CN119499495A - An aviation medical rescue system with integrated oxygen supply function - Google Patents
An aviation medical rescue system with integrated oxygen supply function Download PDFInfo
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- CN119499495A CN119499495A CN202411631283.XA CN202411631283A CN119499495A CN 119499495 A CN119499495 A CN 119499495A CN 202411631283 A CN202411631283 A CN 202411631283A CN 119499495 A CN119499495 A CN 119499495A
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- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 title claims abstract description 556
- 239000001301 oxygen Substances 0.000 title claims abstract description 556
- 229910052760 oxygen Inorganic materials 0.000 title claims abstract description 556
- 238000000034 method Methods 0.000 claims abstract description 94
- 230000008569 process Effects 0.000 claims abstract description 83
- 230000029058 respiratory gaseous exchange Effects 0.000 claims abstract description 69
- 230000000007 visual effect Effects 0.000 claims abstract description 35
- 230000002159 abnormal effect Effects 0.000 claims abstract description 16
- 238000001514 detection method Methods 0.000 claims description 89
- 238000012544 monitoring process Methods 0.000 claims description 48
- 239000007789 gas Substances 0.000 claims description 24
- 238000012790 confirmation Methods 0.000 claims description 23
- 239000000126 substance Substances 0.000 claims description 15
- 238000012360 testing method Methods 0.000 claims description 13
- 238000007689 inspection Methods 0.000 claims description 12
- 238000007726 management method Methods 0.000 claims description 12
- 239000008280 blood Substances 0.000 claims description 10
- 210000004369 blood Anatomy 0.000 claims description 10
- 230000000241 respiratory effect Effects 0.000 claims description 9
- 230000036387 respiratory rate Effects 0.000 claims description 8
- 230000004044 response Effects 0.000 claims description 8
- 238000004140 cleaning Methods 0.000 claims description 6
- 238000013079 data visualisation Methods 0.000 claims description 6
- 230000008859 change Effects 0.000 claims description 5
- 238000006243 chemical reaction Methods 0.000 claims description 5
- 238000013507 mapping Methods 0.000 claims description 5
- 238000007781 pre-processing Methods 0.000 claims description 5
- MYMOFIZGZYHOMD-UHFFFAOYSA-N Dioxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 claims description 4
- 238000004458 analytical method Methods 0.000 claims description 4
- 230000036772 blood pressure Effects 0.000 claims description 4
- 230000036760 body temperature Effects 0.000 claims description 4
- 229910001882 dioxygen Inorganic materials 0.000 claims description 4
- 230000007613 environmental effect Effects 0.000 claims description 4
- 238000012423 maintenance Methods 0.000 claims description 4
- 230000033764 rhythmic process Effects 0.000 claims description 4
- 230000004913 activation Effects 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims description 3
- 238000012800 visualization Methods 0.000 claims 4
- 238000011179 visual inspection Methods 0.000 claims 2
- 238000011990 functional testing Methods 0.000 claims 1
- 238000011016 integrity testing Methods 0.000 claims 1
- 238000012795 verification Methods 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 14
- 230000009286 beneficial effect Effects 0.000 abstract description 10
- 230000001105 regulatory effect Effects 0.000 description 7
- 239000002699 waste material Substances 0.000 description 5
- 238000009423 ventilation Methods 0.000 description 4
- 230000009471 action Effects 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 238000000968 medical method and process Methods 0.000 description 3
- 206010021143 Hypoxia Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- 230000007954 hypoxia Effects 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
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- 206010033372 Pain and discomfort Diseases 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
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- 230000004048 modification Effects 0.000 description 1
- 238000002640 oxygen therapy Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000012549 training Methods 0.000 description 1
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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
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
- A61M16/022—Control means therefor
- A61M16/024—Control means therefor including calculation means, e.g. using a processor
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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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
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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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
- A61M16/16—Devices to humidify the respiration air
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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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
- A61M16/16—Devices to humidify the respiration air
- A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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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
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
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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
- A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
- A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
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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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
- A61M2016/102—Measuring a parameter of the content of the delivered gas
- A61M2016/1025—Measuring a parameter of the content of the delivered gas the O2 concentration
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Abstract
The invention discloses an aeronautic medical rescue system integrating an oxygen supply function, relates to the technical field of aeronautic medical rescue, and aims to solve the problem of poor oxygen supply function effect in the aeronautic medical rescue system. The invention can reduce the cost caused by repeated examination, repeated operation and the like in the traditional medical treatment process through an integrated system, is also beneficial to reducing the overall medical cost, can generate specific oxygen supply equipment adjustment instructions according to the abnormal range of a patient, comprises oxygen flow adjustment, breathing machine support level adjustment and oxygen supply strategy adjustment, can ensure that the patient obtains oxygen supply treatment which is most suitable for the current condition of the patient, can intuitively see various data and indexes in the oxygen supply process through a visual template, so that the data is easier to understand and analyze, can be directly transmitted to a control terminal, and can be seen and judged at the first time by the medical staff.
Description
Technical Field
The invention relates to the technical field of aviation medical aid, in particular to an aviation medical aid system integrating an oxygen supply function.
Background
Aeronautical medical aid refers to an activity of medical aid using an aircraft or other aircraft, which is commonly used in emergency situations when land aid cannot be quickly reached or a patient needs to be quickly transported to a location with a professional medical facility over a long distance.
The Chinese patent with publication number CN118453274A discloses an aviation medical aid unit integrating a power supply system and an oxygen supply system, wherein the power supply system is designed mainly through aircraft power supply parameters and medical system power supply characteristics and is used for connecting an on-board power supply to supply power to all medical equipment and illuminating lamps in the medical system so as to ensure the vital sign monitoring and medical aid service of wounded in long voyage. The power supply system simultaneously meets the requirements of electromagnetic compatibility environment and the capability of external interference resistance, and also has the functions of leakage voltage, leakage current and grounding protection. The oxygen supply system provides two stable and continuous oxygen output to the oxygen supply mask and the first-aid breathing machine, and simultaneously meets the medical oxygen supply requirements of two wounded persons. The medical system is matched with the power supply system and the oxygen supply system to realize long-endurance monitoring and treatment of wounded in the medical postdelivery process. Medical systems all have specialized hangers to enable quick installation and removal. The integrated oxygen supply system, the power supply system and the medical system are matched for use, so that the vital sign monitoring and medical treatment of the wounded in long voyage in the transportation process can be realized, and the problems of aviation medical treatment are solved, but the following problems exist in the actual operation:
1. each oxygen supply device is not subjected to targeted device detection before the aircraft takes off, so that data faults cannot be used.
2. The oxygen supply mode is not confirmed according to the actual condition of the site, and the oxygen supply mode is not adjusted according to the actual condition of the patient, so that the oxygen supply effect is poor.
3. The oxygen supply equipment on the aircraft is not subjected to data unified integration treatment, and the oxygen supply equipment is not subjected to coordination adjustment with the actual condition of a patient, so that the aviation oxygen supply function effect is poor.
Disclosure of Invention
The invention aims to provide an aviation medical rescue system integrating an oxygen supply function, which can reduce the cost caused by repeated inspection, repeated operation and the like in the traditional medical process through an integrated system, is also beneficial to reducing the overall medical cost due to accurate medical judgment and efficient resource management, can generate specific oxygen supply equipment adjustment instructions including oxygen flow adjustment, breathing machine support level adjustment and oxygen supply strategy adjustment according to the abnormal range of a patient, can ensure that the patient obtains oxygen supply treatment which is most suitable for the current condition of the patient, can intuitively see various data and indexes in the oxygen supply process through a visual template, so that the data can be more easily understood and analyzed, the visual data can be directly transmitted to a control terminal, and the medical personnel can see the data and make judgment at the first time, thereby solving the problems in the prior art.
In order to achieve the above purpose, the present invention provides the following technical solutions:
an aeronautical medical assistance system integrating oxygen supply function, comprising:
An oxygen supply apparatus confirmation unit for:
The oxygen supply equipment in aviation medical rescue is confirmed, each rescue equipment is subjected to unique coding mark, and the target oxygen supply equipment is obtained after the unique coding mark is finished;
The oxygen supply equipment detection unit is used for:
Performing function detection on target oxygen supply equipment, and marking the target oxygen supply equipment which is qualified in detection as standard oxygen supply equipment;
A medical regimen confirmation unit for:
Confirming an oxygen supply mode according to the rescue site situation, confirming a site oxygen supply scheme according to the oxygen supply mode, and obtaining oxygen supply scheme data after the site oxygen supply scheme is confirmed;
An integrated oxygen supply monitoring unit for:
oxygen supply is implemented according to oxygen supply scheme data, vital signs of a patient are monitored in real time when oxygen supply is implemented, adjusting instructions are generated on oxygen supply equipment according to the vital signs of the patient, and an oxygen supply process is recorded in real time;
the monitoring data visualization control unit is used for:
Visual data conversion is carried out on the real-time recorded data in the oxygen supply process, the converted visual data is transmitted to the control terminal for display, and medical staff judges and controls in real time at the control terminal according to the displayed data.
Preferably, the oxygen supply device in aviation medical aid comprises a fixed oxygen bottle, a portable oxygen bottle, a breathing mask and a breathing machine;
The oxygen supply equipment confirming unit is also used for:
oxygen management is carried out on each oxygen supply device through a unified oxygen management system, wherein the oxygen management system comprises a regulator, an oxygen pipeline, a chemical oxygen generator and an oxygen concentration monitor;
respectively carrying out unique coding marks on a fixed oxygen bottle, a portable oxygen bottle, a breathing mask, a breathing machine, a regulator, an oxygen pipeline, a chemical oxygen generator and an oxygen concentration monitor;
and obtaining the target oxygen supply equipment after uniquely coding the label.
Preferably, the oxygen supply apparatus detecting unit is further configured to:
Respectively detecting the functions of equipment by a fixed oxygen bottle, a portable oxygen bottle, a breathing mask, a breathing machine, a regulator, an oxygen pipeline, a chemical oxygen generator and an oxygen concentration monitor before the aircraft takes off;
carrying out appearance detection, pressure detection, leakage detection and charge and discharge detection on the fixed oxygen cylinder;
carrying out appearance detection, pressure detection, leakage detection and weight detection on the portable oxygen cylinder;
detecting the integrity, the tightness and the suitability of the breathing mask;
Detecting the pressure and the flow of the breathing machine;
performing pressure regulation detection and flow regulation detection on the regulator;
Performing appearance detection and pressure maintenance detection on the oxygen pipeline;
performing activation detection and output detection on the chemical oxygen generator;
performing calibration detection and response detection on the oxygen concentration monitor;
And marking the qualified equipment as target oxygen supply equipment after the detection, and replacing or maintaining the unqualified equipment until all the detection is qualified.
Preferably, the calibration detection and the response detection of the oxygen concentration monitor comprise the following steps:
preparing a calibration gas sample, selecting an oxygen gas of known concentration as a standard gas sample,
Starting an oxygen concentration monitor to enable the oxygen concentration monitor to run and reach a stable state, and setting a calibration parameter and a calibration airflow flow;
Introducing a calibration gas sample, introducing the calibration gas sample into an oxygen concentration monitor through an oxygen pipeline, and arranging a regulator on the oxygen pipeline for regulating the oxygen flow, wherein the flow of the calibration gas sample meets the preset requirement by regulating the regulator;
Acquiring an oxygen concentration detection value detected in a preset time period, carrying out first division on the preset time period, dividing the preset time period into a plurality of first time interval units, acquiring a primary oxygen concentration detection time value in each first time interval subunit, and acquiring the oxygen concentration detection value detected in the preset time period through the following formula based on the plurality of oxygen concentration detection time values:
Wherein, As the value of the oxygen concentration detection value,For the oxygen concentration detection time value in the nth first time interval subunit, n is the number of the first time interval units,
Comparing the oxygen concentration detection values in a plurality of different preset time periods with the concentration value of the standard gas sample, and calculating a deviation value through the following formula:
as a result of the value of the deviation, Is the concentration value of the standard gas sample,For the oxygen concentration detection value in the ith preset time period, i is a positive integer less than or equal to m, m is the number of the preset time periods and is a positive integer greater than 2, when the deviation value is greater than a preset deviation threshold value, marking that the accuracy of the oxygen concentration monitor is not in accordance with the requirement, and adjusting or maintaining the oxygen concentration monitor;
And (3) carrying out new round of calibration on the adjusted oxygen concentration monitor again according to the steps until the calibration result is qualified.
Preferably, the medical regimen confirmation unit includes:
the oxygen supply mode confirming module is used for:
confirming an oxygen supply mode according to the site situation on the aircraft, wherein the site situation is confirmed according to the patient situation, environmental factors and equipment availability;
the oxygen supply mode comprises fixed oxygen supply, portable oxygen supply, high-altitude oxygen supply, breathing machine oxygen supply, chemical oxygen generator oxygen supply and on-site oxygen production.
Preferably, the medical regimen confirmation unit further includes:
The oxygen supply scheme confirming module is used for:
after the oxygen supply mode is confirmed, making an oxygen supply scheme;
The oxygen supply scheme is formulated to set equipment parameters according to different oxygen supply equipment in the oxygen supply mode, wherein the equipment parameters comprise oxygen flow, pressure and equipment type;
medical staff distribution is carried out after the equipment parameter setting is completed;
and obtaining oxygen supply scheme data according to the oxygen supply equipment corresponding to each patient, the parameters set by each oxygen supply equipment and the medical staff corresponding to each oxygen supply equipment.
Preferably, the integrated oxygen supply monitoring unit comprises:
the vital sign data monitoring module is used for:
When the patient is subjected to ventilation according to ventilation protocol data, vital sign monitoring is performed on the patient at the same time;
The vital sign monitoring equipment comprises an electrocardiograph monitor, a blood oxygen saturation monitor and a respiratory frequency monitor;
when vital sign monitoring is carried out on a patient, vital sign monitoring data of the patient are recorded in real time;
the vital sign monitoring data are heart rate, heart rhythm, electrocardiogram, blood pressure and heart rate variability data monitored by an electrocardiograph monitor;
blood oxygen saturation, oxygen saturation trend and body temperature data monitored by the blood oxygen saturation monitor;
Respiratory rate and respiratory pattern data monitored by the respiratory rate monitor;
Finally, vital sign monitoring data of the patient are obtained.
Preferably, the integrated oxygen supply monitoring unit further comprises:
the oxygen supply equipment real-time adjustment module is used for:
Comparing the vital sign monitoring data of the patient with the normal vital sign data, and judging the abnormal range of the patient according to the comparison result, wherein the normal vital sign data is retrieved from the database;
generating an oxygen supply equipment adjusting instruction according to the abnormal range of the patient;
The oxygen supply equipment adjusting instruction comprises oxygen flow adjustment, breathing machine support level adjustment and oxygen supply strategy adjustment;
And continuing to apply oxygen supply after the adjustment instruction is generated, and recording the oxygen supply application process before and after the adjustment of the patient in real time.
Preferably, the oxygen flow rate adjustment and the oxygen supply strategy adjustment in the oxygen supply equipment adjustment instruction comprise the following steps:
The method comprises the steps of adjusting an electrocardiogram monitored by an electrocardiograph monitor, connecting values of R waves in the electrocardiogram through a smooth curve, constructing a respiratory characteristic curve, and obtaining duration time of an inspiration process and an expiration process according to the respiratory characteristic curve;
Judging the air flow limitation degree of a patient according to the ratio of the duration of the inspiration process to the duration of the expiration process, and dividing the air flow limitation grades according to the air flow limitation degree of the patient, wherein the air flow limitation grades comprise a primary limitation grade, a secondary limitation grade and a tertiary limitation grade;
the method comprises the steps of carrying out an inspiration process, wherein when the ratio of the duration of the inspiration process to the duration of the expiration process is 1:1.5-1:2, the airflow limitation grade is a primary limitation grade, when the ratio of the duration of the inspiration process to the duration of the expiration process is 1:2-1:3, the airflow limitation grade is a secondary limitation grade, and when the ratio of the duration of the inspiration process to the duration of the expiration process is greater than 1:3, the airflow limitation grade is a tertiary limitation grade;
Monitoring the oxygen concentration value in the breathing mask in real time through an oxygen concentration monitor in the process of supplying the breathing mask to a patient, and acquiring the oxygen flow value of an oxygen pipeline in real time based on a regulator;
When the air flow limited level is the primary limited level, the first oxygen supply flow strategy of the oxygen pipeline is regulated by the regulator, and oxygen is supplied by the first oxygen flow value until the oxygen concentration value in the breathing mask reaches the first oxygen concentration value;
When the air flow limited level is the secondary limited level, a second oxygen supply flow strategy of the oxygen pipeline is adjusted through the regulator, oxygen is supplied by a second oxygen flow value, and meanwhile, the oxygen humidity value is adjusted until the oxygen concentration value in the breathing mask reaches the second oxygen concentration value;
when the airflow limited level is three-level limited level, the third oxygen supply flow strategy of the oxygen pipeline is adjusted through the regulator, oxygen is supplied by the third oxygen flow value, and meanwhile, the oxygen humidity value is adjusted until the oxygen concentration value in the breathing mask reaches the third oxygen concentration value.
Preferably, the monitoring data visualization control unit is further configured to:
carrying out data confirmation on oxygen supply implementation process data recorded in real time before and after the patient is adjusted;
Carrying out data preprocessing after data confirmation, wherein the data preprocessing comprises data cleaning, data conversion and data standardization;
After the data are cleaned, designing a visual template, wherein the visual template comprises a chart type, a color change, a label and a unit;
mapping the data subjected to data cleaning to a designed visual template, and generating visual data of a chart, equipment and indexes according to a mapping rule;
The visual data are transmitted to the control terminal for display, medical staff analyzes abnormal conditions of the visual data at the control terminal, compares and judges the visual data with an adjusting instruction of the oxygen supply equipment according to the analysis result, and adjusts and implements the oxygen supply equipment according to the judging result;
And after the adjustment is finished, continuously recording the oxygen supply process of the patient in real time, transmitting the oxygen supply process to the control terminal, and judging the transmitted data on the control terminal by medical staff.
Compared with the prior art, the invention has the following beneficial effects:
1. The aviation medical rescue system integrating the oxygen supply function provided by the invention ensures that all oxygen supply devices are subjected to strict safety inspection before the aircraft takes off, the safety performance of the device is further improved by special detection aiming at different devices, and the standardization and standardization development of the aviation medical rescue system can be promoted by formulating a detailed device function detection flow.
2. The aviation medical aid system with the oxygen supply function can reduce the cost caused by repeated inspection, repeated operation and the like in the traditional medical process through the integrated system. Meanwhile, accurate medical judgment and efficient resource management are also beneficial to reducing the overall medical cost, and according to the abnormal range of a patient, the system can generate specific oxygen supply equipment adjustment instructions, including oxygen flow adjustment, breathing machine support level adjustment and oxygen supply strategy adjustment, and the accurate adjustment mode can ensure that the patient obtains oxygen supply treatment most suitable for the current condition of the patient, so that the effectiveness and safety of treatment are improved.
3. According to the aviation medical rescue system with the integrated oxygen supply function, provided by the invention, by designing the visual template, medical staff can intuitively see various data and indexes in the oxygen supply process, so that the data can be more easily understood and analyzed, the visual data can be directly transmitted to the control terminal, the medical staff can see the data and make judgment at the first time, the timeliness and the accuracy of decision making are improved, and by comparing and judging the visual data with the adjustment instruction of the oxygen supply equipment, the medical staff can more accurately adjust the oxygen supply equipment, and the safety of a patient is ensured.
Drawings
FIG. 1 is a schematic diagram of an integrated oxygen delivery unit of the present invention;
fig. 2 is a schematic diagram of an aviation medical rescue flow with integrated oxygen supply function according to the present invention.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In order to solve the problem that in the prior art, each oxygen supply device is not subjected to targeted device detection before an aircraft takes off, so that data faults cannot be used, referring to fig. 1 and 2, the present embodiment provides the following technical scheme:
an aeronautical medical assistance system integrating oxygen supply function, comprising:
An oxygen supply apparatus confirmation unit for:
The oxygen supply equipment in aviation medical rescue is confirmed, each rescue equipment is subjected to unique coding mark, and the target oxygen supply equipment is obtained after the unique coding mark is finished;
The oxygen supply equipment detection unit is used for:
Performing function detection on target oxygen supply equipment, and marking the target oxygen supply equipment which is qualified in detection as standard oxygen supply equipment;
A medical regimen confirmation unit for:
Confirming an oxygen supply mode according to the rescue site situation, confirming a site oxygen supply scheme according to the oxygen supply mode, and obtaining oxygen supply scheme data after the site oxygen supply scheme is confirmed;
An integrated oxygen supply monitoring unit for:
oxygen supply is implemented according to oxygen supply scheme data, vital signs of a patient are monitored in real time when oxygen supply is implemented, adjusting instructions are generated on oxygen supply equipment according to the vital signs of the patient, and an oxygen supply process is recorded in real time;
the monitoring data visualization control unit is used for:
Visual data conversion is carried out on the real-time recorded data in the oxygen supply process, the converted visual data is transmitted to the control terminal for display, and medical staff judges and controls in real time at the control terminal according to the displayed data.
Specifically, the detailed equipment function detection flow is formulated through the oxygen supply equipment confirmation unit and the oxygen supply equipment detection unit, the standardized and normalized development of the aviation medical rescue system can be promoted, the utilization of medical resources can be optimized through the medical scheme confirmation unit, the waste and shortage of the resources are avoided, the effective utilization of oxygen can be ensured through the integrated oxygen supply monitoring unit, the unnecessary waste is avoided, the visual data and the oxygen supply equipment adjustment instruction are compared and judged through the monitoring data visual control unit, the oxygen supply equipment can be adjusted more accurately by medical staff, and the safety of a patient is ensured.
The oxygen supply equipment confirming unit is also used for:
The oxygen supply equipment in aviation medical treatment comprises a fixed oxygen bottle, a portable oxygen bottle, a breathing mask and a breathing machine;
oxygen management is carried out on each oxygen supply device through a unified oxygen management system, wherein the oxygen management system comprises a regulator, an oxygen pipeline, a chemical oxygen generator and an oxygen concentration monitor;
respectively carrying out unique coding marks on a fixed oxygen bottle, a portable oxygen bottle, a breathing mask, a breathing machine, a regulator, an oxygen pipeline, a chemical oxygen generator and an oxygen concentration monitor;
and obtaining the target oxygen supply equipment after uniquely coding the label.
The oxygen supply equipment detecting unit is also used for:
Respectively detecting the functions of equipment by a fixed oxygen bottle, a portable oxygen bottle, a breathing mask, a breathing machine, a regulator, an oxygen pipeline, a chemical oxygen generator and an oxygen concentration monitor before the aircraft takes off;
carrying out appearance detection, pressure detection, leakage detection and charge and discharge detection on the fixed oxygen cylinder;
carrying out appearance detection, pressure detection, leakage detection and weight detection on the portable oxygen cylinder;
detecting the integrity, the tightness and the suitability of the breathing mask;
Detecting the pressure and the flow of the breathing machine;
performing pressure regulation detection and flow regulation detection on the regulator;
Performing appearance detection and pressure maintenance detection on the oxygen pipeline;
performing activation detection and output detection on the chemical oxygen generator;
performing calibration detection and response detection on the oxygen concentration monitor;
And marking the qualified equipment as target oxygen supply equipment after the detection, and replacing or maintaining the unqualified equipment until all the detection is qualified.
Specifically, various oxygen supply devices can be efficiently managed and maintained through a unified oxygen management system, the oxygen supply devices are ensured to be in a good working state, each device can be accurately tracked and managed through unique coding marks, management efficiency is improved, the device function detection flow ensures that all oxygen supply devices are subjected to strict safety inspection before an airplane takes off, special detection (such as charge and discharge detection of a fixed oxygen cylinder and weight detection of a portable oxygen cylinder) on different devices further improves the safety performance of the devices, replacement or maintenance unqualified devices can ensure that the whole system can work normally under emergency conditions, continuous and stable oxygen supply is provided for patients, problem devices can be timely found and repaired through device function detection of the system, resource waste caused by device faults is avoided, standardization and standardization development of an aviation medical rescue system can be promoted through formulating detailed device function detection flows, and the system is beneficial to improving the operation efficiency and service quality of the whole system, and better medical care is provided for patients.
Preferably, because in aviation medical aid process, the oxygen supply link is extremely critical, and the patient can in time obtain the oxygen supply and directly influence the rescue effect, consequently to oxygen concentration need accurate control, need to carry out strict calibration to oxygen concentration monitor before putting into use for this reason, specifically carry out calibration detection and response detection to oxygen concentration monitor, include the following steps:
preparing a calibration gas sample, selecting an oxygen gas of known concentration as a standard gas sample,
Starting an oxygen concentration monitor to enable the oxygen concentration monitor to run and reach a stable state, and setting a calibration parameter and a calibration airflow flow;
Introducing a calibration gas sample, introducing the calibration gas sample into an oxygen concentration monitor through an oxygen pipeline, and arranging a regulator on the oxygen pipeline for regulating the oxygen flow, wherein the flow of the calibration gas sample meets the preset requirement by regulating the regulator;
Acquiring an oxygen concentration detection value detected in a preset time period, carrying out first division on the preset time period, dividing the preset time period into a plurality of first time interval units, acquiring a primary oxygen concentration detection time value in each first time interval subunit, and acquiring the oxygen concentration detection value detected in the preset time period through the following formula based on the plurality of oxygen concentration detection time values:
Wherein, As the value of the oxygen concentration detection value,For the oxygen concentration detection time value in the nth first time interval subunit, n is the number of the first time interval units,
Comparing the oxygen concentration detection values in a plurality of different preset time periods with the concentration value of the standard gas sample, and calculating a deviation value through the following formula:
as a result of the value of the deviation, Is the concentration value of the standard gas sample,For the oxygen concentration detection value in the ith preset time period, i is a positive integer less than or equal to m, m is the number of the preset time periods and is a positive integer greater than 2,
When the deviation value is larger than a preset deviation threshold value, marking that the accuracy of the oxygen concentration monitor is not in accordance with the requirement, and adjusting or maintaining the oxygen concentration monitor;
And (3) carrying out new round of calibration on the adjusted oxygen concentration monitor again according to the steps until the calibration result is qualified.
The principle and effect of the technical scheme are that oxygen gas with known concentration is prepared in advance to serve as a standard gas sample, after an oxygen concentration monitor is started, a calibration process is started after the state is stable, so that the effect of calibration is not affected by instability of the transmission of an early-stage oxygen pipeline, after calibration parameters and the flow rate of a calibration airflow are set, the calibration gas sample is fully filled with the oxygen concentration monitor, the oxygen concentration monitor can be fully detected, in order to ensure that the detected oxygen concentration detection value is the real and objective level of the oxygen concentration monitor, the oxygen concentration monitor is continuously detected in a preset time period, and is subjected to first division in the preset time period, a first time interval unit is obtained, the oxygen concentration monitor obtains data in real time, the oxygen concentration detection time value in each first time interval unit is calculated respectively, the oxygen concentration detection value is obtained through calculating average, the oxygen concentration detection value can be discontinuous in a plurality of preset time periods, the oxygen concentration detection value in the preset time periods is compared with the concentration value of the standard gas sample respectively, the deviation value is calculated, if the deviation value is larger than the preset deviation, the oxygen concentration monitor is not detected in the preset time period, the oxygen concentration monitor can be accurately detected in the oxygen concentration monitor, or the oxygen concentration monitor can be accurately corrected until the oxygen concentration monitor is not detected in the standard time, the oxygen concentration monitor is accurately reaches the standard, the standard oxygen concentration monitor, the accuracy is improved, the accuracy of the oxygen concentration is accurately detected, and the standard oxygen concentration monitor can be accurately detected after the oxygen concentration monitor is corrected, or the standard node is accurately detected.
In order to solve the problem of poor oxygen supply effect caused by the fact that the oxygen supply mode is not confirmed according to the actual situation of the site and the oxygen supply mode is not adjusted according to the actual situation of the patient in the prior art, referring to fig. 1 and 2, the present embodiment provides the following technical scheme:
a medical regimen confirmation unit comprising:
the oxygen supply mode confirming module is used for:
confirming an oxygen supply mode according to the site situation on the aircraft, wherein the site situation is confirmed according to the patient situation, environmental factors and equipment availability;
the oxygen supply mode comprises fixed oxygen supply, portable oxygen supply, high-altitude oxygen supply, breathing machine oxygen supply, chemical oxygen generator oxygen supply and on-site oxygen production.
The oxygen supply scheme confirming module is used for:
after the oxygen supply mode is confirmed, making an oxygen supply scheme;
The oxygen supply scheme is formulated to set equipment parameters according to different oxygen supply equipment in the oxygen supply mode, wherein the equipment parameters comprise oxygen flow, pressure and equipment type;
medical staff distribution is carried out after the equipment parameter setting is completed;
and obtaining oxygen supply scheme data according to the oxygen supply equipment corresponding to each patient, the parameters set by each oxygen supply equipment and the medical staff corresponding to each oxygen supply equipment.
Specifically, the oxygen supply mode confirmation module can flexibly select the most suitable oxygen supply mode according to the site conditions on the aircraft, including the patient conditions, environmental factors and equipment availability. This flexibility ensures that the system provides an efficient supply of oxygen under different flight conditions and emergency medical conditions, and the oxygen supply scheme confirmation module is capable of quickly formulating an oxygen supply scheme, including equipment parameter settings and healthcare worker assignments, after confirmation of the oxygen supply scheme. The high efficiency is helpful for quick response in emergency, timely oxygen treatment is provided for patients, the system can ensure the stability and accuracy of oxygen supply through accurate equipment parameter settings such as oxygen flow and pressure, thereby improving the treatment effect, and corresponding oxygen supply equipment and parameter settings can be allocated to each patient according to the specific situation and needs of each patient, so that personalized oxygen treatment is realized. The customized service is beneficial to meeting the treatment requirements of different patients, improving the pertinence and the effectiveness of treatment, and the system can optimize the utilization of medical resources and avoid the waste and shortage of the resources through reasonable medical staff allocation and equipment parameter setting. This helps to improve the overall efficiency and reliability of the aviation medical care system, ensuring the safety and reliability of the oxygen supply through strict equipment parameter settings and healthcare worker assignments. This helps to reduce medical risks due to insufficient or unstable oxygen supply.
An integrated oxygen supply monitoring unit comprising:
the vital sign data monitoring module is used for:
When the patient is subjected to ventilation according to ventilation protocol data, vital sign monitoring is performed on the patient at the same time;
The vital sign monitoring equipment comprises an electrocardiograph monitor, a blood oxygen saturation monitor and a respiratory frequency monitor;
when vital sign monitoring is carried out on a patient, vital sign monitoring data of the patient are recorded in real time;
the vital sign monitoring data are heart rate, heart rhythm, electrocardiogram, blood pressure and heart rate variability data monitored by an electrocardiograph monitor;
blood oxygen saturation, oxygen saturation trend and body temperature data monitored by the blood oxygen saturation monitor;
Respiratory rate and respiratory pattern data monitored by the respiratory rate monitor;
Finally, vital sign monitoring data of the patient are obtained.
The oxygen supply equipment real-time adjustment module is used for:
Comparing the vital sign monitoring data of the patient with the normal vital sign data, and judging the abnormal range of the patient according to the comparison result, wherein the normal vital sign data is retrieved from the database;
generating an oxygen supply equipment adjusting instruction according to the abnormal range of the patient;
The oxygen supply equipment adjusting instruction comprises oxygen flow adjustment, breathing machine support level adjustment and oxygen supply strategy adjustment;
And continuing to apply oxygen supply after the adjustment instruction is generated, and recording the oxygen supply application process before and after the adjustment of the patient in real time.
Specifically, through integrated vital sign data monitoring module, aviation medical aid system can real-time supervision patient's heart rate, rhythm of the heart, electrocardiogram, blood pressure, heart rate variability, blood oxygen saturation, oxygen saturation trend, key vital sign data such as body temperature, respiratory rate and breathing mode. The data provides timely patient state information for medical staff, and is helpful for the medical staff to quickly make accurate medical judgment, so that the medical efficiency and the safety are improved, and the system can accurately control the oxygen supply by combining oxygen supply scheme data, so that the patient is ensured to be supported by the most proper oxygen therapy. The accurate oxygen supply is beneficial to reducing medical risks caused by insufficient or excessive oxygen supply, and the cost caused by repeated examination, repeated operation and the like in the traditional medical process can be reduced through the integrated system. Meanwhile, accurate medical judgment and efficient resource management are also beneficial to reducing the overall medical cost, real-time monitoring and accurate oxygen supply are beneficial to reducing pain and discomfort of patients in the transportation process, the comfort level of the patients is improved, vital sign data of the patients are monitored in real time and compared with normal sign data, the system can rapidly identify the abnormal range of the patients, the capability of real-time monitoring and rapid comparison is achieved, a medical team can rapidly respond and timely adjust oxygen supply equipment, so that the treatment efficiency of the patients is improved, the system can generate specific oxygen supply equipment adjusting instructions according to the abnormal range of the patients, the oxygen supply equipment adjusting instructions comprise oxygen flow adjustment, breathing machine support level adjustment and oxygen supply strategy adjustment, the accurate adjusting mode can ensure that the patients obtain oxygen supply treatment which is most suitable for the current conditions of the patients, the effectiveness and the safety of treatment are improved, the system can ensure effective utilization of oxygen through accurate oxygen supply equipment, unnecessary waste is avoided, a real-time monitoring and rapid response mechanism is beneficial to finding and processing abnormal conditions of the patients, and potential risks are reduced.
In the above technical solution, the oxygen flow adjustment and the oxygen supply strategy adjustment in the oxygen supply equipment adjustment instruction include the following steps:
The method comprises the steps of adjusting an electrocardiogram monitored by an electrocardiograph monitor, connecting values of R waves in the electrocardiogram through a smooth curve, constructing a respiratory characteristic curve, and obtaining duration time of an inspiration process and an expiration process according to the respiratory characteristic curve;
Judging the air flow limitation degree of a patient according to the ratio of the duration of the inspiration process to the duration of the expiration process, and dividing the air flow limitation grades according to the air flow limitation degree of the patient, wherein the air flow limitation grades comprise a primary limitation grade, a secondary limitation grade and a tertiary limitation grade;
the method comprises the steps of carrying out an inspiration process, wherein when the ratio of the duration of the inspiration process to the duration of the expiration process is 1:1.5-1:2, the airflow limitation grade is a primary limitation grade, when the ratio of the duration of the inspiration process to the duration of the expiration process is 1:2-1:3, the airflow limitation grade is a secondary limitation grade, and when the ratio of the duration of the inspiration process to the duration of the expiration process is greater than 1:3, the airflow limitation grade is a tertiary limitation grade;
Monitoring the oxygen concentration value in the breathing mask in real time through an oxygen concentration monitor in the process of supplying the breathing mask to a patient, and acquiring the oxygen flow value of an oxygen pipeline in real time based on a regulator;
When the air flow limited level is the primary limited level, the first oxygen supply flow strategy of the oxygen pipeline is regulated by the regulator, and oxygen is supplied by the first oxygen flow value until the oxygen concentration value in the breathing mask reaches the first oxygen concentration value;
When the air flow limited level is the secondary limited level, a second oxygen supply flow strategy of the oxygen pipeline is adjusted through the regulator, oxygen is supplied by a second oxygen flow value, and meanwhile, the oxygen humidity value is adjusted until the oxygen concentration value in the breathing mask reaches the second oxygen concentration value;
when the airflow limited level is three-level limited level, the third oxygen supply flow strategy of the oxygen pipeline is adjusted through the regulator, oxygen is supplied by the third oxygen flow value, and meanwhile, the oxygen humidity value is adjusted until the oxygen concentration value in the breathing mask reaches the third oxygen concentration value.
The principle and the effect of the technical scheme are that the electrocardiograph monitored by the electrocardiograph monitor can master the breathing condition of a patient most intuitively, a breathing characteristic curve is obtained, the duration of the breathing process and the duration of the breathing process are obtained according to the breathing characteristic curve, thus whether the patient has an anoxic condition or not can be mastered quickly by analyzing the breathing process and the breathing process of the patient, the slope of the point on the breathing characteristic curve can reflect the breathing process of the patient, if the slope is positive, the patient is shown to breathe, if the slope is negative, the patient is shown to breathe, if the slope is 0, the patient is shown to breathe stagnation (the tail end of inspiration or the tail end of expiration), and whether the patient is in the breathing process from the breathing process to the breathing process or from the breathing process to the breathing process can be judged through the change of the slope, and therefore the duration of the breathing process of the patient can be obtained, the airflow limitation degree of the patient is judged according to the ratio of the duration of the breathing process to the duration of the breathing process, when the ratio is 1:1.5:2, the duration of the breathing process is slightly short, the airflow limitation degree is shown when the ratio is 1:1:1-5:2, the duration of the breathing process is lower than the duration of the breathing process is 1:3, the ratio is lower than the duration of the current value when the ratio is lower than the duration of the oxygen limitation value is lower than the duration of the current value is equal to the duration of the breathing process, and the ratio is lower than the duration of the oxygen limitation value is equal to the duration of the ratio is lower than the ratio of the duration of the ratio is equal to 3.
If the patient is in the first-level restricted level, the patient is shown to be slightly anoxic, but the patient is not seriously, the first oxygen supply flow strategy of the oxygen pipeline can be regulated through the regulator, basically the oxygen supply flow value is increased until the oxygen concentration value in the breathing mask reaches the first oxygen concentration value, wherein the first oxygen concentration value can be preset, the first oxygen concentration value is matched with the first-level restricted level, and the air flow restriction condition of the patient can be relieved under the first oxygen concentration value and the oxygen supply quantity is improved through the preset data training and testing.
If the patient is in the secondary limited level, the patient is indicated to have moderate hypoxia, and in this case, the effect generated by only adjusting the flow of the oxygen pipeline cannot be satisfied, and the oxygen humidity value needs to be properly increased, so that the oxygen supply effect and the oxygen absorptivity can be improved by increasing the oxygen humidity value until the oxygen concentration value in the breathing mask reaches the second oxygen concentration value, and the second oxygen concentration value can also be preset and matched with the secondary limited level.
If the patient is in the tertiary restricted level, it indicates that the patient's exhales seriously and is not smooth, and there is a serious hypoxia condition, and in this case, the flow and the oxygen humidity value of the oxygen pipeline need to be adjusted simultaneously until the oxygen concentration value in the breathing mask reaches the third oxygen concentration value, and as above, the third oxygen concentration value can also be preset and matched with the tertiary restricted level.
According to the technical scheme, the inhalation duration and the expiration duration of the patient are combined, the patient is classified under the air flow limitation condition, different oxygen supply strategies are adopted under different air flow limitation grades, so that the necessity and the oxygen supply effect of oxygen supply are improved, and the patient can be ensured to be timely supported by the effective oxygen supply through intelligent setting.
In order to solve the problem that in the prior art, the oxygen supply equipment on the aircraft is not integrated uniformly in data, and the oxygen supply equipment is not coordinated with the actual condition of the patient, so that the effect of the aviation oxygen supply function is poor, please refer to fig. 1 and 2, the embodiment provides the following technical scheme:
The monitoring data visualization control unit is also used for:
carrying out data confirmation on oxygen supply implementation process data recorded in real time before and after the patient is adjusted;
Carrying out data preprocessing after data confirmation, wherein the data preprocessing comprises data cleaning, data conversion and data standardization;
After the data are cleaned, designing a visual template, wherein the visual template comprises a chart type, a color change, a label and a unit;
mapping the data subjected to data cleaning to a designed visual template, and generating visual data of a chart, equipment and indexes according to a mapping rule;
The visual data are transmitted to the control terminal for display, medical staff analyzes abnormal conditions of the visual data at the control terminal, compares and judges the visual data with an adjusting instruction of the oxygen supply equipment according to the analysis result, and adjusts and implements the oxygen supply equipment according to the judging result;
And after the adjustment is finished, continuously recording the oxygen supply process of the patient in real time, transmitting the oxygen supply process to the control terminal, and judging the transmitted data on the control terminal by medical staff.
Specifically, the data can be removed redundancy, errors or inconsistent data, the availability of the data is improved, the data can be converted and standardized, the data from different sources can be in a unified format, the subsequent analysis and processing are facilitated, through designing the visual template, medical staff can visually see various data and indexes in the oxygen supply process, and accordingly the data can be understood and analyzed more easily, the chart type, the color change, the label and the reasonable design of a unit are achieved, the data can be displayed more clearly and visually, the visual data can be directly transmitted to the control terminal, the medical staff can see the data and make judgment in the first time, the timeliness and the accuracy of decision are improved, the visual data can be compared and judged with the adjustment instruction of the oxygen supply equipment, the oxygen supply equipment can be adjusted more accurately by the medical staff, the safety of a patient is ensured, the oxygen supply process of the patient is recorded in real time, the medical staff can immediately respond once the abnormal situation is found, the oxygen supply equipment is adjusted, the patient is ensured to obtain and the effective treatment in time, the data is confirmed, the visual pretreatment, the visual and the adjustment of the data can be carried out, the work is more effectively and the work is more completely and the work is less, the necessary, and the work is more completely and the work is reduced.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made hereto without departing from the spirit and principles of the present invention.
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