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带集成仿生超压释放和声学警告信号的发音阀。

Speaking valve with integrated biomimetic overpressure release and acoustic warning signal.

机构信息

Plant Biomechanics Group, Botanic Garden, University of Freiburg, Freiburg, Germany.

Cluster of Excellence livMatS @ FIT - Freiburg Center for Interactive Materials and Bioinspired Technologies, University of Freiburg, Freiburg, Germany.

出版信息

Sci Rep. 2024 Nov 4;14(1):26655. doi: 10.1038/s41598-024-77595-0.

DOI:10.1038/s41598-024-77595-0
PMID:39496769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11535527/
Abstract

Speaking valves enable tracheostomy patients to speak naturally. However, improper use may cause dangerous overpressure, leading to severe complications or even patient's death. We address this life-threatening issue by creating a biomimetic speaking valve, which incorporates an integrated overpressure valve that automatically opens when reaching critical pressure levels. To enhance safety, we integrated a whistle module to provide an audible alert for medical staff. Fundamental research on the Utricularia vulgaris trapdoor inspired our abstracted valve form. Through a comprehensive analysis using generalized linear mixed-effect models, we examined various membrane parameter effects on the function of the biomimetic overpressure valve. This enabled us to adjust the valve's opening pressure to cater to patient's unique requirements, thus potentially saving lives by applying a solution from nature.

摘要

会厌通气阀使气管切开术患者能够自然发声。但是,如果使用不当,可能会导致危险的过压,从而导致严重的并发症,甚至危及患者生命。我们通过创建一种仿生会厌通气阀来解决这个危及生命的问题,该阀集成了一个过压阀,当达到临界压力水平时会自动打开。为了提高安全性,我们集成了一个哨子模块,为医务人员提供听觉警报。我们从狸藻的陷阱门中获得灵感,进行了基础性研究,抽象出了我们的通气阀形状。通过使用广义线性混合效应模型进行全面分析,我们研究了各种膜参数对仿生过压阀功能的影响。这使我们能够根据患者的独特需求调整阀门的开启压力,从而通过应用源自自然的解决方案来挽救生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/5059fc726658/41598_2024_77595_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/b6cfc67d34b5/41598_2024_77595_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/ff43eaf7dde5/41598_2024_77595_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/71c86ceac8db/41598_2024_77595_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/f97d3453b2cf/41598_2024_77595_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/5059fc726658/41598_2024_77595_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/b6cfc67d34b5/41598_2024_77595_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/ff43eaf7dde5/41598_2024_77595_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/71c86ceac8db/41598_2024_77595_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/f97d3453b2cf/41598_2024_77595_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e36/11535527/5059fc726658/41598_2024_77595_Fig4_HTML.jpg

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Sci Rep. 2024 Nov 4;14(1):26655. doi: 10.1038/s41598-024-77595-0.
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本文引用的文献

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Biomimetics Linked to Classical Product Development: An Interdisciplinary Endeavor to Develop a Technical Standard.与传统产品开发相关的仿生学:制定技术标准的跨学科努力。
Biomimetics (Basel). 2022 Mar 30;7(2):36. doi: 10.3390/biomimetics7020036.
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Mechanical ventilation parameters in critically ill COVID-19 patients: a scoping review.危重症 COVID-19 患者机械通气参数:范围综述。
Crit Care. 2021 Mar 20;25(1):115. doi: 10.1186/s13054-021-03536-2.
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Alarm Strategies and Surveillance for Mechanical Ventilation.机械通气的报警策略和监测。
Respir Care. 2020 Jun;65(6):820-831. doi: 10.4187/respcare.07546.
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Plant Movements as Concept Generators for the Development of Biomimetic Compliant Mechanisms.植物运动作为仿生柔顺机构发展的概念生成器。
Integr Comp Biol. 2020 Oct 1;60(4):886-895. doi: 10.1093/icb/icaa028.
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Mechanical Ventilation Alarms and Alarm Fatigue.机械通气报警与报警疲劳
Respir Care. 2019 Oct;64(10):1308-1313. doi: 10.4187/respcare.06878. Epub 2019 Jun 18.
6
Fatal bilateral pneumothorax and generalized emphysema following contraindicated speaking-valve application.禁忌使用发声阀后出现致命性双侧气胸和广泛性肺气肿。
Forensic Sci Med Pathol. 2019 Jun;15(2):239-242. doi: 10.1007/s12024-019-00107-4. Epub 2019 Mar 23.
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The basics of respiratory mechanics: ventilator-derived parameters.呼吸力学基础:呼吸机衍生参数
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Trap diversity and character evolution in carnivorous bladderworts (Utricularia, Lentibulariaceae).肉食性狸藻属植物(狸藻科)的陷阱多样性与特征演化。
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Biomimetic bio-inspired biomorph sustainable? An attempt to classify and clarify biology-derived technical developments.仿生学、受生物启发的生物形态是否可持续?对源自生物学的技术发展进行分类和澄清的尝试。
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Fastest predators in the plant kingdom: functional morphology and biomechanics of suction traps found in the largest genus of carnivorous plants.植物王国中速度最快的捕食者:在最大的食肉植物属中发现的捕虫囊的功能形态学与生物力学
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