CN105903115A - Multifunctional breather valve - Google Patents
Multifunctional breather valve Download PDFInfo
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- CN105903115A CN105903115A CN201610230850.XA CN201610230850A CN105903115A CN 105903115 A CN105903115 A CN 105903115A CN 201610230850 A CN201610230850 A CN 201610230850A CN 105903115 A CN105903115 A CN 105903115A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/02—Gases
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1025—Respiratory system
- A61M2210/1039—Lungs
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Abstract
本发明公开一种多功能呼吸阀,包括有呼吸阀本体、管道、以及设置在管道上的患者端接口、气雾气体连接口、排气口;该气雾气体连接口内设置有单向吸气阀;该排气口内设置有限位板,该限位板上设置有连通口,针对该连通口设置有呼气阻力调节装置;该呼气阻力调节装置包括有单向呼气阀、复位弹簧、及阻力调节器;本发明确保气雾气体充分被吸入肺部、气雾气体在吸气期间同步输出、及时排出分泌物、无创机械通气不同压力水平下的管道压力稳定和避免机械通气期间气道压力过高所导致的肺损伤;适用于雾化吸入治疗的单向阀、震荡排痰、无创机械通气的呼气阀、机械通气期间的咳嗽减压阀和呼吸肌肉锻炼用阀。
The invention discloses a multifunctional breathing valve, which includes a breathing valve body, a pipeline, and a patient-end interface arranged on the pipeline, an aerosol gas connection port, and an exhaust port; the aerosol gas connection port is provided with a one-way suction valve; the exhaust port is provided with a limiting plate, the limiting plate is provided with a communication port, and an exhalation resistance adjustment device is arranged for the communication port; the exhalation resistance adjustment device includes a one-way exhalation valve, a return spring, And the resistance regulator; the present invention ensures that the aerosol gas is fully inhaled into the lungs, the aerosol gas is output synchronously during inhalation, discharges secretions in time, the pipeline pressure is stable under different pressure levels of non-invasive mechanical ventilation and avoids the airway during mechanical ventilation Lung injury caused by excessive pressure; one-way valve for aerosol inhalation therapy, oscillating expectoration, exhalation valve for non-invasive mechanical ventilation, cough relief valve during mechanical ventilation, and valve for respiratory muscle training.
Description
技术领域 technical field
本发明涉及医疗设备领域技术,尤其是指一种多功能呼吸阀。 The invention relates to the technology in the field of medical equipment, in particular to a multifunctional breathing valve.
背景技术 Background technique
气雾吸入治疗是呼吸科的常见治疗方法之一,随气流吸入肺部的气雾气体必须达到小气道才能发挥疗效。但是呼吸存在吸气相和呼气相,吸气时,气雾气体能顺着吸气气流到达肺部,呼气时,气雾气体直接随着呼气气流排出,而气雾气体的产生是持续的,这样呼气期间的气雾气体就在没有发挥作用前被排出。此外,呼吸道存在解剖死腔,解剖死腔就是从口腔到呼吸性细支气管的这部分呼吸道,正常成人解剖死腔为140ml,个体间差异少,呼气时,首先呼出的气体就是解剖死腔的气体,然后,才是来之于细支气管和肺泡的气体,呼气结束时,停留在解剖死腔的是刚从肺泡呼出的气体,吸气时,首先进入小气道和肺泡的是来之于解剖死腔的气体,气雾气体经过解剖死腔后再到达呼吸性细支气管和肺泡,也就是说,吸气早期进入细支气管和肺泡的是没有气雾的气体,因此为了提高气雾药物在细支气管和肺泡的沉积率,需要尽可能提高吸气总气量。提高吸气总气量的方法,除了在吸气前尽量将肺内的气体呼出和吸气期间尽可能地深吸气外,在存在慢阻肺和支气管哮喘等呼吸道疾病患者中,由于存在呼气受限,出现内源性呼气末正压,通过使用外源性呼气末正压,也有利于促进肺部气体的充分呼出。 Aerosol inhalation therapy is one of the common treatment methods in the Department of Respiratory Medicine. The aerosol gas inhaled into the lungs along with the air flow must reach the small airways to exert its curative effect. However, breathing has an inspiratory phase and an exhalation phase. When inhaling, the aerosol gas can reach the lungs along the inspiratory airflow. Yes, so that the aerosol gas during exhalation is expelled before it can do its job. In addition, there is an anatomical dead space in the respiratory tract, which is the part of the airway from the mouth to the respiratory bronchioles. The anatomical dead space of a normal adult is 140ml, and there are few differences between individuals. When exhaling, the first exhaled gas is the anatomical dead space. Gas, then, comes from the bronchioles and alveoli. At the end of exhalation, the gas that stays in the anatomical dead space is the gas just exhaled from the alveoli. When inhaling, the gas that first enters the small airways and alveoli is from the Dissect the gas in the dead space, and the aerosol gas reaches the respiratory bronchioles and alveoli after passing through the dead space. The deposition rate of the bronchioles and alveoli needs to maximize the total inspiratory volume. The method of increasing the total inspiratory volume, in addition to exhaling the gas in the lungs as much as possible before inhaling and inhaling as deeply as possible during inhalation, in patients with respiratory diseases such as chronic obstructive pulmonary disease and bronchial asthma, due to the existence of exhalation Restricted, endogenous positive end-expiratory pressure appears, and the use of exogenous positive end-expiratory pressure is also conducive to promoting the full exhalation of lung gas.
雾化后,气道分泌物吸收气雾气体中的水分而稀释,其容积增大,会增加患者的呼吸做功,为了及时将稀释的气道分泌物清除出来,可以通过呼气相的震荡,使气道分泌物由于震荡而流动,通过刺激气道产生咳嗽排除体外。 After atomization, the airway secretion absorbs the moisture in the aerosol gas and is diluted, and its volume increases, which will increase the breathing work of the patient. In order to remove the diluted airway secretion in time, the vibration of the expiratory phase can be used. Make the airway secretion flow due to the shock, and excrete it from the body by stimulating the airway to produce a cough.
无创机械通气期间,根据患者的吸气需要设置不同的吸气压力和呼气压力,无创机械通气的回路中的压力高低因病人的不同而不同,如果呼气阀的排气口是固定的,则管道内压力越高,管道通过排气口漏气的量越大,这不利于无创机械通气的人机同步性,为了保证无创通气回路管道内的压力恒定,需要相应增加排气口的阻力,保证经排气口的漏气量合适。 During non-invasive mechanical ventilation, different inspiratory pressure and expiratory pressure are set according to the inspiratory needs of the patient. The pressure level in the non-invasive mechanical ventilation circuit varies from patient to patient. If the exhaust port of the exhalation valve is fixed, The higher the pressure in the pipeline, the greater the amount of air leakage from the pipeline through the exhaust port, which is not conducive to the man-machine synchronization of non-invasive mechanical ventilation. In order to ensure a constant pressure in the non-invasive ventilation circuit pipeline, it is necessary to increase the resistance of the exhaust port accordingly , to ensure that the air leakage through the exhaust port is appropriate.
不管是无创机械通气,还是有创机械通气,当患者咳嗽时,气道压力会突然升高,如压力过高,会导致肺压力伤甚至气胸。因此为了避免气道压力过高的不良反应,需要有压力释放装置,当气道压力超过阈值时,气道压力释放。 Regardless of whether it is non-invasive mechanical ventilation or invasive mechanical ventilation, when the patient coughs, the airway pressure will suddenly increase. If the pressure is too high, it will cause lung pressure injury or even pneumothorax. Therefore, in order to avoid adverse reactions caused by excessive airway pressure, a pressure release device is required to release the airway pressure when the airway pressure exceeds a threshold.
综上所述,为了提高气雾药物在呼吸性细支气管和肺泡的沉积率,及时将吸收了气雾气体中水分的稀释分泌物通过咳嗽清除出体外,为了保证无创机械通气不同压力下的管道压力稳定,为了避免机械通气期间气道压力过高所导致的肺损伤,需要吸气同步的气雾气体输出装置、需要呼气末的合适正压、需要可以产生呼气相震荡的排痰效果、需要保证漏气量恒定的可调节阻力和释放过高压力功能的呼吸阀。 In summary, in order to improve the deposition rate of aerosol drugs in the respiratory bronchioles and alveoli, timely remove the diluted secretions that have absorbed the moisture in the aerosol gas out of the body through coughing, in order to ensure that the tubes under different pressures of non-invasive mechanical ventilation The pressure is stable. In order to avoid lung injury caused by excessive airway pressure during mechanical ventilation, an aerosol gas output device that synchronizes inhalation, an appropriate positive pressure at the end of expiration, and a expectoration effect that can produce oscillations in the expiratory phase are required. , It is necessary to ensure a constant air leakage with an adjustable resistance and a breathing valve with a function of releasing excessive pressure.
目前临床上尚没有具备上述诸多功能呼吸阀。 Still do not possess above-mentioned many functional breathing valves clinically at present.
发明内容 Contents of the invention
有鉴于此,本发明针对现有技术存在之缺失,其主要目的是提供一种多功能呼吸阀,其能确保气雾气体充分被吸入肺部、气雾气体在吸气期间同步输出、及时排出分泌物、无创机械通气不同压力水平下的管道压力稳定和避免机械通气期间气道压力过高所导致的肺损伤。 In view of this, the present invention aims at the deficiencies in the prior art, and its main purpose is to provide a multi-functional breathing valve, which can ensure that the aerosol gas is fully inhaled into the lungs, and the aerosol gas is output synchronously and discharged in time during inhalation. Secretion, tube pressure stabilization under different pressure levels of non-invasive mechanical ventilation and avoid lung injury caused by excessive airway pressure during mechanical ventilation.
为实现上述目的,本发明采用如下之技术方案:一种多功能呼吸阀,包括有呼吸阀本体、管道、以及设置在管道上的患者端接口、气雾气体连接口、排气口;该气雾气体连接口内设置有单向吸气阀;该排气口内设置有限位板,该限位板上设置有连通口,针对该连通口设置有呼气阻力调节装置;该呼气阻力调节装置包括有单向呼气阀、复位弹簧、及阻力调节器。 In order to achieve the above object, the present invention adopts the following technical solutions: a multifunctional breathing valve, including a breathing valve body, a pipeline, and a patient end interface, an aerosol gas connection port, and an exhaust port arranged on the pipeline; A one-way inhalation valve is set in the mist gas connection port; a limit plate is set in the exhaust port, a communication port is set on the limit plate, and an exhalation resistance adjustment device is arranged for the communication port; the exhalation resistance adjustment device includes There are one-way exhalation valve, return spring, and resistance regulator.
作为一种优选方案,所述管道为透明管道。 As a preferred solution, the pipeline is a transparent pipeline.
本发明与现有技术相比具有明显的优点和有益效果,具体而言,由上述技术方案可知:其能确保气雾气体充分被吸入肺部、气雾气体在吸气期间同步输出、及时排出分泌物、无创机械通气不同压力水平下的管道压力稳定和避免机械通气期间气道压力过高所导致的肺损伤。 Compared with the prior art, the present invention has obvious advantages and beneficial effects. Specifically, it can be seen from the above technical solution that it can ensure that the aerosol gas is fully inhaled into the lungs, and the aerosol gas is output synchronously and discharged in time during inhalation. Secretion, tube pressure stabilization under different pressure levels of non-invasive mechanical ventilation and avoid lung injury caused by excessive airway pressure during mechanical ventilation.
为更清楚地阐述本发明的结构特征、技术手段及其所达到的具体目的和功能,下面结合附图与具体实施例来对本发明作进一步详细说明。 In order to more clearly illustrate the structural features, technical means and the specific objectives and functions achieved by the present invention, the present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
附图说明 Description of drawings
图1是本发明之较佳实施例的呼气状态下的截面图; Fig. 1 is a sectional view under the exhalation state of a preferred embodiment of the present invention;
图2是本发明之较佳实施例的吸气状态下的截面图。 Fig. 2 is a cross-sectional view of a preferred embodiment of the present invention in an inhalation state.
附图标识说明: Explanation of the accompanying drawings:
10、呼吸阀本体 10. Breathing valve body
20、管道 20. Pipeline
30、患者端接口 30. Patient interface
40、气雾气体连接口 40. Aerosol gas connection port
50、单向吸气阀 50. One-way suction valve
60、排气口 60. Exhaust port
70、限位板 70. Limiting plate
80、呼气阻力调节装置 80. Exhalation resistance adjustment device
801、单向呼气阀 801. One-way exhalation valve
802、复位弹簧。 802, return spring.
具体实施方式 detailed description
请参照图1和图2所示,其显示出了本发明之较佳实施例的具体结构,包括有呼吸阀本体10、管道20、以及设置在管道20上的患者端接口30、气雾气体连接口40、排气口60;该气雾气体连接口40内设置有单向吸气阀50;该排气口60内设置有限位板70,该限位板70上设置有连通口,针对该连通口设置有呼气阻力调节装置80;该呼气阻力调节装置80包括有单向呼气阀801、复位弹簧802、及阻力调节器(图中未标示)。 Please refer to Fig. 1 and Fig. 2, which shows the specific structure of a preferred embodiment of the present invention, including a breathing valve body 10, a pipeline 20, and a patient end interface 30 arranged on the pipeline 20, an aerosol gas Connection port 40, exhaust port 60; the aerosol gas connection port 40 is provided with a one-way suction valve 50; the exhaust port 60 is provided with a limiting plate 70, and the limiting plate 70 is provided with a communication port for The communication port is provided with an exhalation resistance adjustment device 80; the exhalation resistance adjustment device 80 includes a one-way exhalation valve 801, a return spring 802, and a resistance regulator (not shown in the figure).
呼吸患者使用时,先将气雾气体装置固定于气雾气体连接口40内,在患者端接口30处通过连接咬嘴或鼻面罩使用。 When using it for breathing patients, first fix the aerosol gas device in the aerosol gas connection port 40, and use it by connecting a mouthpiece or a nasal mask at the patient end interface 30.
当患者端接口30呼气时,呼气期间管道20产生一定的正压,使单向吸气阀50关闭,阻挡气雾气体进入管道20,管道20内压力升高后,单向呼气阀801开放,以释放管道20内过高的压力;呼气排气口60内设置有呼气阻力调节器80,患者可根据自己的状况调整合适的阻力值;在患者持续用力呼气的状态下,当管道20内正压力持续高于可调的最大阻力时,单向呼气阀801反复来回开放复位并产生震荡波,使气道分泌物由于震荡而流动,通过刺激气道产生咳嗽将分泌物排出体外。 When the patient end interface 30 exhales, the pipeline 20 generates a certain positive pressure during exhalation, so that the one-way inhalation valve 50 is closed to prevent aerosol gas from entering the pipeline 20. After the pressure in the pipeline 20 rises, the one-way exhalation valve 801 is opened to release the excessive pressure in the pipeline 20; an exhalation resistance regulator 80 is arranged in the exhalation exhaust port 60, and the patient can adjust the appropriate resistance value according to his own condition; , when the positive pressure in the pipeline 20 continues to be higher than the adjustable maximum resistance, the one-way exhalation valve 801 is opened and reset repeatedly and generates shock waves, so that the airway secretions flow due to the shock, and the secretion will be released by stimulating the airway to produce cough The substance is excreted from the body.
在原始状态和吸气状态下,该复位弹簧802处于自然伸缩状态,单向呼气阀801封堵住限位板70连通口。 In the original state and inhalation state, the return spring 802 is in a state of natural expansion and contraction, and the one-way exhalation valve 801 blocks the communication port of the limiting plate 70 .
呼气结束时,管道20压力下降,当患者端接口30吸气时,管道20产生一定的负压,呼气阻力调节器80的复位弹簧802未被压缩,该单向呼气阀801封堵住限位板70连通口,阻挡气雾气体通过排气口60排出管道20外;管道20内负压升高后,单向吸气阀50开放,气雾气体装置产生的雾化气体通过气雾气体连接口40顺着吸气气流进入患者的肺部;患者可透过透明管道20观察气雾气体被吸入的情况。 At the end of exhalation, the pressure of the pipeline 20 drops. When the patient end interface 30 inhales, the pipeline 20 generates a certain negative pressure, the return spring 802 of the exhalation resistance regulator 80 is not compressed, and the one-way exhalation valve 801 is blocked. Block the communication port of the limiting plate 70 to prevent the aerosol gas from being discharged out of the pipeline 20 through the exhaust port 60; after the negative pressure in the pipeline 20 rises, the one-way suction valve 50 is opened, and the atomized gas generated by the aerosol gas device passes through the gas The mist gas connection port 40 enters the patient's lungs along the inspiratory airflow; the patient can observe the situation of the aerosol gas being inhaled through the transparent tube 20 .
本发明的设计重点在于:当患者端接口呼气时,仅开放单向呼气阀,关闭单向吸气阀,阻挡气雾气体从气雾气体连接口进入管道;且还设置有呼气阻力调节装置,当管道压力持续高于可调的最大阻力时,呼气阻力调节装置中的单向呼气阀反复开放复位并产生震荡波,使气道分泌物由于震荡而流动,通过刺激气道产生咳嗽将分泌物排出体外;当患者端接口吸气时,仅开放单向吸气阀,关闭单向呼气阀,单向呼气阀封堵住限位板连通口,阻挡气雾气体通过排气口排出管道外;其能确保气雾气体充分被吸入肺部、气雾气体在吸气期间同步输出、及时排出分泌物、无创机械通气不同压力水平下的管道压力稳定和避免机械通气期间气道压力过高所导致的肺损伤。 The key points of the design of the present invention are: when the patient exhales, only the one-way exhalation valve is opened, and the one-way inhalation valve is closed to prevent the aerosol gas from entering the pipeline from the aerosol gas connection port; and an exhalation resistance is also provided Adjusting device, when the pipeline pressure continues to be higher than the adjustable maximum resistance, the one-way exhalation valve in the exhalation resistance adjustment device is repeatedly opened and reset to generate shock waves, so that the airway secretions flow due to the shock, by stimulating the airway Produce a cough to expel secretions from the body; when the patient inhales, only the one-way inspiratory valve is opened and the one-way exhalation valve is closed. The one-way exhalation valve blocks the communication port of the limit plate to prevent the passage of aerosol The exhaust port is discharged out of the pipeline; it can ensure that the aerosol gas is fully inhaled into the lungs, the aerosol gas is output synchronously during inhalation, the secretions are discharged in time, the pipeline pressure is stable under different pressure levels of non-invasive mechanical ventilation and avoids Lung injury caused by excessive airway pressure.
以上所述,仅是本发明的较佳实施例而已,并非对本发明的技术范围作任何限制,故凡是依据本发明的技术实质对以上实施例所作的任何细微修改、等同变化与修饰,均仍属于本发明技术方案的范围内。 The above descriptions are only preferred embodiments of the present invention, and do not limit the technical scope of the present invention in any way, so any minor modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention are still valid. It belongs to the scope of the technical solutions of the present invention.
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Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174499A (en) * | 2017-05-03 | 2017-09-19 | 王庆元 | Device and method of manually coughing for assisted coughing |
| CN111658923A (en) * | 2020-06-12 | 2020-09-15 | 广州天惜医疗科技有限公司 | Intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and assessment |
| CN111659082A (en) * | 2020-06-12 | 2020-09-15 | 广州天惜医疗科技有限公司 | Intelligent mobile breathing rehabilitation device capable of achieving biphase sputum excretion, exercise and assessment |
| CN111759309A (en) * | 2020-07-09 | 2020-10-13 | 深圳市则成电子股份有限公司 | Portable vital capacity tester |
| CN111760141A (en) * | 2020-07-06 | 2020-10-13 | 耿超玮 | A ventilator and its working method |
| CN112057279A (en) * | 2020-09-17 | 2020-12-11 | 山东大学齐鲁医院 | A non-invasive ventilator hood |
| CN112870507A (en) * | 2021-01-08 | 2021-06-01 | 苏州银雀智能科技有限公司 | Breathing exchanger |
| CN112914986A (en) * | 2021-01-27 | 2021-06-08 | 宋昌华 | Vibration pressure airway therapeutic device |
| CN113750337A (en) * | 2021-09-24 | 2021-12-07 | 首都医科大学附属北京世纪坛医院 | Pernasal foam-driven oscillating air passage gallery cleaning device |
| CN114072189A (en) * | 2019-05-08 | 2022-02-18 | 雷斯平诺维有限公司 | System for delivering inhalation therapy |
| CN116832284A (en) * | 2023-07-17 | 2023-10-03 | 广州医科大学附属第一医院(广州呼吸中心) | lung clearance device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107174499A (en) * | 2017-05-03 | 2017-09-19 | 王庆元 | Device and method of manually coughing for assisted coughing |
| CN114072189A (en) * | 2019-05-08 | 2022-02-18 | 雷斯平诺维有限公司 | System for delivering inhalation therapy |
| CN111658923A (en) * | 2020-06-12 | 2020-09-15 | 广州天惜医疗科技有限公司 | Intelligent respiratory rehabilitation device capable of assisting sputum excretion, pronunciation and assessment |
| CN111659082A (en) * | 2020-06-12 | 2020-09-15 | 广州天惜医疗科技有限公司 | Intelligent mobile breathing rehabilitation device capable of achieving biphase sputum excretion, exercise and assessment |
| CN111760141A (en) * | 2020-07-06 | 2020-10-13 | 耿超玮 | A ventilator and its working method |
| CN111759309A (en) * | 2020-07-09 | 2020-10-13 | 深圳市则成电子股份有限公司 | Portable vital capacity tester |
| CN112057279A (en) * | 2020-09-17 | 2020-12-11 | 山东大学齐鲁医院 | A non-invasive ventilator hood |
| CN112870507A (en) * | 2021-01-08 | 2021-06-01 | 苏州银雀智能科技有限公司 | Breathing exchanger |
| CN112914986A (en) * | 2021-01-27 | 2021-06-08 | 宋昌华 | Vibration pressure airway therapeutic device |
| CN113750337A (en) * | 2021-09-24 | 2021-12-07 | 首都医科大学附属北京世纪坛医院 | Pernasal foam-driven oscillating air passage gallery cleaning device |
| CN116832284A (en) * | 2023-07-17 | 2023-10-03 | 广州医科大学附属第一医院(广州呼吸中心) | lung clearance device |
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