Technical and market analysis of ventilators and anesthesia machines

Release date: 2010-07-05



At present, the level of ventilator development in China is relatively low. There are 4 to 5 companies that do ventilators in China. No one has essentially made any technological breakthroughs. The anesthesia machine is slightly better and the development level is higher than that of the ventilator. Whether it is an anesthesia machine or a ventilator technology, it is relatively low compared to foreign countries. It is a reference and imitation of foreign technology.
From the technical point of view, the invasive ventilator is still the mainstream, the non-invasive ventilator technical problem has not been completely solved, and it is used for research, and it is difficult to develop non-invasive ventilators in China. Foreign high-end ventilators include 740, 840 of the US PB; Oumida of the United States; Galileo of Switzerland; Siemens and Draeger of Germany.
Since the ventilator and the anesthesia machine are technically similar, the manufacturer usually produces both types of equipment at the same time. Since SARS, the clinical application of ventilators has received attention from medical institutions at all levels.
The anesthesia machine is an indispensable medical device in the operating room. It has been used for many years in China and is a relatively mature device. For the requirements of an anesthesia machine, the most important issue is safety. The so-called safety is that in the process of use, the performance of the machine should be stable, and the nature of the machine must be stable. In terms of the most basic functions of the anesthesia machine, there are mainly two, one is to release the anesthetic and the other is to supply oxygen. From the point of view of anesthetics, mainly the volatile tank must be accurate, and now basically this has passed.
The anesthesia machine should have anesthesia gas monitoring. In addition to the concentration of the machine, the actual measurement should be carried out. What is the concentration of the anesthetic produced by the machine? What is the concentration of the patient's body exhaled? The monitoring of the concentration of the anesthetic gas has been used as an anesthesia machine. basic configuration. In addition, the ventilator must be accurate, such as the amount of tidal volume, the difference can not exceed 10%, it is acceptable in this range. This includes the bellows of the ventilator must be accurate, and the other is that the value of the monitored flow must be accurate, and the two numbers must match. In addition to the two basic functions mentioned above, the anesthesia machine has many functions, which have good places, such as improved safety. For example, when the workstation is turned on, it will perform self-testing and test the key parts such as connectors, power supplies, and susceptors. If the inspection fails, the machine will not be used, and a small problem cannot be used. The basic functions of the anesthesia machine are indistinguishable. The difference between high, medium and low is that the control is precise and inaccurate. The convenience in working operation is relatively high and the performance is relatively reliable. The essence is that there is no difference.
The basic requirements of an anesthesia machine are actually composed of two parts, one part is anesthesia, which delivers the inhaled anesthetic to the patient. The newly developed anesthesia machine now has both an inhalation system and an intravenous system, but mainly an inhalation system; The function of the two parts is a very important resuscitation function, in other words, the function of respiratory management. This part of the function is that the anesthesia machine can make a fully closed mask to buckle the patient's mouth and nose, and through high pressure oxygen, while anesthesia after the trachea After intubation, it can be manually ventilated or mechanically ventilated, which is a very important function. Other features are a more complete approach that is attached to these two functions. Among them, there is a monitoring system that can monitor the concentration of anesthetics, and can monitor some breathing data, such as airway pressure, ventilation, oxygen inhalation, and exhaled carbon dioxide. The more detailed, the better, but these are auxiliary functions.
The anesthesia machine should be more and more simple to use. In the application, the accuracy of the gas supply should be high, the precision of the volatilization tank should be high, and the volume should not be too large. Compared with the past, the anesthesia machine has a higher degree of electronicization and a higher precision of operation. At the same time, some of the original external pipes are built in, which reduces the occurrence of air leakage and maintains relative humidity. Convenience. In addition, the operation mode of the anesthesia machine has also been increased, but there is also a particularly big problem, that is, a crash. This is very dangerous. The past was a mechanical operation and there was no such problem. Therefore, in the case of an increased degree of electronicization, there is no chance of a crash, or in the case of such an event, an immediate response measure should be provided.
The ventilator is a device that assists the patient in ventilation. After the ventilator develops, the ventilator is not only a ventilator, but also includes a detection system. During the process of ventilation, it is possible to monitor changes in the patient's respiratory mechanics, to understand the patient's respiratory function, to adjust the patient's breathing parameters at any time, and to have a relatively complete monitoring system and alarm system. This is also a very important feature of current ventilators. The main function of the ventilator is ventilation. As long as it has ventilation function, the ventilator can play a therapeutic role. The difference in ventilator may be related to the control of ventilation function, the efficiency of ventilation function, and the effectiveness of ventilation function. In addition, the monitoring function and alarm system in the case of ensuring ventilation function, as well as other auxiliary settings, cause differences between the ventilators, but in terms of the function of the ventilator itself, it is a ventilation function, as long as ventilation treatment is achieved. Function is the mode of a ventilator.

Market status of ventilators At present, the annual demand for domestic ventilators is about 5,000 units, including 2,400 low-end ventilators and 2,600 medium-to-high-end ventilators. The annual demand for domestic anesthesia machines is about 5,000, including 3,000 low-grade anesthesia machines and 2,000 medium-to-high-end anesthesia machines. Domestic manufacturers mainly occupy the low-end market of two products, and the high-end market is monopolized by foreign products.
The use of assisted breathing mechanical rescue of respiratory failure patients has become an indispensable means of modern hospitals. In recent decades, ventilator technology has developed extremely rapidly, with more than 20 world-renowned manufacturers in the leading position in technology. Some of them are old factories with more than 20 years of production history, such as Bird in the United States; some are rising stars in the past 10 years, such as Puritan Bennett and Newport in the United States, Siemens in Germany, and Teama in France. Their products have their own characteristics and they all have a certain market.
The annual sales volume of the ventilator market in China is estimated to be 2,500 units, of which 1/5 are imported machines. In 2003, SARS became popular, and the market expanded by nearly 1,000 units. In order to change the long-term backwardness of ventilator technology in China, we should consider how to introduce, digest, absorb and gradually change the situation that high-end ventilators are completely dependent on imports. The ventilator is a high-tech electromechanical product. Its technical difficulties are precision machining, wear-resistant alloys, pressure and flow sensors, that is, in the field of machining. Siemens' design philosophy is worth learning. They focus their improvement on airflow control valves to increase reliability and extend mean time between failures. The ventilator is a three-shift working device and a rescue device. Reliability is extremely important. Imported machines are not as expensive as possible, because more than 90% of clinical rescues use CMV, SIMV, PS, PS+PEEP, etc. The performance of high-end machines is only applicable to very few cases. Therefore, blindly purchasing high-end machines is a great waste. When considering the purchase or production of a ventilator, the mid-range machine is more suitable for the national conditions, and the key hospitals with scientific research tasks can purchase a small number of high-end machines.

(Source: China Electromechanical Data Network)

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