摘要:
A combination ventilation apparatus and anesthesia delivery system comprises a circulation loop within which oxygen and air or other clinical gas, or a mixture of air, oxygen, nitrous oxide or other clinical gas and anesthetics, are circulated by a variable speed centrifugal blower to a Y-piece which connects the circulation loop to an endotracheal tube or other airway device communicating with a patient. A proportional flow control valve is operative to actively control the pressure or flow at the Y-piece in response to signals from pressure or flow sensors which are positioned to provide measurements representative of the actual pressure and flow conditions within the patient's lungs. Constant circuit volume is maintained by computer control of gas make-up valves in response to the movement of a weighted bellows located between the proportional flow control valve and centrifugal blower.
摘要:
An apparatus and method of simulating breathing sounds in real time involves the use of a manikin having a lung bellows. A sensor associated with the lung bellows is used to continuously determine the volume such that, using standard mathematical procedures based on the time and volume determined, a first derivative of the bellows volume over time can be calculated to determine the phase of the respiratory cycle (e.g. inhalation or exhalation). In addition, by calculating a second derivative of the bellows volume over time, a transition in phase of the respiratory cycle can be determined. Based upon the first and second derivatives of the bellows volume over time, a sound is output through an output device, such as a speaker, located proximate the mouth of the manikin. The outputted sounds are pre-recorded audible sounds of breathing corresponding to appropriate physiological sounds.
摘要:
A method and apparatus for simulating lung sounds in real time in an integrated patient simulator uses a manikin having an associated simulated lung comprising at least one bellows and at least one sensor for sensing the position of the bellows. Based on a physiological state of the patient simulator, a audible lung sound is directed through a plurality of sound output devices located at different locations on the manikin. The lung sound corresponds to an appropriate physiological sound at that particular location on the manikin and is synchronized with the position of the bellows. Synchronization occurs by continuously determining a volume of the bellows to determine a respiratory phase and a transition in the respiratory phase. The respiratory phase is determined by calculating a first derivative of the bellows volume over time and the transition in the respiratory phase is determined by calculating a second derivative of the bellows volume over time.
摘要:
A method and associated apparatus for simulating neuromuscular stimulation in real time during simulated medical surgery using a manikin, such as ulnar nerve stimulation to detect the degree of neuromuscular blockade and external stimulation of nerves to produce evoked potentials so as to monitor the integrity of nerves during surgery is provided. Such simulation allows for the active participation of trainees with the simulation apparatus to experience real world medical procedures in a setting that closely mimics the real world.
摘要:
A diagnostic monitor checks the carbon dioxide (CO.sub.2) content of a gas exiting a patient during endotracheal or esophageal intubation. A plurality of composition portions substantially change color in response to exposure to the carbon dioxide. The composition portions change color in response to different times of exposure to carbon dioxide. A magnifying or condensing lens may be positioned on the monitor to enhance viewing of the color change. The monitor may advantageously be made as part of an intubation system through which the gases from a patient exit the patient. The differences in time of exposure needed to cause the color change may be accomplished by using semipermeable membranes having differing thicknesses, CO.sub.2 permeabilities, and/or surface areas with each membrane corresponding to a particular one of the composition portions.
摘要:
A method and an apparatus for quantifying the amount of fluid administered to a patient simulator during simulated medical surgery. A fluid administered to a manikin and delivered to a reservoir associated with the manikin. The quantity of fluid administered is determined based on the change of weight of the reservoir. A simulated response to the administered fluid can be computed, based on the determined quantity of fluid administered.
摘要:
An apparatus and method for synchronizing output devices related to a cardiac rhythm in real time in an integrated patient simulator during simulated medical surgery includes a manikin, at least one output device including devices for simulating a cardiac pulse and a radial pulse, a first computer associated with the patient simulator for generating an electric cardiac rhythm synchronizing pulse, a second computer for receiving the cardiac rhythm synchronizing pulse and generating a simulated response thereto, and a distributed processing network for transmitting the cardiac rhythm synchronizing pulse between the first computer and the second computer and for transmitting the simulated response between the second computer and the output device. In this way, a time offset to allow for simulated travel time or lag of the simulated cardiac pulse through the body can be added by the second computer where appropriate for certain subsystems or monitors associated with the patient simulator.
摘要:
An apparatus and method for detecting and identifying a drug administered in real time in an integrated patient simulator uses a manikin which receives the administration of the drug. A bar code is affixed to an implement for administering the drug, wherein the implement is an intravenous drip bag or a syringe. A scanner is used to scan the bar code to identify the type and concentration of the drug contained within the implement. The information obtained by the scanner is then used by a computer associated with the patient simulator to effect a response in the manikin.
摘要:
A self-regulating, simulated lung for use in real time in simulated medical procedures comprises at least one bellows capable of receiving and expelling gas, a means for actuating the bellows depending upon a time- and event-based script, a computer model or a combination thereof, at least one mass flow controller capable of directing the gas into the bellows, and a volumetric pump for continuously expelling a constant flow rate of gas from the bellows. The means for actuating the bellows comprises a double acting piston connected to the bellows and having a first constant pressure and a second variable pressure acting on respective sides of the piston, whereby non-linear compliances may be simulated.
摘要:
A self-contained jet pump type breathing apparatus is provided for introducing gases into the lungs of a patient having an inspiratory jet pump for sweeping gases toward the patient, an expiratory jet pump for sweeping exhaled gases away from the patient and an absorber for absorbing carbon dioxide from the exhaled gases which are again supplied to the respiratory jet pump. An anesthetic introduction conduit permits the flow of anesthetic gases into the breathing apparatus. In addition, a jet producer device, is also provided, which obtains fresh compressed gases from the absorber and compressor and supplies pulsating pressurized gases to the respiratory jet pumps.