送给所述压力部,还根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制。In one aspect, an embodiment of the present application provides a subglottic suction system, which includes: a secretion collection device for collecting secretions sucked from the patient's subglottis through a suction tube; a pressure part, and the suction tube Connection, used to provide negative pressure for the suction pipe, and adjust the magnitude of the negative pressure provided according to the pressure adjustment signal; a sensing unit, connected to the suction pipe, for real-time control of the suction pipe The flow and/or pressure in the road are monitored to obtain monitoring data; a control unit, connected to the pressure part and connected to the sensing unit, for receiving the monitoring data and generating the pressure adjustment based on the monitoring data Signal, the pressure adjustment signal is sent to the pressure part, and the suction of the suction system is controlled according to the calculation, judgment and decision-making of the monitoring data.
在本申请一实施例中,还包括:开关阀,连接在所述压力部和所述吸引管路之间,用于根据所述开关阀的开启或关闭控制所述压力部是否向所述吸引管路通入负压。In an embodiment of the present application, it further includes: an on-off valve, connected between the pressure part and the suction pipe, for controlling whether the pressure part is directed to the suction pipe according to the opening or closing of the on-off valve. Negative pressure is introduced into the pipeline.
在本申请一实施例中,所述开关阀还与所述控制单元连接,用于根据来自所述控制单元的开启指令控制所述开关阀开启,以及根据来自所述控制单元的关闭指令控制所述开关阀关闭。In an embodiment of the present application, the on-off valve is also connected to the control unit for controlling the on-off valve to open according to an opening instruction from the control unit, and controlling the on-off valve according to a closing instruction from the control unit. The on-off valve is closed.
另一方面,本申请的实施例还提供一种声门下吸引系统的控制方法,其包括:实时对吸引管路内的流量和/或压力进行监测,得到监测数据;根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制,以及根据所述监测数据产生压力调节信号,将所述压力调节信号发送给压力部;根据所述压力调节信号对所提供的负压的大小进行调节。On the other hand, the embodiment of the present application also provides a method for controlling the subglottic suction system, which includes: monitoring the flow and/or pressure in the suction pipeline in real time to obtain monitoring data; and calculating, according to the monitoring data, Judgment and decision-making, control the suction of the suction system, and generate a pressure adjustment signal according to the monitoring data, and send the pressure adjustment signal to the pressure part; and perform the magnitude of the negative pressure provided according to the pressure adjustment signal adjust.
在本申请一实施例中,所述声门下吸引系统包括开关阀,所述开关阀连接在所述压力部和所述吸引管路之间,用于根据所述开关阀的开启或关闭控制所述压力部是否向所述吸引管路通入负压,所述根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制,以及根据所述监测数据产生压力调节信号包括:控制所述声门下吸引系统在手动模式、定时模式或自动模式下工作以及进行模式切换;在所述手动模式下,根据操作者对所述开关阀的操作动作确定吸引时长和吸引间隔时长,进行持续吸引或间歇吸引;在所述定时模式 下,按照预设的吸引时长和吸引间隔时长向所述开关阀发送开启指令和关闭指令,定时进行吸引;在所述自动模式下,根据所述监测数据结合预设阈值产生所述压力调节信号,以及产生开启指令或关闭指令对开关阀进行控制,自动进行吸引。In an embodiment of the present application, the subglottic suction system includes an on-off valve, which is connected between the pressure part and the suction pipeline, and is used to control the station according to the opening or closing of the on-off valve. Whether the pressure part passes negative pressure to the suction pipeline, the calculation, judgment, and decision based on the monitoring data, controlling the suction of the suction system, and generating a pressure adjustment signal according to the monitoring data includes: controlling The subglottic suction system works in manual mode, timing mode, or automatic mode and performs mode switching; in the manual mode, the suction time and the suction interval are determined according to the operator's operation of the on-off valve, and continue Suction or intermittent suction; in the timing mode, the opening and closing instructions are sent to the on-off valve according to the preset suction time and the suction interval time, and the suction is performed at a time; in the automatic mode, according to the monitoring data The pressure adjustment signal is generated in combination with a preset threshold, and an opening command or a closing command is generated to control the on-off valve and automatically attract.
在本申请一实施例中,所述监测数据包括流量数据和/或压力数据,所述自动模式包括试抽吸阶段和正式抽吸阶段。In an embodiment of the present application, the monitoring data includes flow data and/or pressure data, and the automatic mode includes a trial suction phase and a formal suction phase.
在本申请一实施例中,在所述自动模式下,还包括:根据所述流量数据和所述压力数据联合进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束;或者根据所述流量数据与所述压力数据其中至少之一进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束。In an embodiment of the present application, in the automatic mode, the method further includes: judging jointly based on the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase Or judge according to at least one of the flow data and the pressure data, and control the start and end of the trial suction phase and the formal suction phase.
在本申请一实施例中,所述根据所述流量数据和所述压力数据联合进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束包括:向所述开关阀发送开启指令,开启所述开关阀,试抽吸阶段开始,当所述压力数据与所述流量数据的倒数相乘之积大于或等于第一预设阈值时,进入正式抽吸阶段,否则试抽吸阶段结束;在所述正式抽吸阶段中,当所述压力数据与所述流量数据的倒数相乘之积小于第二预设阈值时,向所述开关阀发出关闭指令,正式抽吸阶段结束,其中所述第一预设阈值大于所述第二预设阈值。In an embodiment of the present application, the joint judgment based on the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase includes: sending to the on-off valve Open the command, open the on-off valve, and the trial suction phase begins. When the product of the pressure data and the inverse of the flow data is greater than or equal to the first preset threshold, enter the formal suction phase, otherwise the trial suction phase The suction phase ends; in the formal suction phase, when the product of the pressure data and the reciprocal of the flow data is less than the second preset threshold, a closing instruction is issued to the on-off valve, and the formal suction phase End, wherein the first preset threshold is greater than the second preset threshold.
在本申请一实施例中,所述根据所述流量数据和所述压力数据联合进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束包括:向所述开关阀发送开启指令,开启所述开关阀,试抽吸阶段开始,根据所述压力数据与所述流量数据的倒数相乘之积在预设时间段内的积分大于第三预设阈值时,进入正式抽吸阶段,否则试抽吸阶段结束。In an embodiment of the present application, the joint judgment based on the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase includes: sending to the on-off valve The opening instruction is to open the on-off valve, and the suction test phase begins. When the integral of the product of the pressure data and the reciprocal of the flow data in the preset time period is greater than the third preset threshold, the formal suction is entered. The suction phase, otherwise the test suction phase ends.
在本申请一实施例中,所述根据所述流量数据与所述压力数据其中至少之一进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束包括:向所述开关阀发送开启指令,开启所述开关阀,进入试抽吸阶段,当所述压力数据小于第一压力阈值和/或所述流量数据大于第一流量阈值时,停止试抽吸;当所述压力数据大于所述第一压力阈值和/或所述流量数据小于所述第一流量数据时,进入正式抽吸阶段;在所述正式抽吸阶段中,当所述压力数据小于第二压力阈值和/或所述流量数据大于第二流量阈值时,向所述开关阀发出关闭指令,正式抽吸阶段结束,其中所述第一压力阈值大于所述第二压力阈值,所述第一流量阈值小于所述第二流量阈值。In an embodiment of the present application, the judging based on at least one of the flow data and the pressure data, and controlling the start and end of the trial suction phase and the formal suction phase includes: The on-off valve sends an opening instruction to open the on-off valve and enter the suction test phase. When the pressure data is less than the first pressure threshold and/or the flow data is greater than the first flow threshold, the suction test is stopped; When the pressure data is greater than the first pressure threshold and/or the flow data is less than the first flow data, enter the formal suction phase; in the formal suction phase, when the pressure data is less than the second pressure threshold And/or when the flow data is greater than the second flow threshold, a closing instruction is issued to the on-off valve, and the formal suction phase ends, wherein the first pressure threshold is greater than the second pressure threshold, and the first flow threshold Less than the second flow threshold.
(三)有益效果(3) Beneficial effects
本申请的有益效果是:本申请实施例提供的一种声门下吸引系统及其控制方法,通过对声门下吸引系统中连接患者和分泌物收集装置的吸引管路的流量和/或压力情况进行监测,然后根据监测结果对吸引系统的工作情况进行控制和调节,可以自动完成囊上吸引操作, 且可以通过检测病人声门下堆积的分泌物的量自动启动吸引,不仅减轻护士的劳动强度,还能保护病人的呼吸道粘膜,也保证足够的吸引频次和吸引质量。The beneficial effects of this application are: the subglottic suction system and its control method provided by the embodiments of this application are performed by monitoring the flow and/or pressure of the suction line connecting the patient and the secretion collection device in the subglottic suction system. Monitor, and then control and adjust the working conditions of the suction system according to the monitoring results. The suction operation on the capsule can be automatically completed, and the suction can be automatically activated by detecting the amount of secretions accumulated under the glottis of the patient, which not only reduces the labor intensity of the nurse, but also It can protect the patient's respiratory mucosa, and also ensure sufficient suction frequency and suction quality.
附图说明Description of the drawings
本申请的上述和/或附加的方面和优点从结合下面附图对实施例的描述中将变得明显和容易理解,其中:The above and/or additional aspects and advantages of the present application will become obvious and easy to understand from the description of the embodiments in conjunction with the following drawings, in which:
图1为本申请一个实施例的声门下吸引系统的示意图;Figure 1 is a schematic diagram of a subglottic suction system according to an embodiment of the application;
图2为本申请一个实施例的声门下吸引系统工作时的连接关系示意图;FIG. 2 is a schematic diagram of the connection relationship when the subglottic suction system works in an embodiment of the application;
图3为本申请另一个实施例的声门下吸引系统的控制方法的流程图。Fig. 3 is a flowchart of a control method of a subglottic suction system according to another embodiment of the application.
具体实施方式Detailed ways
为了更好的解释本申请,以便于理解,下面结合附图,通过具体实施方式,对本申请作详细描述。In order to better explain the application and facilitate understanding, the application will be described in detail below through specific implementations in conjunction with the drawings.
本文所使用的所有的技术和科学术语与属于本申请的技术领域的技术人员通常理解的含义相同。本文中在本申请的说明书中所使用的术语只是为了描述具体的实施例的目的,不是旨在于限制本申请。本文所使用的术语“和/或”包括一个或多个相关的所列项目的任意的和所有的组合。All technical and scientific terms used herein have the same meanings as commonly understood by those skilled in the technical field of this application. The terminology used in the specification of the application herein is only for the purpose of describing specific embodiments, and is not intended to limit the application. The term "and/or" as used herein includes any and all combinations of one or more related listed items.
图1为本申请一个实施例提供的一种声门下吸引系统的示意图,如图1所示,该系统100(即声门下吸引系统)包括:分泌物收集装置110、压力部120、传感单元130和控制单元140。FIG. 1 is a schematic diagram of a subglottic suction system provided by an embodiment of the application. As shown in FIG. 1, the system 100 (that is, the subglottic suction system) includes: a secretion collection device 110, a pressure part 120, and a sensing unit 130 and control unit 140.
其中分泌物收集装置110用于通过吸引管路来收集从患者声门下吸出的分泌物;压力部120与吸引管路连接,用于为吸引管路提供负压,并根据压力调节信号对所提供的负压的大小进行调节;传感单元130与吸引管路连接,用于实时对吸引管路内的流量和/或压力进行监测,得到监测数据;控制单元140与压力部120连接和传感单元130连接(控制单元140与压力部120和传感单元130分别连接),用于接收监测数据并根据监测数据产生压力调节信号,将压力调节信号发送给压力部120,还根据监测数据计算、判断和决策,对吸引系统的抽吸进行控制。The secretion collection device 110 is used to collect secretions sucked from the patient's subglottis through a suction pipeline; the pressure part 120 is connected to the suction pipeline and is used to provide negative pressure for the suction pipeline, and to provide negative pressure to the suction pipeline according to the pressure regulation signal. The sensing unit 130 is connected to the suction pipeline to monitor the flow and/or pressure in the suction pipeline in real time to obtain monitoring data; the control unit 140 is connected to the pressure unit 120 and senses The unit 130 is connected (the control unit 140 is connected to the pressure unit 120 and the sensing unit 130 respectively), and is used to receive monitoring data and generate a pressure adjustment signal according to the monitoring data, send the pressure adjustment signal to the pressure unit 120, and calculate, Judgment and decision-making, to control the suction of the suction system.
在本申请一实施例中,该系统100还包括:开关阀(图中未示出),开关阀连接在压力部120和吸引管路之间,用于根据开关阀的开启或关闭控制压力部是否向吸引管路通入负压。In an embodiment of the present application, the system 100 further includes: an on-off valve (not shown in the figure). The on-off valve is connected between the pressure part 120 and the suction pipe for controlling the pressure part according to the opening or closing of the on-off valve. Whether to pass negative pressure to the suction pipeline.
在本申请一实施例中,开关阀还与控制单元140连接,用于根据来自控制单元140 的开启指令控制开关阀开启,以及根据来自控制单元140的关闭指令控制开关阀关闭。In an embodiment of the present application, the on-off valve is also connected to the control unit 140 for controlling the on-off valve to open according to the opening instruction from the control unit 140 and controlling the on-off valve to close according to the closing instruction from the control unit 140.
以下对图1所示实施例的系统进行详细介绍:The system of the embodiment shown in FIG. 1 is described in detail below:
图2为本申请一种声门下吸引系统工作时的连接关系示意图,如图2所示,分泌物收集装置6通过吸引管路(未标记)承接来自病人产生的分泌物,在吸引管路上设置传感单元5,传感单元5与控制单元3连接。如图2所示,压力部中包括负压源1和压力调节单元2,负压源1用于提供具有抽吸动力的负压;压力调节单元2与负压源1和控制单元3连接,用于根据来自控制单元3的压力调节信号对负压源1提供的负压的大小进行调节。另外,压力调节单元2与吸引管路的连接管路上还设置有开关阀4。Figure 2 is a schematic diagram of the connection relationship when a subglottic suction system of this application works. As shown in Figure 2, the secretion collection device 6 receives secretions from the patient through a suction pipe (not marked), and is set on the suction pipe The sensing unit 5 is connected to the control unit 3. As shown in Figure 2, the pressure part includes a negative pressure source 1 and a pressure regulating unit 2. The negative pressure source 1 is used to provide negative pressure with suction power; the pressure regulating unit 2 is connected to the negative pressure source 1 and the control unit 3, It is used to adjust the magnitude of the negative pressure provided by the negative pressure source 1 according to the pressure adjustment signal from the control unit 3. In addition, an on-off valve 4 is also provided on the connecting pipeline between the pressure regulating unit 2 and the suction pipeline.
在本申请一实施例中,图2中的负压源1为整个声门下吸引系统提供抽吸动力,其可以是一个独立的真空泵,例如一个活塞式、旋片式或者水环式真空泵,或者是一个负压涡轮,也可以是医院病房治疗带上配置的中心吸引系统,或者一个市售的能够产生负压的吸痰器。In an embodiment of the present application, the negative pressure source 1 in FIG. 2 provides suction power for the entire subglottic suction system, which can be an independent vacuum pump, such as a piston, rotary vane, or water ring vacuum pump, or It is a negative pressure turbine, it can also be a central suction system configured on the treatment belt of a hospital ward, or a commercially available sputum suction device that can generate negative pressure.
在本申请一实施例中,图2中的压力调节单元2可以调节负压源输出的负压值的大小,并且使输出的负压值保持动态稳定,其可以是一个单独的机械或电子式的真空压力调节阀,或者是一个真空调节阀与负压罐的组合。其可以由手动调节,或者接收来自控制单元3的压力调节信号进行压力调节或者可以反馈给控制单元3,进行闭环控制调节。如果负压源1是独立的,例如一个真空泵或者风机,也可以直接通过闭环调节驱动电机的转速实现压力的调节。In an embodiment of the present application, the pressure adjusting unit 2 in FIG. 2 can adjust the magnitude of the negative pressure value output by the negative pressure source, and keep the output negative pressure value dynamically stable, which can be a separate mechanical or electronic type The vacuum pressure regulating valve, or a combination of a vacuum regulating valve and a negative pressure tank. It can be adjusted manually, or receive a pressure adjustment signal from the control unit 3 for pressure adjustment, or it can be fed back to the control unit 3 for closed-loop control adjustment. If the negative pressure source 1 is independent, such as a vacuum pump or a fan, the pressure can also be adjusted directly by adjusting the speed of the drive motor in a closed loop.
在本申请一实施例中,图2中的控制单元3用于接收外部指令或传感单元5的监测数据等信息,进行处理后,可以向压力调节单元2发出调节压力值大小的信号(即压力调节信号),以调节负压大小;还可以向开关阀4发送指令以控制开关阀4开启或关闭,以实现启动吸引和停止吸引。In an embodiment of the present application, the control unit 3 in FIG. 2 is used to receive information such as external instructions or monitoring data of the sensing unit 5, and after processing, can send a signal for adjusting the pressure value to the pressure adjustment unit 2 (ie Pressure adjustment signal) to adjust the negative pressure; it is also possible to send instructions to the on-off valve 4 to control the on-off valve 4 to open or close, so as to start the attraction and stop the attraction.
在本申请一实施例中,图2中的开关阀4可以是一个两位两通电磁阀、气动阀、电动阀或者手动开关阀。开关阀4可以被控制单元3控制,通过指令控制实现开启和关闭,也可以手动开启和关闭,以控制何时向吸引管路提供和停止提供负压。In an embodiment of the present application, the on-off valve 4 in FIG. 2 may be a two-position, two-way solenoid valve, a pneumatic valve, an electric valve, or a manual on-off valve. The on-off valve 4 can be controlled by the control unit 3 to realize opening and closing through command control, or it can be manually opened and closed to control when to supply and stop supplying negative pressure to the suction pipeline.
在本申请一实施例中,图2中的传感单元5通过对吸引管路内的压力和/或流量进行监测,其可以通过压力传感器监测压力,通过流量传感器(或者通过测得的不同部位的压力值计算流量值)来监测流量。In an embodiment of the present application, the sensing unit 5 in FIG. 2 monitors the pressure and/or flow rate in the suction pipeline. It can monitor the pressure through a pressure sensor, and use a flow sensor (or through measured different parts). Calculate the flow value based on the pressure value) to monitor the flow rate.
在本申请一实施例中,图2中的分泌物收集装置6将通过吸引管路从病人声门下吸出的分泌物(如痰液)收集到一个容器中,积累到一定量后由护理人员作为医疗废物处理。In an embodiment of the present application, the secretion collection device 6 in FIG. 2 collects secretions (such as sputum) sucked from the patient's glottis through the suction tube into a container, and after the accumulation reaches a certain amount, the nursing staff will act as Medical waste treatment.
综上所述,基于本申请实施例提供的声门下吸引系统,通过增加传感单元5,通过对吸引管路内的流量和/或压力进行监测,以便根据监测结果对吸引系统的工作情况进行控制和调节,可以自动完成囊上吸引操作,且可以通过检测病人声门下堆积的分泌物的量自动启动吸引,不仅减轻护士的劳动强度,还能保护病人的呼吸道粘膜,也保证足够的吸引频次和吸引质量。In summary, based on the subglottic suction system provided by the embodiment of the present application, by adding the sensing unit 5, by monitoring the flow and/or pressure in the suction pipeline, the working condition of the suction system can be monitored according to the monitoring results. Control and adjustment, can automatically complete the suction operation on the capsule, and can automatically start the suction by detecting the amount of secretions accumulated under the glottis of the patient, which not only reduces the labor intensity of the nurse, but also protects the respiratory mucosa of the patient, and ensures sufficient suction frequency And attract quality.
上述实施例中提供的声门下吸引系统的工作模式包括手动模式、定时模式和自动模式,通过本申请提供的控制方法可以在不同模式之间进行切换,还能够进行持续吸引和间歇吸引,以实现自动适当的吸引,既能减少人工操作又能保护病人呼吸道粘膜。The working modes of the subglottic suction system provided in the above embodiments include manual mode, timing mode and automatic mode. The control method provided in this application can switch between different modes, and can also perform continuous and intermittent suction to achieve Automatic and appropriate suction can not only reduce manual operation but also protect the patient's respiratory mucosa.
图3为本申请另一个实施例提供的一种声门下吸引系统的控制方法的流程图,如图3所示,具体包括以下步骤:FIG. 3 is a flowchart of a method for controlling a subglottic suction system according to another embodiment of the application. As shown in FIG. 3, it specifically includes the following steps:
在步骤S310中,实时对吸引管路内的流量和/或压力进行监测,得到监测数据;In step S310, the flow rate and/or pressure in the suction pipeline are monitored in real time to obtain monitoring data;
在步骤S320中,根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制,根据所述监测数据产生压力调节信号,将所述压力调节信号发送给压力部;In step S320, control the suction of the suction system according to the monitoring data calculation, judgment and decision, generate a pressure adjustment signal according to the monitoring data, and send the pressure adjustment signal to the pressure part;
在步骤S330中,根据所述压力调节信号对所提供的负压的大小进行调节。In step S330, the magnitude of the negative pressure provided is adjusted according to the pressure adjustment signal.
在本申请一实施例中,该控制方法中控制声门下吸引系统在手动模式、定时模式或自动模式下工作以及进行模式切换;In an embodiment of the present application, in the control method, the subglottic suction system is controlled to work in manual mode, timing mode, or automatic mode, and to perform mode switching;
1)在手动模式下,根据操作者对开关阀的操作动作确定吸引时长和吸引间隔时长,进行持续吸引或间歇吸引。例如,在手动模式时,可以通过按下手动吸引按钮,开启开关阀4来启动吸引,再按一次,则关闭开关阀4,吸引停止。通过手动操作可以实现单次声门下吸引,吸引时长和吸引间隔时长由操作者相邻两次按下手动吸引按钮的时长来确定,实现间歇吸引。另外,由于有操作控制,所以还可以进行持续吸引,即按下手动吸引启动按钮后,一定时段内不再按下手动吸引按钮,从而实现持续吸引。1) In the manual mode, the suction time and the suction interval are determined according to the operator's operation of the on-off valve, and continuous suction or intermittent suction is performed. For example, in the manual mode, the suction can be started by pressing the manual suction button and opening the on-off valve 4, and pressing it again will close the on-off valve 4 and the suction will stop. A single subglottic suction can be realized by manual operation, and the suction time and the suction interval time are determined by the time the operator presses the manual suction button twice next to each other to achieve intermittent suction. In addition, due to the operation control, continuous attraction can also be performed, that is, after the manual attraction start button is pressed, the manual attraction button is no longer pressed within a certain period of time, so as to achieve continuous attraction.
2)在定时模式下,按照预设的吸引时长和吸引间隔时长向开关阀发送开启指令和关闭指令,定时进行吸引。例如,就是用控制单元3代替手动按下吸引按钮的功能,在控制单元3通过设置指令的形式来设定吸引持续时间以及吸引间隔时间,该指令是作用于开关阀4的,进而根据控制单元3发出开启指令来打开开关阀4,以及根据关闭指令开关闭开关阀,以实现吸引时长和吸引间隔时长的定时控制。该定时控制可以是一段时间内的间歇吸引,还可以是持续吸引。2) In the timing mode, the opening and closing instructions are sent to the on-off valve according to the preset suction time and the suction interval time, and the suction is carried out at a fixed time. For example, the control unit 3 is used to replace the function of manually pressing the suction button. The control unit 3 sets the suction duration and suction interval time by setting instructions. The instructions are applied to the on-off valve 4, and then according to the control unit 3 Send an opening command to open the on-off valve 4, and open and close the on-off valve according to the closing command to realize the timing control of the suction time and the suction interval. The timing control can be intermittent suction within a period of time, or continuous suction.
无论在手动模式还是定时模式下,传感单元5都不参与系统工作。No matter in the manual mode or the timing mode, the sensor unit 5 does not participate in the operation of the system.
3)在自动模式下,根据监测数据结合预设阈值产生压力调节信号,以及产生开启指令或关闭指令对开关阀进行控制,自动进行吸引。3) In the automatic mode, the pressure adjustment signal is generated according to the monitoring data combined with the preset threshold, and the opening instruction or the closing instruction is generated to control the on-off valve and automatically attract.
当选择自动模式时,启动试抽吸后传感单元5工作,得到的监测数据包括流量数据和/或压力数据,系统会定时检测分泌物是否聚集,如果是,则启动吸引系统。When the automatic mode is selected, the sensing unit 5 works after the test suction is started, and the obtained monitoring data includes flow data and/or pressure data. The system will periodically detect whether secretions have accumulated, and if so, the suction system will be activated.
在本申请一实施例中,自动模式包括试抽吸阶段和正式抽吸阶段,即大致的控制流程为:开启开关阀→进入试抽吸阶段→满足条件一停止试抽吸→满足条件二进入正式抽吸阶段→满足条件三停止正式抽吸。In an embodiment of the present application, the automatic mode includes a test suction phase and a formal suction phase, that is, the general control flow is: open the on-off valve → enter the test suction phase → meet the condition one and stop the test suction → meet the condition two and enter Formal suction stage→Stop formal suction when condition 3 is met.
在本申请一实施例中,在试抽吸阶段,按照预设的试抽吸时长向开关阀发送开启指令和关闭指令,进行试抽吸。In an embodiment of the present application, in the suction test stage, an opening instruction and a closing instruction are sent to the on-off valve according to the preset test suction time period, and the test suction is performed.
在本申请一实施例中,在自动模式下,还包括以下两种情况:In an embodiment of the present application, in the automatic mode, the following two situations are also included:
(1)根据流量数据和压力数据联合进行判断,即传感单元5检测压力和流量并进行判断时,可以同时对两个参数进行联合判断,以实现控制试抽吸阶段、正式抽吸阶段的开始和结束;或者(1) Joint judgment based on flow data and pressure data, that is, when the sensor unit 5 detects pressure and flow and makes a judgment, the two parameters can be jointly judged at the same time to achieve control of the trial suction phase and the formal suction phase. Start and end; or
(2)根据流量数据与压力数据其中至少之一进行判断,控制试抽吸阶段、正式抽吸阶段的开始和结束。(2) Make judgments based on at least one of the flow data and pressure data, and control the start and end of the trial suction phase and the formal suction phase.
在本申请一实施例中,情况(1)时具体包括:In an embodiment of the present application, the situation (1) specifically includes:
(1.1)向开关阀发送开启指令,开启开关阀,试抽吸阶段开始,当压力数据与所述流量数据的倒数相乘之积大于或等于第一预设阈值时,进入正式抽吸阶段,否则试抽吸阶段结束。例如,在试抽吸阶段,如果传感单元5检测到的压力值P和流量值F的倒数(1/F)之乘积(P/F)达到第一预设阈值R1,则进入正式抽吸阶段,否则停止抽吸。(1.1) Send an opening instruction to the on-off valve, open the on-off valve, and the test suction phase begins. When the product of the pressure data and the inverse of the flow data is greater than or equal to the first preset threshold, the formal suction phase is entered. Otherwise, the test suction phase ends. For example, in the trial suction phase, if the product (P/F) of the pressure value P and the reciprocal (1/F) of the flow value F detected by the sensing unit 5 reaches the first preset threshold R1, then the formal suction is entered Stage, otherwise stop the aspiration.
(1.2)在正式抽吸阶段中,当压力数据与所述流量数据的倒数相乘之积小于第二预设阈值时,向开关阀发出关闭指令,正式抽吸阶段结束,其中第一预设阈值大于所述第二预设阈值。例如,正式抽吸阶段,控制单元3将抽吸压力调整到合适的值并持续抽吸,传感单元5持续检测压力/流量,并把数据发送给控制单元,直到控制单元3接收到传感单元5发送来的压力P和流量F的倒数(1/F)的乘积小于一个阈值R2时,控制单元3向开关阀4发出关闭指令,吸引停止。如果是手动模式,正常抽吸阶段的负压由操作者确定;如果是自动模式,操作者通过控制单元设定最高压力,在0至最高压力的范围内由控制单元自行调节,调节的原则是F流量至少达到某一阈值,例如阈值可以为2L/min。(1.2) In the formal suction phase, when the product of the pressure data and the reciprocal of the flow data is less than the second preset threshold, a closing command is issued to the on-off valve, and the formal suction phase ends, where the first preset The threshold is greater than the second preset threshold. For example, in the formal suction phase, the control unit 3 adjusts the suction pressure to an appropriate value and continues to suck, and the sensing unit 5 continues to detect the pressure/flow rate and sends the data to the control unit until the control unit 3 receives the sensing When the product of the pressure P sent by the unit 5 and the reciprocal (1/F) of the flow rate F is less than a threshold value R2, the control unit 3 sends a closing command to the on-off valve 4 to stop the suction. If it is manual mode, the negative pressure in the normal suction phase is determined by the operator; if it is automatic mode, the operator sets the maximum pressure through the control unit, and the control unit adjusts it from 0 to the maximum pressure. The principle of adjustment is The F flow rate reaches at least a certain threshold, for example, the threshold can be 2L/min.
在本申请一实施例中,在情况(1)时除了考虑瞬间值还可以考虑一段时间内的积分,具体包括:In an embodiment of the present application, in case (1), in addition to the instantaneous value, the integral over a period of time may also be considered, which specifically includes:
向开关阀发送开启指令,开启开关阀,试抽吸阶段开始,根据压力数据与流量数据的倒数相乘之积在预设时间段内的积分大于第三预设阈值时,进入正式抽吸阶段,否则试抽吸阶段结束。例如,可以将上述的压力值P和流量值F的倒数(1/F)的乘积改为一 段时间T1内,压力值P和流量值F的倒数(1/F)乘积的积分,公式为:Send an opening command to the on-off valve, open the on-off valve, and start the test suction phase. According to the product of the pressure data and the reciprocal of the flow data, when the integral in the preset time period is greater than the third preset threshold, the formal suction phase is entered , Otherwise the test suction phase ends. For example, the product of the above-mentioned pressure value P and the reciprocal (1/F) of the flow value F can be changed to the integral of the product of the pressure value P and the reciprocal (1/F) of the flow value F within a period of time T1, the formula is:
Figure PCTCN2020128609-appb-000001
Figure PCTCN2020128609-appb-000001
当试抽吸阶段R>R3时进入正式抽吸阶段,否则停止抽吸,其中R3是一段时间对压力与流量倒数乘积累积的数值。When the trial suction phase R>R3, enter the formal suction phase, otherwise stop the suction, where R3 is the accumulated product of the pressure and the flow rate for a period of time.
同理,在正式抽吸阶段也可以按照上述计算一段时间T1内压力值P和流量值F的倒数(1/F)乘积的积分的方式进行结束抽吸的判断。In the same way, in the formal suction phase, it is also possible to determine the end of the suction by calculating the integral of the product of the pressure value P and the reciprocal (1/F) of the flow value F within a period of time T1.
该方法中通过计算一段时间内的累计值,再除以时间的话得到一段时间的平均值,通过求解的平均值,不同于上述情况的单一时刻的瞬间值。In this method, the cumulative value over a period of time is calculated, and then divided by the time to get the average value over a period of time. The average value obtained by solving is different from the instantaneous value of a single moment in the above situation.
在本申请一实施例中,传感单元5可以同时检测压力和流量进行联合判断,也可以只检测压力和/或检测流量进行判断,即情况(2)具体包括:In an embodiment of the present application, the sensing unit 5 may simultaneously detect pressure and flow rate for joint judgment, or may only detect pressure and/or flow rate for judgment, that is, situation (2) specifically includes:
(2.1)向开关阀发送开启指令,开启开关阀,进入试抽吸阶段,当压力数据小于第一压力阈值和/或流量数据大于第一流量阈值时,停止试抽吸。例如,控制单元3定时向开关阀4发出开启指令,开启开关阀4,同时,传感单元5实时监测气流数据/压力数据,进行试抽吸。当传感单元5检测到的压力值P低于一个压力阈值P1和/或检测到的流量大于一个流量阈值F1,则即刻停止抽吸。(2.1) Send an opening instruction to the on-off valve, open the on-off valve, and enter the test suction stage. When the pressure data is less than the first pressure threshold and/or the flow data is greater than the first flow threshold, stop the test suction. For example, the control unit 3 regularly issues an opening instruction to the on-off valve 4 to open the on-off valve 4, and at the same time, the sensing unit 5 monitors the airflow data/pressure data in real time, and performs a test suction. When the pressure value P detected by the sensing unit 5 is lower than a pressure threshold value P1 and/or the detected flow rate is greater than a flow threshold value F1, the suction is stopped immediately.
(2.2)当压力数据大于所述第一压力阈值和/或所述流量数据小于第一流量数据时,进入正式抽吸阶段。例如,当传感单元5检测到的压力值P高于第一压力阈值P1时和/或检测到的流量值F低于第一个流量阈值F1时,则进入正式抽吸阶段,控制单元3将抽吸压力调整到合适的值并持续抽吸,通过控制单元3设定最高压力,在0至最高压力的范围内由控制单元自行调节到合适的值。(2.2) When the pressure data is greater than the first pressure threshold and/or the flow data is less than the first flow data, the formal suction phase is entered. For example, when the pressure value P detected by the sensing unit 5 is higher than the first pressure threshold P1 and/or the detected flow value F is lower than the first flow threshold F1, the formal suction phase is entered, and the control unit 3 Adjust the suction pressure to a suitable value and continue to suck. The maximum pressure is set by the control unit 3, and the control unit automatically adjusts to a suitable value within the range of 0 to the maximum pressure.
(2.3)在正式抽吸阶段中,当压力数据小于第二压力阈值和/或所述流量数据大于第二流量阈值时,向所述开关阀发出关闭指令,正式抽吸阶段结束,其中第一压力阈值大于第二压力阈值,第一流量阈值小于第二流量阈值。例如,在正式抽吸阶段中,传感单元5持续检测压力/流量,并把监测数据发送给控制单元3,直到控制单元3接收到传感单元5发送来的压力值P低于第二压力阈值P2或/和流量值F高于第二流量阈值F2时,控制单元3向开关阀4发出关闭指令,吸引停止。(2.3) In the formal suction phase, when the pressure data is less than the second pressure threshold and/or the flow data is greater than the second flow threshold, a closing instruction is issued to the on-off valve, and the formal suction phase ends, where the first The pressure threshold is greater than the second pressure threshold, and the first flow threshold is less than the second flow threshold. For example, in the formal suction phase, the sensor unit 5 continuously detects the pressure/flow rate and sends the monitoring data to the control unit 3 until the control unit 3 receives that the pressure value P sent by the sensor unit 5 is lower than the second pressure When the threshold P2 or/and the flow value F are higher than the second flow threshold F2, the control unit 3 issues a closing instruction to the on-off valve 4, and the suction stops.
需要说明的是,上述方法中的压力和流量阈值P1,P2,F1,F2可以是预先设定的,也可以是根据一段时间的压力和流量检测值计算得到的。在进行判断时,压力值和流量值以及各个阈值,均为绝对值为准。It should be noted that the pressure and flow thresholds P1, P2, F1, and F2 in the above method may be preset or calculated based on pressure and flow detection values over a period of time. When making a judgment, the pressure value, flow value and each threshold value are all absolute values.
最后,无论是在手动模式和定时模式,还是自动模式下,都涉及到吸引压力的调节, 本申请中的压力调节可以采用手动、或者自动闭环调节真空压力调节阀或者调节驱动负压源的电机转速来实现期望的压力值。Finally, whether it is in manual mode, timing mode, or automatic mode, it involves the adjustment of suction pressure. The pressure adjustment in this application can be manual or automatic closed-loop adjustment of the vacuum pressure control valve or adjustment of the motor driving the negative pressure source. Rotation speed to achieve the desired pressure value.
综上所述,采用本申请实施例提供的声门下吸引系统的控制方法,通过对吸引管路内的流量或压力进行监测,并根据监测结果对吸引系统的工作情况进行控制和调节,可以自动完成囊上吸引操作,且可以通过检测病人声门下堆积的分泌物的量自动启动吸引,不仅减轻护士的劳动强度,还能保护病人的呼吸道粘膜,也保证足够的吸引频次和吸引质量。In summary, using the method for controlling the subglottic suction system provided in the embodiments of the present application, by monitoring the flow or pressure in the suction pipeline, and controlling and adjusting the working conditions of the suction system according to the monitoring results, it can be automatically The suction operation on the capsule is completed, and the suction can be automatically activated by detecting the amount of secretions accumulated under the glottis of the patient, which not only reduces the labor intensity of the nurse, but also protects the respiratory mucosa of the patient, and also ensures sufficient suction frequency and suction quality.
应当注意,尽管在上文详细描述中提及了用于动作执行的设备的若干模块或者单元,但是这种划分并非强制性的。实际上,根据本申请的实施方式,上文描述的两个或更多模块或者单元的特征和功能可以在一个模块或者单元中具体化。反之,上文描述的一个模块或者单元的特征和功能可以进一步划分为由多个模块或者单元来具体化。It should be noted that although several modules or units of the device for action execution are mentioned in the above detailed description, this division is not mandatory. In fact, according to the embodiments of the present application, the features and functions of two or more modules or units described above may be embodied in one module or unit. Conversely, the features and functions of a module or unit described above can be further divided into multiple modules or units to be embodied.
本领域技术人员在考虑说明书及实践这里公开的内容后,将容易想到本申请的其它实施方案。本申请旨在涵盖本申请的任何变型、用途或者适应性变化,这些变型、用途或者适应性变化遵循本申请的一般性原理并包括本申请未公开的本技术领域中的公知常识或惯用技术手段。说明书和实施例仅被视为示例性的,本申请的真正范围和精神由上面的权利要求指出。Those skilled in the art will easily think of other embodiments of the present application after considering the specification and practicing the content disclosed herein. This application is intended to cover any variations, uses, or adaptive changes of this application. These variations, uses, or adaptive changes follow the general principles of this application and include common knowledge or customary technical means in the technical field that are not disclosed in this application. . The description and the embodiments are only regarded as exemplary, and the true scope and spirit of the application are pointed out by the above claims.
应当理解的是,本申请并不局限于上面已经描述并在附图中示出的精确结构,并且可以在不脱离其范围进行各种修改和改变。本申请的范围仅由所附的权利要求来限制。It should be understood that the present application is not limited to the precise structure that has been described above and shown in the drawings, and various modifications and changes can be made without departing from its scope. The scope of the application is only limited by the appended claims.

Claims (10)

  1. 一种声门下吸引系统,其中,其包括:A subglottic attraction system, which includes:
    分泌物收集装置,用于通过吸引管路来收集从患者声门下吸出的分泌物;The secretion collection device is used to collect secretions sucked from the patient's subglottis through the suction tube;
    压力部,与所述吸引管路连接,用于为所述吸引管路提供负压,并根据压力调节信号对所提供的负压的大小进行调节;The pressure part is connected to the suction pipeline and is used to provide negative pressure for the suction pipeline, and adjust the magnitude of the negative pressure provided according to the pressure adjustment signal;
    传感单元,与所述吸引管路连接,用于实时对所述吸引管路内的流量和/或压力进行监测,得到监测数据;A sensing unit, connected to the suction pipeline, for real-time monitoring of the flow rate and/or pressure in the suction pipeline to obtain monitoring data;
    控制单元,与所述压力部连接和所述传感单元连接,用于接收所述监测数据并根据所述监测数据产生所述压力调节信号,将所述压力调节信号发送给所述压力部,还根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制。A control unit connected to the pressure part and connected to the sensing unit, and configured to receive the monitoring data and generate the pressure adjustment signal according to the monitoring data, and send the pressure adjustment signal to the pressure part, According to the monitoring data calculation, judgment and decision-making, the suction of the suction system is controlled.
  2. 如权利要求1所述的声门下吸引系统,其中,还包括:The subglottic suction system of claim 1, further comprising:
    开关阀,连接在所述压力部和所述吸引管路之间,用于根据所述开关阀的开启或关闭控制所述压力部是否向所述吸引管路通入负压。An on-off valve is connected between the pressure part and the suction pipeline, and is used to control whether the pressure part passes negative pressure to the suction pipeline according to the opening or closing of the on-off valve.
  3. 如权利要求2所述的声门下吸引系统,其中,所述开关阀还与所述控制单元连接,用于根据来自所述控制单元的开启指令控制所述开关阀开启,以及根据来自所述控制单元的关闭指令控制所述开关阀关闭。The subglottic suction system according to claim 2, wherein the on-off valve is further connected to the control unit for controlling the on-off valve to open according to an opening instruction from the control unit, and according to the control unit The unit's closing command controls the on-off valve to close.
  4. 一种声门下吸引系统的控制方法,其中,包括:A control method of the subglottic suction system, which includes:
    实时对吸引管路内的流量和/或压力进行监测,得到监测数据;Real-time monitoring of the flow and/or pressure in the suction pipeline to obtain monitoring data;
    根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制,以及根据所述监测数据产生压力调节信号,将所述压力调节信号发送给压力部;Calculate, judge and make decisions based on the monitoring data, control the suction of the suction system, generate a pressure adjustment signal according to the monitoring data, and send the pressure adjustment signal to the pressure part;
    根据所述压力调节信号对所提供的负压的大小进行调节。The magnitude of the negative pressure provided is adjusted according to the pressure adjustment signal.
  5. 如权利要求4所述的声门下吸引系统的控制方法,其中,所述声门下吸引系统包括开关阀,所述开关阀连接在所述压力部和所述吸引管路之间,用于根据所述开关阀的开启或关闭控制所述压力部是否向所述吸引管路通入负压,所述根据所述监测数据计算、判断和决策,对吸引系统的抽吸进行控制,以及根据所述监测数据产生压力调节信号包括:The control method of the subglottic suction system according to claim 4, wherein the subglottic suction system includes an on-off valve connected between the pressure part and the suction pipeline for The opening or closing of the on-off valve controls whether the pressure part passes negative pressure to the suction pipeline, the calculation, judgment and decision-making based on the monitoring data, the control of the suction of the suction system, and the Pressure regulation signals generated by monitoring data include:
    控制所述声门下吸引系统在手动模式、定时模式或自动模式下工作以及进行模式切换;Controlling the subglottic suction system to work in manual mode, timing mode or automatic mode and to switch modes;
    在所述手动模式下,根据操作者对所述开关阀的操作动作确定吸引时长和吸引间隔时长,进行持续吸引或间歇吸引;In the manual mode, the suction time and the suction interval are determined according to the operator's operation of the on-off valve, and continuous suction or intermittent suction is performed;
    在所述定时模式下,按照预设的吸引时长和吸引间隔时长向所述开关阀发送开启指令和关闭指令,定时进行吸引;In the timing mode, sending an opening instruction and a closing instruction to the on-off valve according to the preset suction time and the suction interval time, and suction is performed at a fixed time;
    在所述自动模式下,根据所述监测数据结合预设阈值产生所述压力调节信号,以及产生开启指令或关闭指令对所述开关阀进行控制,自动进行吸引。In the automatic mode, the pressure adjustment signal is generated according to the monitoring data in combination with a preset threshold, and an opening command or a closing command is generated to control the on-off valve, and suction is automatically performed.
  6. 如权利要求5所述的声门下吸引系统的控制方法,其中,所述监测数据包括流量数据和/或压力数据,所述自动模式包括试抽吸阶段和正式抽吸阶段。The control method of the subglottic suction system according to claim 5, wherein the monitoring data includes flow data and/or pressure data, and the automatic mode includes a trial suction phase and a formal suction phase.
  7. 如权利要求6所述的声门下吸引系统的控制方法,其中,在所述自动模式下,还包括:The control method of the subglottic suction system according to claim 6, wherein, in the automatic mode, further comprising:
    根据所述流量数据和所述压力数据联合进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束;或者Jointly judge based on the flow data and the pressure data, and control the start and end of the trial suction phase and the formal suction phase; or
    根据所述流量数据与所述压力数据其中至少之一进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束。The judgment is made according to at least one of the flow data and the pressure data, and the start and end of the trial suction phase and the formal suction phase are controlled.
  8. 如权利要求7所述的声门下吸引系统的控制方法,其中,所述根据所述流量数据和所述压力数据联合进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束包括:The control method of the subglottic suction system according to claim 7, wherein the joint judgment is made based on the flow data and the pressure data to control the start of the trial suction phase, the formal suction phase, and The end includes:
    向所述开关阀发送开启指令,开启所述开关阀,试抽吸阶段开始,当所述压力数据与所述流量数据的倒数相乘之积大于或等于第一预设阈值时,进入正式抽吸阶段,否则试抽吸阶段结束;Send an opening instruction to the on-off valve, open the on-off valve, and the test suction phase begins. When the product of the pressure data and the inverse of the flow data is greater than or equal to the first preset threshold, the formal suction is entered. Suction phase, otherwise the test suction phase ends;
    在所述正式抽吸阶段中,当所述压力数据与所述流量数据的倒数相乘之积小于第二预设阈值时,向所述开关阀发出关闭指令,正式抽吸阶段结束,其中所述第一预设阈值大于所述第二预设阈值。In the formal suction phase, when the product of the pressure data and the reciprocal of the flow rate data is less than a second preset threshold, a closing instruction is issued to the on-off valve, and the formal suction phase ends, where all The first preset threshold is greater than the second preset threshold.
  9. 如权利要求7所述的声门下吸引系统的控制方法,其中,所述根据所述流量数据和所述压力数据联合进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束包括:The control method of the subglottic suction system according to claim 7, wherein the joint judgment is made based on the flow data and the pressure data to control the start of the trial suction phase, the formal suction phase, and The end includes:
    向所述开关阀发送开启指令,开启所述开关阀,试抽吸阶段开始,根据所述压力数据与所述流量数据的倒数相乘之积在预设时间段内的积分大于第三预设阈值时,进入正式抽吸阶段,否则试抽吸阶段结束。Send an opening instruction to the on-off valve, open the on-off valve, and start the suction test phase. According to the product of the pressure data and the reciprocal of the flow data, the integral within the preset time period is greater than the third preset When the threshold is reached, the formal suction phase is entered, otherwise the trial suction phase ends.
  10. 如权利要求7所述的声门下吸引系统的控制方法,其中,所述根据所述流量数据与所述压力数据其中至少之一进行判断,控制所述试抽吸阶段、所述正式抽吸阶段的开始和结束包括:The method for controlling a subglottic suction system according to claim 7, wherein the judgment is made based on at least one of the flow data and the pressure data, and the trial suction phase and the formal suction phase are controlled. The beginning and end of include:
    向所述开关阀发送开启指令,开启所述开关阀,进入试抽吸阶段,当所述压力数据小于第一压力阈值和/或所述流量数据大于第一流量阈值时,停止试抽吸;Send an opening instruction to the on-off valve, open the on-off valve, and enter the suction test phase, and stop the suction test when the pressure data is less than the first pressure threshold and/or the flow data is greater than the first flow threshold;
    当所述压力数据大于所述第一压力阈值和/或所述流量数据小于所述第一流量数据时,进入正式抽吸阶段;When the pressure data is greater than the first pressure threshold and/or the flow data is less than the first flow data, enter the formal suction phase;
    在所述正式抽吸阶段中,当所述压力数据小于第二压力阈值和/或所述流量数据大于第 二流量阈值时,向所述开关阀发出关闭指令,正式抽吸阶段结束,其中所述第一压力阈值大于所述第二压力阈值,所述第一流量阈值小于所述第二流量阈值。In the formal suction phase, when the pressure data is less than the second pressure threshold and/or the flow data is greater than the second flow threshold, a closing instruction is issued to the on-off valve, and the formal suction phase ends, where The first pressure threshold is greater than the second pressure threshold, and the first flow threshold is less than the second flow threshold.
PCT/CN2020/128609 2019-11-14 2020-11-13 Subglottic suction system and control method thereof WO2021093842A1 (en)

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