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面向农村医疗中心和医院的低成本单脚操作机械吸引器。

Low-cost single foot operated mechanical suction machine for rural health centers and hospitals.

作者信息

Dawud Ahmed Ali, Abagaro Ahmed Mohammed

机构信息

Department of Biomedical Engineering, Kombolcha Institute of Technology, Wollo University, Kombolcha, Ethiopia.

School of Biomedical Engineering, Jimma Institute of Technology, Jimma University, Jimma, Ethiopia.

出版信息

BMC Biomed Eng. 2025 Aug 4;7(1):10. doi: 10.1186/s42490-025-00096-2.

Abstract

INTRODUCTION

Healthcare practitioners in low and middle-income countries encounter numerous challenges, including insufficient staffing, an unreliable electrical infrastructure, and constrained resources. Unstable availability of electricity constitutes a significant impediment to the efficacy of public health initiatives that depend on technology requiring electrical power. More than 95% of medical apparatus is procured from developed nations, with an only 13% of medical device manufacturers situated within LMIC. Non-profit organizations have developed innovative medical technologies that offer life-saving solutions previously inaccessible in the developing world.

METHODS

The device is designed to be cost-effective, made from local resources, compact, portable, and operated without electricity. The device is designed to have replaceable parts, a waste container cut off, and be compatible with standard suction catheter/tubing. It includes user and maintenance training, displayed parameters, corrosion-resistant components, and pump pedal spring loading. A combination concept was created by combining the manufacturing capabilities of a diaphragm with the efficiency of a piston cylinder. The final design chosen uses a piston-cylinder assembly with a trash bag diaphragm for the seal, eliminating the need for exact tolerances and costly machining. A prototype was built on top of this combined design concept.

RESULT

The design concept involves the implementation of locally accessible resources for the pressure-generating mechanisms, as well as the adaptability and ease of assembly of the device. The ideal length of the cylinder assembly was determined through pressure readings using a digital manometer differential pressure sensor. Changing the capacity of the cylinder can adjust the pressure range. The ideal cylinder length was found to be 12.75 inches as it provided the desired pressure range, although longer cylinders were inconsistent and difficult for users to operate.

CONCLUSION

The Foot-Operated Suction Unit is particularly well suited for usage in distant places without power supply, rural health facilities, home care, field emergencies, and brief power outages due to its compact size, low weight, and simplicity of operation. Hospitals of all levels typically employ foot-operated suction units to execute abortions and to draw blood, pus, sputum, and other mucus during surgical operations.

摘要

引言

低收入和中等收入国家的医疗从业者面临诸多挑战,包括人员配备不足、电力基础设施不可靠以及资源受限。电力供应不稳定严重阻碍了依赖电力技术的公共卫生举措的成效。超过95%的医疗设备从发达国家采购,而低收入和中等收入国家境内仅有13%的医疗设备制造商。非营利组织开发了创新型医疗技术,提供了此前在发展中世界无法获得的救生解决方案。

方法

该设备设计得具有成本效益,采用当地资源制造,体积紧凑、便于携带且无需电力即可操作。该设备设计有可更换部件、切断的废物容器,并且与标准吸引导管/ tubing兼容。它包括用户和维护培训、显示参数、耐腐蚀部件以及泵踏板弹簧加载。通过将隔膜的制造能力与活塞缸的效率相结合,创造了一种组合概念。最终选定的设计采用带有垃圾袋隔膜用于密封的活塞缸组件,无需精确公差和昂贵的机械加工。在此组合设计概念之上制造了一个原型。

结果

设计概念涉及为压力产生机制采用当地可获取的资源,以及该设备的适应性和易于组装性。通过使用数字压力计差压传感器进行压力读数,确定了气缸组件的理想长度。改变气缸容量可调整压力范围。发现理想的气缸长度为12.75英寸,因为它提供了所需的压力范围,不过较长的气缸不一致且用户操作困难。

结论

脚踏式吸引装置因其体积紧凑、重量轻且操作简单,特别适合在没有电源的偏远地区、农村卫生设施、家庭护理、现场紧急情况以及短暂停电期间使用。各级医院通常使用脚踏式吸引装置进行堕胎手术,并在外科手术期间抽取血液、脓液、痰液和其他黏液。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9de/12320364/b0a4b353bdec/42490_2025_96_Fig1_HTML.jpg

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