CN101507844B - Intelligent full-thorax high-frequency oscillation sputum elimination machine and method - Google Patents
Intelligent full-thorax high-frequency oscillation sputum elimination machine and method Download PDFInfo
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- CN101507844B CN101507844B CN2009100108142A CN200910010814A CN101507844B CN 101507844 B CN101507844 B CN 101507844B CN 2009100108142 A CN2009100108142 A CN 2009100108142A CN 200910010814 A CN200910010814 A CN 200910010814A CN 101507844 B CN101507844 B CN 101507844B
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Abstract
The present invention discloses an intelligent total thoracic high-frequency oscillating sputum ejection machine and a sputum ejection method. The sputum ejection machine comprises a hose, a pressure sensor, a conducting wire, a power supply device, a box body and a cover plate, and is characterized by also comprising a pressure jacket, an air oscillator and a cough sensor, wherein the pressure jacket consists of a metal spring ring, a transverse membrane, a longitudinal membrane, skin and an adhesive buckle; and the metal spring ring is arranged at the bottom of the skin, the transverse membrane is arranged above the metal spring ring, the longitudinal membrane is arranged inside the skin, the upper end of the longitudinal membrane is connected with the upper edge of the inner wall of the skin, and the lower end of the longitudinal membrane is vertical to the transverse membrane and is reserved with a gap. Specifically the fixed two-point type anterior chest wall pulse cannot beat the lateral surface and the back of the chest so as to cause poor sputum ejection effect for partial patients, the sputum ejection machine and the sputum ejection method adopt intelligent air supply modes of an electric motor and an air pressure compensator to periodically supply pulse airflow to the pressure jacket, can adjust the pulse airflow according to different press degrees required by patients, and are greatly convenient to treat the patients of different types.
Description
Technical field
The present invention relates to a kind of vibration sputum elimination machine, relate in particular to a kind of intelligent full thoracic cavity higher-order of oscillation sputum elimination machine and expectoration method, be used for medical field.
Background technology
Physiotherapy of chest has very long clinical practice history, and is very effective, is that various countries improve one of standard medical method of respiratory mucus clearing function.The kind of physiotherapy of chest comprises: manually kowtow back of the body expectoration, external bobbing machine expectoration.
Manually kowtowing back of the body expectoration treats and carries out one to four general every day.During treatment, the patient lies down (conversion in 12 kinds of postures of regulation), and the treatment personnel pat at patient's chest and back and knock.In order to treat whole pulmonary, beaing needs to continue 45 minutes, and concomitant drugs suck treatment simultaneously.In order to clear up the mucus deposit, need beat chest during treatment by the mucus loose or dislocation, discharge from the oral cavity by initiatively coughing then.Physiotherapy of chest needs the treatment personnel to help, and is generally the household, if household's inconvenience also can be nurse or Pneumology Department doctor.This Therapeutic Method, not only the patient is tired, and the treatment personnel are also tired.It is very general problem that patient and treatment personnel do not implement treatment on request, and this will make medical effect have a greatly reduced quality.In addition, the effect of this physiotherapy of chest also depends on treatment personnel's technology, and when the treatment people was tired, effect will reduce.Because the method needs other people's help, has seriously limited patient's probability of treatment voluntarily.Kowtowing back of the body expectoration for a long time repeatedly very easily makes medical personnel infect air borne disease such as SARS, bird flu.
The mechanical oscillation sputum elimination machine was brought into use in China before and after 2003.It pats thoracic wall repeatedly by the mechanical oscillation that hand-hold electric massage rod produces, and the beating action of staff makes pulmonary's mucus come off, be focused to big air flue when imitating artificial expectoration, can inhale expectorant by cough or negative pressure and be excreted.External vibration sputum elimination machine can carry out standardization setting to intensity, frequency, the time of massage bar vibration, has improved the random and uncertain of traditional method, is that the big-and-middle-sized hospital of present China uses the widest auxiliary expectoration method.Yet this equipment just replaces traditional staff to pat with massage bar, and it can't overcome following both common defectives:
1. treating overall process needs the therapist to operate, and will take valuable manpower in hospital serious symptom lesion, and patient also can not oneself operate when using in family;
2. therapist tired or lack experience all can make therapeutic effect have a greatly reduced quality;
3. increased the chance that respiratory pathogen " patient-medical personnel " is propagated;
4. can only pat a position at massage head place at every turn, can not pat the expectoration poor effect simultaneously to full thorax;
5. need patient to change 12 kinds of different positions, to reach effect preferably, the critical patient can't cooperate.
In recent years abroad also at research and development, improvement vest type air pulse sputum elimination machine.The pneumatic pressure pulses machine is inflated venting repeatedly to two air bags that are fixed in the vest front, and each pressurization will force air-flow to pass through the lobe of the lung fast, promotes the secretion deposit and comes off from the lung wall, and move to the oral cavity; After arriving the oral cavity, inhale expectorant by normal cough or negative pressure and just can discharge.Its full-automatic operation, the canonical parameter setting has overcome the drawback of preceding two kinds of methods substantially.New problem: the thoracic wall pulse can't be patted the thorax side and the back side before the fixed two point form, to part patient expectoration poor effect; Carry out treatment procedure by standard fully behind the treatment parameter setting, even brought out patient's cough, still therapy discontinued not may produce the long-time continuous cough, causes consuming danger such as a large amount of muscle power and Hyperventilation.
Summary of the invention
The present invention is directed to the proposition of above problem, and develop a kind of new intelligent full thoracic cavity higher-order of oscillation sputum elimination machine and expectoration method, be intended to come off, assemble, stimulate patient's cough, reach the purpose of expectoration by overcoming the dope that above-mentioned shortcoming and defective make the patient respiration road.
Technical solution of the present invention is achieved in that
A kind of intelligent full thoracic cavity higher-order of oscillation sputum elimination machine, comprise flexible pipe, pressure transducer, lead, electric supply installation, casing, cover plate, it is characterized in that: also comprise pressure vest, air vibrating machine and cough induction apparatus, wherein the pressure vest is made of metal spring circle, horizontal diaphragm, vertical barrier film, epidermis and thread gluing, the metal spring circle is installed on the epidermis bottom, horizontal diaphragm is installed on metal spring circle top, vertically barrier film is installed in epidermis inside, vertically the barrier film upper end is connected with epidermis inwall upper edge, and the lower end is perpendicular to horizontal diaphragm and leave the space; Pressure transducer is connected on the air vibrating machine as input, and lead connects cough induction apparatus and air vibrating machine, and flexible pipe is connected with the outfan of air vibrating machine; Electric supply installation links to each other with air vibrating machine switch.
Described air vibrating machine is made of frequency-voltage conversion circuit, impulse regulator, pneumatic pressure pulses actuator, air pressure testing circuit, power amplifier, motor, atmospheric pressure compensating machine; Pressure transducer detects pressure signal and will be input in the frequency-voltage conversion circuit, and the signal after the conversion is sent into impulse regulator, sends into motor after the adjusting; Pressure transducer also is connected with the air pressure testing circuit as the input of air pressure testing circuit simultaneously, the signal that produces in the air pressure testing circuit is sent into the pneumatic pressure pulses actuator, after regulating by analysis signal is sent in the atmospheric pressure compensating machine, the atmospheric pressure compensating machine links to each other with motor, and the outfan of motor links to each other with flexible pipe; The cough induction apparatus links to each other with power amplifier as input, and the signal after the amplification links to each other with switch.
Described cough induction apparatus is installed in top, the inboard thoracic cavity of pressure vest; The frequency input is installed in the frequency-voltage conversion circuit; The air pressure input is installed in the air pressure testing circuit; Timing means is connected with motor, and regularly input is fixing on the cover board, and regularly the outfan of input links to each other with the input of timing means.
Described pressure vest inner transverse barrier film is installed on metal spring circle top, and horizontal diaphragm is provided with pore; Vertically the barrier film upper end is connected epidermis inside, and the lower end is vertical with horizontal diaphragm, does not contact to leave the space, and vertically barrier film is divided into vertical air chamber with epidermis inside; Epidermis is made of airtight material, and the pressure vest wraps in torso model wherein, fixes by thread gluing.
Described pressure vest is characterized in that the epidermis upper end is provided with pore, and pore is communicated with vertical air chamber.
Described casing is packaged into an integral body with the air vibrating machine, and cover plate is installed on the casing.
A kind of expectoration method that adopts intelligent full thoracic cavity higher-order of oscillation sputum elimination machine:
A, the pressure vest is fixed on the torso model by thread gluing;
B, according to user situation, regulate frequency input on the cover plate, air pressure input and regularly behind the input, open switch;
C, make motor carry air to the pressure vest according to preset value;
D, input air make the pressure vest expand, and torso model is massaged, and meanwhile, pressure transducer detected pressures vest is to the pressure signal of torso model;
After e, detected pressure signal and the preset value contrast, send into pneumatic pressure pulses actuator and impulse regulator and regulate;
Signal after f, the adjusting is sent in motor and the atmospheric pressure compensating machine, makes motor supply gas to the pressure vest according to adjusted signal;
E, detect thoracic cavity vibration number 〉=3 time/in 10 seconds or massage time at the cough induction apparatus and reach intervalometer and stop to supply gas after predetermined, otherwise continue to supply gas.
Advantage of the present invention is conspicuous:
1, working method of the present invention adopts full thorax to vibrate simultaneously, and full thorax is bounced by air pulse simultaneously during treatment, and the effect of irritative cough and expectoration is better than some formulas or two point form bounces.
2, the present invention adopts the intelligence of motor, the atmospheric pressure compensating machine mode of supplying gas, and sending in the pressure vest of air pulse periodic can be regulated according to the different press degrees of patient's needs, greatly facilitates the treatment to dissimilar patients.
3, the present invention makes under different situations by the gentle voltage crest value of frequency feedback control system, and the gentle voltage crest value of the frequency of output gas flow is always user's setting value, guarantee to treat effectively.
4, the present invention has the cough detecting system, system can turn off power supply automatically when cough continuously takes place user, stop treatment, promptly guarantee to avoid the long danger that physical demands is excessive and Hyperventilation causes of coughing and causing of user, guaranteed the safety of patient under unmanned situation of nursing again.
5, using method of the present invention simple, be applicable to that medical institutions and patient family use, when implementing treatment, do not need special people and aside safeguard, save manpower.
Description of drawings
Drawings attached 4 width of cloth of the present invention:
Fig. 1 is a hardware configuration sketch map of the present invention;
Fig. 2 is the structure chart of pressure vest of the present invention;
Fig. 3 is the fundamental diagram of pressure vest of the present invention;
Fig. 4 is an air vibrating machine circuit block diagram of the present invention.
Among the figure: 1, flexible pipe, 2, pressure transducer, 3, the cough induction apparatus, 4, lead, 5, electric supply installation, 6, casing, 7, cover plate, 8, the pressure vest, 9, the air vibrating machine, 10, the metal spring circle, 11, horizontal diaphragm, 12, vertical barrier film, 13, epidermis, 14, thread gluing, 15, frequency-voltage conversion circuit, 16, impulse regulator, 17, the pneumatic pressure pulses actuator, 18, the air pressure testing circuit, 19, power amplifier, 20, motor, 21, the atmospheric pressure compensating machine, 22, the frequency input, 23, the air pressure input, 24, pore, 25, vertical air chamber, 26, switch, 27, pore, 28, torso model, 29, timing means, 30, the timing input.
The specific embodiment
Intelligent full thoracic cavity higher-order of oscillation sputum elimination machine as shown in Figure 1 comprises flexible pipe 1, cough induction apparatus 3, lead 4, casing 6, cover plate 7, pressure vest 8, frequency input 22, air pressure input 23, switch 26, timing input 30; The air vibrating machine 9 that flexible pipe 1 connects in pressure vest 8 and the casing 6, pressure transducer 2 is installed on lead 4 one ends, and the other end of lead 4 is connected with air vibrating machine 9; Frequency input 22, air pressure input 23, switch 26, timing input 30 are installed in respectively on the cover plate 7.
As Fig. 2～pressure vest 8 shown in Figure 3, comprise that metal spring circle 10, horizontal diaphragm 11, vertical barrier film 12, epidermis 13, thread gluing 14 constitute, vertically barrier film 12 upper ends are connected with epidermis 13, vertically barrier film 12 becomes vertical air chamber 25 with the space segmentation in the epidermis 13, epidermis 13 interior lower end are equipped with metal spring circle 10, horizontal diaphragm 11 is installed above metal spring circle 10, is left pore 24 in the middle of the horizontal diaphragm 11, thread gluing 14 is installed in epidermis 13 left and right sides.
As shown in Figure 4, air vibrating machine 9 is made of frequency-voltage conversion circuit 15, impulse regulator 16, pneumatic pressure pulses actuator 17, air pressure testing circuit 18, power amplifier 19, motor 20, atmospheric pressure compensating machine 21; Pressure transducer 2 detects pressure signal and will be input in the frequency-voltage conversion circuit 15, and the signal after the conversion is sent into impulse regulator 16, sends into motor 20 after the adjusting; Pressure transducer 2 also is connected with air pressure testing circuit 18 as the input of air pressure testing circuit 18 simultaneously, the signal that produces in the air pressure testing circuit 18 is sent into pneumatic pressure pulses actuator 17, after regulating by analysis signal is sent in the atmospheric pressure compensating machine 21, atmospheric pressure compensating machine 21 links to each other with motor 20, and the outfan of motor 20 links to each other with flexible pipe 1; Cough induction apparatus 3 links to each other with power amplifier 19 as input, and the signal after the amplification links to each other with switch 26; Regularly input 30 connects timing means 29, and the outfan of timing means 29 links to each other with motor 20.
Electric supply installation 5 adopts the 220V alternating current; Vertically barrier film 12 is separated into 14 vertical air chambers 25 with horizontal diaphragm 11 with epidermis 13 inside;
Adopt the expectoration method of intelligent full thoracic cavity higher-order of oscillation sputum elimination machine:
A, pressure vest 8 is fixed on the torso model 28 by thread gluing 14;
B, according to user situation, regulate frequency input 22 on the cover plate 7, air pressure input 23 and regularly behind the input 30, open switch 26;
C, make motor 20 carry air to pressure vest 8 according to preset value;
D, input air make pressure vest 8 expand, torso model 28 massaged, meanwhile, the pressure signal of 8 pairs of torso models 28 of pressure transducer 2 detected pressures vests;
After e, detected pressure signal and the preset value contrast, send into pneumatic pressure pulses actuator 17 and regulate with impulse regulator 16;
Signal after f, the adjusting is sent in motor 20 and the atmospheric pressure compensating machine 21, makes motor 20 supply gas to pressure vest 8 according to adjusted signal;
E, detect thoracic cavity vibration number 〉=3 time/in 10 seconds or massage time at cough induction apparatus 3 and reach intervalometer and stop to supply gas after predetermined, otherwise continue to supply gas.
In use, earlier pressure vest 8 is trapped among on the torso model 28, by thread gluing 14 pressure vest 8 and torso model are adjacent to, according to the different situations of user, regulating frequency input 22, air pressure input 23, timing input 30 are opened switch 26 after the adjusting suitably, make motor 20 according to set definite value, by the conveying air of flexible pipe 1 to pressure vest 8 intercycles, meanwhile, 3 pairs of systems of pressure transducer 2 and cough induction apparatus monitor in real time:
1) when pressure transducer 2 pressure that detects pressure vest 8 and the pressure that presets is incongruent, pressure transducer 2 sends signal to frequency-voltage conversion circuit 15, make frequency-voltage conversion circuit 15 carry signal to impulse regulator 16, after impulse regulator 16 is done suitable adjusting again, control motor 20 is carried air to the pressure vest 8 that links to each other with flexible pipe 1, when treating that pressure transducer 2 detects pressure signal and is consistent with preset value, impulse regulator 16 stops to regulate, and motor 20 keeps current state to carry air to flexible pipe 1;
2) when pressure transducer 2 detects the peak value air pressure of vertical air chamber 25 inside and the preset value on the air pressure testing circuit 18 and is not inconsistent, air pressure testing circuit 18 is carried signal to pneumatic pressure pulses actuator 17, signal after the adjusting is sent in the atmospheric pressure compensating machine 21, utilize atmospheric pressure compensating machine 21 to be transferred to motor 20 air in certain amount, replenish in the input flexible pipe 1;
3) detect user cough information when cough induction apparatus 3, promptly when cough (〉=3 times/10 seconds) continuously took place, cough induction apparatus 3 was sent signal into power amplifier 19, the Signal-controlled switch 26 after the processing, the control of cutting off the power supply makes that motor 20 stops to carry air to pressure vest 8.
Claims (6)
1. intelligent full thoracic cavity higher-order of oscillation sputum elimination machine, comprise flexible pipe (1), pressure transducer (2), lead (4), electric supply installation (5), casing (6), cover plate (7), it is characterized in that: also comprise pressure vest (8), air vibrating machine (9) and cough induction apparatus (3), wherein pressure vest (8) is by metal spring circle (10), horizontal diaphragm (11), vertical barrier film (12), epidermis (13) and thread gluing (14) constitute, metal spring circle (10) is installed on epidermis (13) bottom, horizontal diaphragm (11) is installed on metal spring circle (10) top, vertically barrier film (12) is installed in epidermis (13) inside, vertically barrier film (12) upper end is connected with epidermis (13) inwall upper edge, and the lower end is perpendicular to horizontal diaphragm (11) and leave the space; Pressure transducer (2) is connected on the air vibrating machine (9) as input, and lead (4) connects cough induction apparatus (3) and air vibrating machine (9), and flexible pipe (1) is connected with the outfan of air vibrating machine (9); Electric supply installation (5) links to each other with air vibrating machine switch (26).
2. intelligent full thoracic cavity according to claim 1 higher-order of oscillation sputum elimination machine, it is characterized in that: described air vibrating machine (9) is made of frequency-voltage conversion circuit (15), impulse regulator (16), pneumatic pressure pulses actuator (17), air pressure testing circuit (18), power amplifier (19), motor (20), atmospheric pressure compensating machine (21); Pressure transducer (2) detects pressure signal and will be input in the frequency-voltage conversion circuit (15), and the signal after the conversion is sent into impulse regulator (16), sends into motor (20) after the adjusting; Pressure transducer (2) also is connected with air pressure testing circuit (18) as the input of air pressure testing circuit (18) simultaneously, the signal that produces in the air pressure testing circuit (18) is sent into pneumatic pressure pulses actuator (17), after regulating by analysis signal is sent in the atmospheric pressure compensating machine (21), atmospheric pressure compensating machine (21) links to each other with motor (20), and the outfan of motor (20) links to each other with flexible pipe (1); Cough induction apparatus (3) links to each other with power amplifier (19) as input, and the signal after the amplification links to each other with switch (26).
3. intelligent full thoracic cavity according to claim 2 higher-order of oscillation sputum elimination machine is characterized in that: cough induction apparatus (3) is installed in top, the inboard thoracic cavity of pressure vest (8); Frequency input (22) is installed in the frequency-voltage conversion circuit (15); Air pressure input (23) is installed in the air pressure testing circuit (18); Timing means (29) is connected with motor (20), and regularly input (30) is fixed on the cover plate (7), and regularly the outfan of input (30) links to each other with the input of timing means (29).
4. intelligent full thoracic cavity according to claim 1 higher-order of oscillation sputum elimination machine, it is characterized in that: pressure vest (8) inner transverse barrier film (11) is provided with pore (24); Vertically barrier film (12) is divided into vertical air chamber (25) with epidermis (13) inside; Epidermis (13) is made of airtight material, and pressure vest (8) wraps in torso model wherein, and is fixing by thread gluing (14).
5. intelligent full thoracic cavity according to claim 4 higher-order of oscillation sputum elimination machine is characterized in that: described pressure vest (8) epidermis (13) upper end is provided with pore (27), and pore (27) is communicated with vertical air chamber (25).
6. intelligent full thoracic cavity according to claim 1 higher-order of oscillation sputum elimination machine, it is characterized in that: described casing (6) is packaged into an integral body with air vibrating machine (9), and cover plate (7) is installed on the casing (6).
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| CN2009100108142A CN101507844B (en) | 2009-03-18 | 2009-03-18 | Intelligent full-thorax high-frequency oscillation sputum elimination machine and method |
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| CN2009100108142A CN101507844B (en) | 2009-03-18 | 2009-03-18 | Intelligent full-thorax high-frequency oscillation sputum elimination machine and method |
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| CN101507844A CN101507844A (en) | 2009-08-19 |
| CN101507844B true CN101507844B (en) | 2011-09-14 |
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Cited By (1)
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| EP3863588A4 (en) * | 2018-10-11 | 2022-07-27 | International Biophysics Corporation | Systems and methods for effective reuse of a selfcontained portable positionable oscillating motor array |
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| CN102091358B (en) * | 2011-02-26 | 2012-05-23 | 常熟柏宇医疗电子有限公司 | Combined structure of aspiration mechanism and tympanic plate activating mechanism of pneumatic vibration type sputum discharge machine |
| CN102068374B (en) * | 2011-02-26 | 2012-10-10 | 常熟柏宇医疗电子有限公司 | Air-vibrating sputum excreting instrument and patient-worn device thereof |
| CN102068364B (en) * | 2011-02-26 | 2012-07-25 | 常熟柏宇医疗电子有限公司 | Air vibratory sputum excretion machine |
| CN102068373B (en) * | 2011-02-26 | 2012-09-05 | 常熟柏宇医疗电子有限公司 | Breather mechanism of air vibratory sputum excretion machine |
| CN102068365B (en) * | 2011-02-26 | 2012-07-25 | 常熟柏宇医疗电子有限公司 | Air vibration type expectoration instrument |
| CN102274589B (en) * | 2011-05-06 | 2014-03-12 | 西安交通大学 | Supersonic wave body cleaning equipment used for washing lung and expelling phlegm |
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| CN102440887A (en) * | 2011-09-21 | 2012-05-09 | 无锡恒宇医疗器械有限公司 | Phlegm removing machine with monitoring function |
| CN102423279A (en) * | 2011-09-21 | 2012-04-25 | 无锡恒宇医疗器械有限公司 | Total thoracoscopic high-frequency oscillating phlegm discharge machine |
| US20150051518A1 (en) * | 2012-03-28 | 2015-02-19 | Boyu Medical Electronics (Changshu)Ltd | Electromagnetic powered sputum excretion system |
| CN105232305B (en) * | 2015-10-08 | 2017-05-24 | 上海市浦东新区人民医院 | Self-help adjuvant therapy system for chronic obstructive pulmonary diseases |
| CN106110457B (en) * | 2016-07-20 | 2019-03-15 | 蔡小奇 | A kind of sputum elimination machine and its respirator system |
| CN106075613B (en) * | 2016-08-03 | 2018-09-04 | 西安交通大学 | A kind of respiratory tract sputum automatic cleaning apparatus |
| CN106693131A (en) * | 2016-11-11 | 2017-05-24 | 濡新（北京）科技发展有限公司 | Respirator |
| CN107551370A (en) * | 2017-09-08 | 2018-01-09 | 北京航空航天大学 | A kind of sputum clearance system for simulating mankind's cough |
| CN109125037A (en) * | 2018-09-26 | 2019-01-04 | 济南普若培森智能科技有限公司 | A kind of auxiliary expectoration device and method with intelligent monitoring function |
| CN114099296B (en) * | 2021-10-14 | 2024-04-19 | 深圳市安保科技有限公司 | Pressure regulating method and device for sputum excretion device and storage medium |
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