Individualized enteral nutrition treatment digital equipment capable of adding cooked food

Abstract

The invention discloses individualized enteral nutrition treatment digital equipment capable of adding cooked food, which comprises a central control module and a treatment device controlled by the central control module to perform enteral nutrition treatment, the central control module comprises a processor and a memory, and an enteral nutrition treatment software program is stored in the memory. The processor performs enteral nutrition treatment based on the enteral nutrition treatment software program control, reads a clinical nutrition prescription, analyzes the clinical nutrition prescription, calculates the water consumption, weighs the special medical food and / or cooked food and water, mixes the weighed special medical food and / or cooked food with water, and sends the mixture to the server; and packaging and outputting the fluid individual enteral nutrition product. According to the invention, the treatment of enteral nutrition can be efficiently completed, and particularly the treatment of a mixture of carbohydrate paste, meat and egg paste and vegetable paste added into formula food for special medical purposes is realized.

Description

Technical Field

[0001] The present invention relates to the technical field of enteral nutrition treatment, and in particular to a digital device for enteral nutrition treatment capable of adding prepared food in an individualized manner. Background Art

[0002] Studies on the relationship between human nutrition and disease have found that nutrition is closely related to the occurrence and development of diseases and their immune system functions. Malnutrition can aggravate the progression of diseases, including immune dysfunction, delayed recovery, treatment failure, increased infection and complications, prolonged hospitalization, increased readmission rate and mortality, and nutritional status has a bidirectional relationship with inflammation and immune function. Nutrition is a key factor in host defense against pathogens. Malnutrition can increase host susceptibility and severity of infection through various pathways, and nutritional status can significantly affect the response to vaccines or therapeutic drugs. Clinical medicine is dominated by drugs, and the correlation between drug effects and nutritional status is seriously underestimated or ignored. Malnutrition in intensive care settings has always been a global problem, with prevalence rates as high as 78.1% and 50.8% in developing and developed countries, respectively. Malnutrition in most hospitals in China is often misdiagnosed or missed, and inappropriate nutritional support is common. Although guidelines recommend early EN (enteral nutrition) in most cases, PN (parenteral nutrition) is still the overwhelming form of nutritional support. Therefore, there is an urgent need to conduct a comprehensive study of malnutrition and nutritional support in China to improve awareness of malnutrition and improve the effectiveness of nutritional treatment.

[0003] It is estimated that the number of bacteria in the human body is roughly the same as the number of its cells. The human intestinal microbiome is a complex ecosystem that is considered an immune and metabolic organ. The human genes, lifestyle, drugs, nutrients and their metabolites all affect the intestinal microbiome. The intestinal flora is related to many diseases, and it is necessary to maintain the diversity of intestinal microorganisms. Certain diseases are treated by intestinal bacterial transplantation. In addition to providing energy to the body, the most important thing about EN (enteral nutrition) is to provide food for the normal intestinal flora, so that it maintains the species and its number and position, and prevents the occurrence of refractory infectious diseases caused by changes in the number and position of the flora due to insufficient food for the flora.

[0004] At present, the clinical demand for enteral nutrition is growing, but in view of the low efficiency and high cost of manual processing, the actual clinical demand is far from being met. Existing data confirm that the effect of enteral nutrition mixtures that completely use special medical purpose formula foods (hereinafter referred to as special medical foods) and add prepared foods is far better than the use of special medical purpose formula foods alone. Special medical foods have high energy density and can meet the nutritional needs of special populations in disease states. They are specially processed. However, its disadvantage that cannot be ignored is that it may lead to nutritional imbalance, overnutrition, electrolyte imbalance, metabolic disorders, and increased burden on the liver and kidneys, and cannot be used for a long time.

[0005] In line with the principle of leveraging the strengths of special medical foods and avoiding their weaknesses, cooked food paste is added to special medical foods. The cooked food paste is repeatedly ground by a food grinder until there is no residue and then mixed with special medical foods. The clinical effect of the mixture of the two has been practiced in many medical institutions in Tianjin, with excellent results. However, it has not been widely promoted and used because of the cumbersome mixing process. Although there are some automatic enteral nutrition processing machines, most of them lack the ability to process individualized nutrition prescriptions; or they are simply in the form of special medical formula foods mixed with powders, which have many inconveniences and do not have the effect of adding cooked food. They need to be improved and are not suitable for frequent use.

[0006] In addition, the applicant's "A Clinical Nutrition Digital Diagnosis and Treatment System" (patent number ZL2021101744061) has been authorized. It aims to form clinical nutrition prescriptions led by clinical doctors. It has been approved in Tianjin Second People's Hospital and Tianjin Medical University, and has been implemented in the ICU of the Second People's Hospital and the Department of Critical Care Medicine of the General Hospital Affiliated to the Medical University. However, it still needs to be implemented and realized, especially the ability to automatically configure nutritional products according to the given nutritional plan and the nutritional processing settings that can add prepared foods, which has become the current priority.

[0007] Therefore, there is an urgent need to develop a processing device that can efficiently complete enteral nutrition, especially a processing device for special medical purpose formula foods added with a mixture of carbohydrate paste, meat-egg paste, and vegetable paste. Summary of the invention

[0008] The purpose of the present invention is to overcome the shortcomings and defects of the prior art and to provide an individualized enteral nutrition treatment digital equipment that can add cooked food. The equipment aims to solve the intelligent calculation and corresponding treatment problems of complex changes in the energy density, nutrient proportion, EN total amount control, etc. of the nutrient solution when special medical food is mixed with cooked food paste. Through the coordinated effect of a series of hardware and software, the equipment can be simplified so that special medical food and cooked food paste can be mixed and used to form complementary advantages, convenience, clarity, and easy and widespread use.

[0009] A digital equipment for enteral nutrition treatment that can add prepared food to individualized enteral nutrition treatment includes a central control module and a treatment device for enteral nutrition treatment controlled by the central control module, the central control includes a processor and a memory, the memory stores an enteral nutrition treatment software program, the processor controls enteral nutrition treatment based on the enteral nutrition treatment software program, reads a clinical nutrition prescription, analyzes the clinical nutrition prescription, calculates the amount of water, weighs special medical foods and / or prepared foods, and water, mixes the weighed special medical foods and / or prepared foods with water, makes a fluid individualized enteral nutrition product, and then packages and outputs it.

[0010] Among them, the individualized enteral nutrition product is a sealed and complete product with packaging, and the content of the individual nutrition prescription is recorded through a label, including the patient's name, total energy value for the day, energy value per bag, proportion of cooked food, bag capacity, storage temperature, and completion time.

[0011] Among them, the processing device has three processing modes. In the first processing mode, the special medical food is mixed with water and then processed and output. In the second processing mode, the cooked food is mixed with water and then processed and output. In the third processing mode, the special medical food and cooked food are mixed with water and then output.

[0012] Among them, the clinical nutrition prescription includes special medical food prescription, cooked food prescription and special medical food and cooked food mixed prescription; the processing device can identify the category of the nutrition prescription input therein, and automatically select one of the three processing modes to work.

[0013] Among them, when the treatment device performs enteral nutrition treatment, after weighing the special medical food and / or cooked food, the special medical food, cooked food or the mixture of special medical food and cooked food is automatically added with water through the filling unit and loaded into the packaging bag, and the lid is automatically screwed and sealed, and the label is automatically printed and labeled before being output offline.

[0014] Among them, the disposal device includes a mixing dish with a sealing cover that can be opened automatically, which includes a stirring blade, and is provided with a water injection port, an enteral nutrient solution discharge bagging port, and a cleaning liquid discharge port; the enteral nutrient solution discharge bagging port and the cleaning liquid discharge port are connected to an intelligent flow quantitative controller and a three-way control valve, the water injection port is connected to the drain pipe of a pure water storage tank with another intelligent flow quantitative controller, the feed port of the mixing dish is connected to multiple special medical food hoppers located above it and a discharge port of a cooked food storage tank, and the pure water storage tank is located on one side of the cooked food storage tank; a bagging, capping and screwing cover assembly is arranged below the mixing dish; a storage space for enteral nutrient solution disposal products is arranged below the bagging, capping and screwing cover assembly.

[0015] Among them, the sealing cover plate includes a left cover and a right cover, which are arranged symmetrically and closed by synchronous movement under the drive of a bidirectional stepping motor and a steel wire rope; an electric push rod is arranged above the mixing dish, and the electric push rod cross arm is arranged horizontally. By moving downward, the sealing cover plate can be opened, and cooperate with the bidirectional stepping motor to realize the opening and closing control of the sealing cover plate; the mixing dish is arranged with ultraviolet disinfection lamps, which are symmetrically arranged on both sides on the outer surfaces of the left cover and the right cover.

[0016] The enteral nutrition treatment software program controls the treatment device to automatically start a cleaning program to clean the mixing dish and start an ultraviolet disinfection lamp to disinfect after each individualized enteral nutrition product treatment is completed.

[0017] Wherein, a feeding screw is arranged in the FEMS food hopper, which is connected to a feeding stepping motor, and the feeding stepping motor controls the feeding, and a pressure sensor is arranged in the FEMS food hopper;

[0018] The cooked food storage tank is provided with a cooked food paste mixing blade connected to a mixing motor, and the bottom is connected to a cooked food paste discharge pipe and a cleaning liquid discharge pipe through a three-way valve connected to a discharge inlet. The inlet side of the three-way valve is connected to a third intelligent flow quantitative controller and is provided with a cleaning water inlet, which is connected to the drain pipe of the pure water storage tank.

[0019] Wherein, the mixing dish is also connected to a preset component adding tube, the preset component adding tube is connected to a preset component adding tube storage, and an automatic control valve is provided on the preset component adding tube.

[0020] The personalized enteral nutrition processing digital equipment to which prepared food can be added of the present invention is automatically controlled by a central control module through a built-in control program, and can realize automatic processing of personalized enteral nutrition products according to nutrition prescriptions. It only needs to input the contents of the personalized enteral nutrition prescription to realize rapid and automatic formation of packaged and sealed personalized enteral nutrition products. In particular, it can realize mixing of special medical food with prepared food paste to form packaged personalized enteral nutrition products, which solves the problem that current nutrition processing equipment is unable to mix special medical food with prepared food paste and automatically package and process.

[0021] The present invention adds cooked food to conventional special medical purpose formula foods, breaking through the domestic current situation that cooked food has not been added to automatic enteral nutrition treatment. It attempts to carry out digital automatic treatment in an efficient, accurate and comprehensive manner according to clinical nutrition prescription requirements, making it possible, and has outstanding innovative significance. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] Figure 1It is a schematic diagram of the main appearance of the digital equipment for individualized enteral nutrition treatment to which prepared food can be added according to an embodiment of the present invention.

[0023] Figure 2 It is a left schematic diagram of a digital device for individualized enteral nutrition treatment to which prepared food can be added according to an embodiment of the present invention.

[0024] Figure 3 It is a right view schematic diagram of the individualized enteral nutrition treatment digital equipment to which prepared food can be added according to an embodiment of the present invention.

[0025] Figure 4 It is a schematic front view of a FEMS hopper according to an embodiment of the present invention.

[0026] Figure 5 It is a schematic front view of a FEMS hopper according to another embodiment of the present invention.

[0027] Figure 6 It is a schematic top view of a FEMS hopper according to an embodiment of the present invention.

[0028] Figure 7 It is a schematic front view of a pure water storage tank according to an embodiment of the present invention.

[0029] Figure 8 It is a schematic front view of a cooked food storage tank according to an embodiment of the present invention.

[0030] Fig. 9 It is a schematic diagram of the mixing dish after the sealing cover plate of the embodiment of the present invention is opened.

[0031] Fig.10 It is a schematic diagram of the mixing dish after the sealing cover plate of the embodiment of the present invention is closed.

[0032] Fig.11 4 is a top view of the upper structure of the digital equipment according to the embodiment of the present invention.

[0033] Fig.12 4 is a bottom view of the upper structure of the digital equipment according to the embodiment of the present invention.

[0034] Fig.13 It is a top view schematic diagram of the bagging, capping and capping assembly of an embodiment of the present invention.

[0035] Fig.14 It is a front view schematic diagram of the bagging, capping and capping assembly of an embodiment of the present invention.

[0036] Fig.15 It is a top view of the bagging, capping and capping components of an embodiment of the present invention.

[0037] Fig.16 Schematic diagram of the cap-tightening wheel according to the embodiment of the present invention.

[0038] Description of reference numerals:

[0039] 1. Location of pure water storage tank; 2. Location of cooked food storage tank; 3. Location of special medical food hopper; 4. Location of raw material pipeline entering mixing bowl; 5. Location of mixing bowl; 6. Operation touch screen; 7. Central control module; 8. Printing and labeling assembly; 9. Bagging, capping and capping components; 10. Bag cover conveying and transmission track; 11. Packaging bag conveying and transmission track; 12. Middle and lower end support structure; 13. Storage location of finished enteral nutrition solution disposal products;

[0040] 14. Support beam for water storage tank; 15. Vertical window for water volume display; 16. Pure water storage tank; 17. Sloping bottom of pure water storage tank; 18. First intelligent flow quantitative controller; 19. Horizontal pipe for water discharge;

[0041] 21. cooked food paste discharge pipe; 22. second intelligent flow quantitative controller; 23. three-way valve; 24. cleaning liquid discharge pipe; 25. hybrid blade; 26. stepper motor; 27. bottom support beam; 28. cooked food paste storage tank; 29. ​​longitudinal support beam.

[0042] 31. Hopper support beam; 32. FSMP hopper; 33. Screw stepper motor; 34. Unloading screw; 35. Pressure sensor; 36. Vertical support column; 37. FSMP hopper outlet; 38. Sensor wire;

[0043] 51. Ultraviolet disinfection lamp; 52. Support frame; 53. Bidirectional stepping motor; 54. Steel wire rope; 55. Electric push rod; 56. Fixed bearing; 57. Electric push rod cross arm; 58. Sealing cover plate; 59. Mixing dish; 510. Stirring blade; 511. Stirring blade stepping motor; 512. Third intelligent flow quantitative controller; 513. Three-way control valve; 514. Enteral nutrient solution discharge bagging port; 515. Cleaning liquid discharge port; 516. Preset component addition tube;

[0044] 91. Bag cover push stepper motor; 92. Bag cover push rod; 93. Bag cover; 94. Bag cover conveying track; 95. Conveying track running bearing; 96. Bag conveying track after capping; 97. Capping wheel; 98. Bag conveying track; 99. Bag cover conveying track entrance; 921. Push rod head; 922. Limiting groove;

[0045] 100. packaging bag; 101. bag opening; 102. rotating shaft; 103. cap-screwing stepper motor. DETAILED DESCRIPTION

[0046] The present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention and are not used to limit the present invention.

[0047] See also Figures 1 to 16 As shown, a digital equipment for enteral nutrition treatment that can add prepared food to individualized enteral nutrition treatment includes a central control module and a treatment device for enteral nutrition treatment controlled by the central control module, the central control includes a processor and a memory, the memory stores an enteral nutrition treatment software program, the processor controls enteral nutrition treatment based on the enteral nutrition treatment software program, reads a clinical nutrition prescription, analyzes the clinical nutrition prescription, calculates the amount of water used, weighs special medical foods and / or prepared foods, and water, mixes the weighed special medical foods and / or prepared foods with water, makes a fluid individualized enteral nutrition product, and then packages and outputs it.

[0048] In the embodiment of the present application, after the central control module receives the clinical nutrition prescription interpretation information, it completes the operation settings according to the preset procedures, including the type and amount of raw materials, the amount of water added, the total amount and the packaging amount, and the accuracy of the printed label information; at the same time, it performs the start and end and connection control of each execution function link, especially the precise control of the running time of each functional link, to ensure the efficient operation of this digital equipment.

[0049] In the embodiment of the present application, the FSMP is of multiple types, which are stored in corresponding tanks for standby use. When the raw materials are added, the information received from the central control module includes multiple FSMP powders with an accuracy of <2g, multiple prepared food mixed pastes, and purified water (error <10ml). Through intelligent matching, the prepared food raw water, grinding water, and the density of enteral nutrient solution required by clinical nutrition prescriptions are combined, and the prepared food paste and prescription information are intelligently and accurately calculated, and the result meets the prescription requirements (error <10ml). The information on the completion of raw material addition is fed back to the central control module, and then the process of mixing raw materials is started.

[0050] In the embodiment of the present application, the cooked food is a paste, and the types and proportions of carbohydrates, meat, eggs, and leafy vegetables it contains are relatively fixed. Under the premise of considering the water content of the cooked food ingredients themselves and the amount of water added during the cooking and paste making process, when executing the nutritional prescription to add water, if the prescription does not add cooked food, the corresponding amount of water added can be multiplied by the grams of the nutritional prescription preparation and the required density; if there is a requirement for adding cooked food, it can be calculated according to the amount of water added to the mixing dish (ml) and the formula. The formula for calculating the amount of water added to the mixing dish is as follows:

[0051] Amount of water added to the mixing dish (ml) = (weight of nutritional prescription preparation g + raw food weight g) × required density (multiple) - (weight of cooked food paste g - raw food weight g) - raw food weight g × water content of food %. In the formula, 1 gram = 1 milliliter, required density (multiple) is the density required by the nutritional prescription, that is, the capacity is a multiple of the solute, such as 1:2; 1:3; 1:4; 1:5; 1:6; 1:7, that is, 2, 3, 4, 5, 6, 7. The water content of food refers to the total water content of the selected food. According to the "Chinese Food Composition Table", the average water content of carbohydrates, chicken eggs, and leafy vegetables is 40%, and there may be slight changes depending on the selected food.

[0052] In some embodiments, the personalized enteral nutrition product is a sealed and intact product with packaging, and the content of the individual nutrition prescription is recorded on the label, including the patient's name, total energy value for the day, energy value per bag, proportion of cooked food, bag capacity, storage temperature, and completion time.

[0053] In some embodiments, in the present application, there are multiple types of special medical foods, and the processing device has three processing modes. In the first processing mode, the special medical food is mixed with water and then processed and output. In the second processing mode, the cooked food is mixed with water and then processed and output. In the third processing mode, the special medical food and cooked food are mixed with water and then output.

[0054] In some embodiments, the clinical nutrition prescription includes a special medical food prescription, a cooked food prescription, and a mixed prescription of special medical food and cooked food; the processing device can identify the category of the nutrition prescription input therein, and automatically select one of the three processing modes to work.

[0055] In some embodiments, when the treatment device performs enteral nutrition treatment, after weighing the special medical food and / or prepared food, the special medical food, prepared food or the mixture of special medical food and prepared food is automatically filled into the packaging bag by the filling unit, and the bag is automatically sealed by screwing the lid, and the label is automatically printed and affixed before being output offline. In the present application, the upper part of the digital device is arranged with a hopper or storage tank, and the middle part is arranged with a central control module 7, an operation touch screen 5, and a mixing dish, wherein the mixing dish is arranged at Figure 1 , 2 , 3, the mixing dish is arranged at the position 5, and a pipeline arrangement position 4 for raw materials to enter the mixing dish is reserved between the middle and upper structures. A printing and labeling assembly 8 is arranged at the lower part; a bagging, capping and screwing cover assembly 9; a bag cover conveying and transmission track 10, a packaging bag conveying and transmission track 11, and are supported by a middle and lower end support structure 12. At the bottom is a storage position 13 for finished enteral nutrient solution disposal. After the product is formed and packaged, it is transported to this position through the conveying track and can be taken away directly.

[0056] In some embodiments, the disposal device includes a mixing dish 59 having a sealing cover 58 that can be opened automatically, which includes a stirring blade 510, and is provided with a water injection port (not shown), an enteral nutrient solution bagging port 514, and a cleaning liquid discharge port 515. In particular, the enteral nutrient solution bagging port 514 and the cleaning liquid discharge port 515 are connected to a third intelligent flow quantitative controller 512 and a three-way control valve 513, the water injection port is connected to a pure water storage tank 16 with a first flow quantitative controller 18, and the feed port of the mixing dish is connected to the discharge ports of its multiple special medical food hoppers 32 and multiple cooked food storage tanks 21. Specifically, multiple special medical food hoppers are of the same size and are fixed on the basic support frame respectively. The number of them varies according to the different types of special medical food hoppers to be configured. The cooked food storage can include three types: carbohydrate paste, protein (meat and egg) paste, and vegetable paste: after the cooked carbohydrates, meat and eggs, and vegetables are respectively made into carbohydrate paste, protein (meat and egg) paste, and vegetable paste by a food grinder, they can be carried by three cooked food storage tanks, wherein an electric push rod 55 (arranged on the mounting plate above the mixing dish) is arranged above the mixing dish 59, and the electric push rod cross arm 57 is arranged horizontally. By moving downward, the sealing cover plate can be opened, and cooperate with the bidirectional stepping motor 53 to realize the control of opening and closing of the sealing cover plate.

[0057] The mixing dish 59 has a stirring blade 510 connected to a miniaturized stirring blade stepping motor 511 and provided with a bidirectionally rotatable stirring blade. The added water is warm water of 54°C, provided by an intelligent temperature-controlled heating water tank, and the added contents are stirred to be fully mixed. In the above embodiment, after water, special medical food and cooked food paste are added to the mixing dish, the closed sealing cover plate 58 at the upper end of the mixing dish is driven by two bidirectional stepping motors 53 arranged on the mounting plate to respectively twist the steel wire ropes 54 of the closed sealing cover plates inlaid with silicone strips, and the power is transmitted through the fixed bearings 56 (mounted on the mounting plate) in their respective directions to make them close together to prevent the stirred matter from splashing out.

[0058] In some embodiments, the mixing dish 59 is provided with an ultraviolet disinfection lamp 51, which is installed on the outer surface of the sealing cover 58 at the top, and is arranged symmetrically on both sides. The sealing cover plate 58 includes a left cover and a right cover, which are hinged to the support frame 52, and are arranged symmetrically. Under electric drive, synchronous movement (up and down rotation movement) is achieved to close. When opened, it rotates downward, and when closed, it rotates upward. The ultraviolet disinfection lamp 51 can be automatically controlled to light up and play a disinfection role. It can be set to perform internal irradiation disinfection before and after work every day, that is, ultraviolet disinfection twice a day.

[0059] In some embodiments, the enteral nutrition treatment software program controls the treatment device to automatically start a cleaning program to clean the mixing dish and start an ultraviolet disinfection lamp for disinfection after each individualized enteral nutrition product treatment is completed, mainly to irradiate and disinfect the inside of the mixing dish.

[0060] The process of cleaning the mixing dish is as follows: the pure water in the pure water storage tank is fed to the mixing dish through the corresponding intelligent flow quantitative controller, and the pure water is injected into the mixing dish through the water injection pipe; after each special medical formula food nutrition prescription is automatically processed, pure water will be automatically injected into the mixing dish and the rotating stirring blade will be turned on for cleaning. After the cleaning is completed, the cleaning liquid is discharged from the bagging port through the three-way valve to the cleaning liquid storage tank outside the equipment, and is centrally stored and discharged into the sewer pipe regularly. During the specific cleaning, after the central control module receives the bagging completion information, it will start the water injection work of the mixing dish. After the water injection is completed, the sealing cover is closed, and then the stirring blade is turned on. After that, the stirring blade is stopped, the sealing cover is opened, and the cleaning liquid discharge port is opened to allow the cleaning liquid to flow into the cleaning liquid storage box outside the digital equipment. It can be set so that the mixing dish is cleaned once after each clinical nutrition prescription is processed, so that the cleaning liquid is discharged into the sewer regularly; after the cleaning is completed, the information is fed back to the central control module, the sealing cover of the mixing dish is opened, and the processing of the next nutrition prescription is started.

[0061] In the embodiment of the present application, the processing of the mixing dish is controlled by the central control module. After receiving the stirring information controlled by the central control module, the sealing cover of the mixing dish is opened, the driving stepper motor is turned off to close the sealing cover, and the driving stepper motor of the stirring blade is started to fully mix the enteral nutrient solution; after the stirring is completed, the enteral nutrient solution is filled into the packaging bag according to the set amount of the central control module through the intelligent flow quantitative controller. At this time, the filling and the transmission rhythm of the packaging bag are completed synchronously.

[0062] In some embodiments, the pure water storage tank 16 is supported and installed by a water storage tank support beam 14; a water level display longitudinal window 15 is provided on its surface to facilitate observation of the water level, and the pure water storage tank has an inclined bottom 17 to prevent water accumulation; a first intelligent flow quantitative controller 18 is provided on the water discharge transverse pipe 19 for quantitative control of the water injection amount, and the water discharge transverse pipe 19 can inject water into the mixing dish for disposal and cleaning of nutritional products, etc., as well as inject water into tanks that need to be cleaned, such as cooked food storage tanks, for cleaning.

[0063] In some embodiments, a feeding screw 34 is arranged in the FSMP hopper 32, which is connected to a screw stepper motor 33, and the feeding is controlled by the screw stepper motor. A pressure sensor 35 is arranged in the hopper, and a sensor wire 38 is connected to a central processing module or a corresponding processing. The transmission of the FSMP raw materials in the hopper is carried out by driving the feeding screw with a tiny stepper motor configured in each hopper. The respective feeding amount is determined by the diameter and the number of revolutions of the feeding screw, and is sent to the mixing dish through the FSMP hopper outlet 37. The tubular end of each hopper discharged into the mixing dish is set to a straight type according to its position (see Figure 5 shown) and oblique (see Figure 4 As shown), the special medical food hopper 32 is supported and installed on the upper part of the digital device through a hopper support beam 31 and an upright support column 32, and is located at the special medical food hopper position 3.

[0064] In some embodiments, the cooked food storage tank 28 has a mixing blade 25 connected to a mixing motor for mixing cooked food paste. The bottom of the cooked food storage tank 28 is connected to a cooked food paste discharge pipe 21 and a cleaning liquid discharge pipe 24 through a three-way valve 23 connected to a discharge port. The inlet side of the three-way valve is connected to a second intelligent flow controller 22. The mixing blade is provided at the bottom of the cooked food storage tank, and a stepper motor 26 is used to drive intermittent slow stirring to prevent the food paste from settling. The cooked food storage tank has a vertical capacity consumption visual window (not shown) to observe the raw material consumption state and prompt the time to add materials. The tank body has an inclined bottom and can be set to discharge food through external pressure or other available means such as negative pressure to facilitate food discharge. The appropriate method is selected according to the fluidity of the food. When discharged, the cooked food paste is respectively introduced into the mixing dish through the corresponding intelligent flow quantitative controller, and the cooked food and cleaning liquid can be discharged through the three-way valve. Specifically, the cooked food storage tank can be set to be cleaned twice a day, before starting work and after a day's work. After the start-stop cleaning and water injection, the stepper motor is controlled to run the mixing blades slightly faster for 5 minutes, and the stirring is stopped and the drainage port is opened to flow into the cleaning liquid storage box outside the digital device. The cooked food storage tank 28 can be arranged at the cooked food storage tank position 2 of the digital device through the bottom support beam 27 and the longitudinal support beam 29.

[0065] In some embodiments, the mixing dish 59 is also connected to a preset component adding pipe 516, which is arranged on the mounting plate. The preset component adding pipe can be connected to the preset component adding pipe storage or not connected. The preset component adding pipe can be provided with an automatic control valve or not. Since the general packaging amount of each component is 5 grams, it is not placed in the raw material hopper due to negligible energy, and can also be added manually separately. A component inlet needs to be provided and directly connected to the mixing dish.

[0066] In the embodiment of the present application, the processing device is an automated device, and the filling unit thereof includes a bagging mechanism, and is equipped with a bag feeding mechanism and a capping mechanism. The bagging mechanism includes a flow controller and a bagging port below the mixing dish. During bagging, the uniform mixture in the mixing dish is discharged from the enteral nutrient solution bagging port 514 below the mixing dish 59 through an intelligent flow quantitative controller according to the requirements of the nutritional prescription, and is loaded into the packaging bag through the bag port 101 of the packaging bag 100. The packaging bag 100 steps in a packaging bag transmission track driven by a stepper motor, and the bag cover 93 is pushed by a bag cover conveying track 94. The bag cover conveying track for pushing the bag cover is higher than the packaging bag conveying track parallel to it. After filling, the packaging bag is located in the vertical direction of the bag cover pushing track, and an electrically controlled bag cover pusher 9 is arranged. 2 pushes the bag cover 93 to translate onto the bag opening 101 of the filled packaging bag. After the cover is dropped, the cover screwing wheel 97 powered by the cover screwing stepping motor 103 rotates the bag cover and screws the bag cover onto the bag opening of the packaging bag. After the filling and cover screwing are completed, the packaging bag is pushed forward along the packaging bag transmission track 96 after the capping to enter the printing and labeling link, wherein the bag cover and the packaging bag enter through the track entrance on the right side of their respective conveying tracks, such as the bag cover conveying track entrance 99 shown in the figure, and the bag cover can be manually put in. The bag cover and the packaging bag have the same structure through their respective conveying tracks, which can be formed by the conveying track running bearing 95 and the belt. A belt is wound around the plurality of conveying track running bearings, and the two belts are arranged oppositely, with a displacement channel or space for the bag cover or the packaging bag in the middle, thereby forming a conveying track, such as Fig.13 As shown, other methods may also be used to implement it, and are not limited thereto.

[0067] In the embodiment of the present application, during filling, the neck end of the packaging bag is controlled by a stepper motor to move the packaging bag in a stepping manner to the output port of the intelligent flow quantitative controller below the mixing dish for filling. After filling, the packaging bag is moved in steps again, and then, the vertical electric bag cover push rod 92 (driven by the bag cover pushing stepper motor 91 to move telescopically) arranged at the terminal of the bag cover transmission mechanism pushes the bag cover to move to the bag mouth 101 of the packaging bag 100, and at this time, the capping wheel driven by the capping stepper motor through the rotating shaft 102 is step-by-step rotated to tighten the cap, wherein the tightening force and time of the capping wheel are adjusted by the capping stepper motor control system.

[0068] In some embodiments, the bag cover push rod 92 is connected to the push rod head 921, and the push rod head 921 is driven to move telescopically in the limit groove 922 to push the bag cover 93 in a direction perpendicular to its conveying track toward the packaging bag, such as Fig.15 As shown, after the filling of the packaging bag is completed, the packaging bag mouth is matched well and tightened by four capping wheels 97 driven by a stepping motor to achieve packaging.

[0069] In the embodiment of the present application, the printing and labeling operation is composed of the purchased printing and pasting integrated assembly, and the central control module provides the startup and printing information. It mainly prints out the individualized nutrition prescription content including name, total energy value of the day, energy value per bag, cooked food ratio, bag capacity (ml), temperature, completion time (year, month, day, hour, minute), and then prints and automatically labels on the packaging bag in the form of single-sided adhesive.

[0070] In the embodiment of the present application, the production process of the prepared food paste is not completed in the digital device, but the relevant data of the production process, such as milliliters, name or category, etc., is input into the control and computing system of the digital device, and the prepared food paste is added to the storage tank of the digital device for the intelligent operation of the digital device.

[0071] Among them, the requirements and data for the production process of cooked food paste are as follows: 1. Wash and weigh the ingredients, and record the types and weights of the ingredients respectively; 2. Carbohydrates, proteins, and vegetables are cooked separately, mixed and ground with the original juice in a food grinder, and the amount of water added is recorded during the grinding process, with the basic requirement being that the cooked food paste can flow freely; 3. The finished cooked food paste is added to the cooked food storage tank of this digital equipment, and the total milliliters are recorded.

[0072] Among them, the proportion of nutrients in cooked food: the proportion of raw ingredients in cooked food is: carbohydrates 60%; protein (eggs, chicken), 20%; vegetables (leaves, stems), 20%. The specific nutrient content and proportion are calculated according to the data listed in the "Chinese Food Composition Table", and the results are regarded as a single type of special medical food. Specifically, the recorded data in the cooked food production process can be manually entered from the cooked food data entry end of this digital equipment (such as a device display with input function or an external input device).

[0073] In the embodiment of the present application, the clinical nutrition prescription obtained by the digital equipment is an enteral nutrition prescription, which is based on the overall energy value and nutrient ratio originally set by the prescriber, and the remaining enteral nutrition part of the energy value and nutrient ratio of parenteral nutrition (intravenous infusion) and some autonomous eating has been eliminated; the clinical nutrition prescription is provided with an enteral nutrition solution density or oral liquid volume limit value, and if there is added cooked food paste, there should be a clear added energy ratio. The digital equipment of the embodiment of the present application can set the amount of water added and the amount of cooked food used in the treatment process accordingly, and take into account the cooked food ratio.

[0074] The digital equipment of the embodiment of the present application can, when prepared food is added and processed, provide energy value part of the nutritional preparation and can intelligently re-match the energy, proportion, and various grams of various nutritional powders through the control of a preset software program and the coordination of hardware weighing. The digital equipment has a built-in intelligent re-matching adjustment function and runs automatically without human input.

[0075] The digital equipment in the embodiment of the present application is individually customized for individual enteral nutrition treatment, and its effect has been confirmed by a large number of clinical practices. The use of digital equipment can meet various clinical nutrition prescription requirements, overcome the shortcoming of a small audience, and is easy to promote and use.

[0076] The digital equipment of the embodiment of the present application concentrates many electromechanical equipment and components inside the digital equipment, and connects various operating links through a complete set of operation control software developed, so that the personalized enteral nutrition treatment digital equipment can run steadily.

[0077] The basic principles and main features of the present invention and the advantages of the present invention are shown and described above. It is obvious to those skilled in the art that the present invention is not limited to the details of the above exemplary embodiments, and the present invention can be implemented in other specific forms without departing from the spirit or basic features of the present invention.

[0078] Therefore, the embodiments should be considered in all respects as illustrative and non-restrictive, and the scope of the invention is defined by the appended claims rather than the foregoing description, and it is therefore intended that all changes falling within the meaning and range of equivalent elements of the claims are included in the present invention.

[0079] In addition, it should be understood that although the present specification is described according to implementation modes, not every implementation mode contains only one independent technical solution. This description of the specification is only for the sake of clarity. Those skilled in the art should regard the specification as a whole. The technical solutions in each embodiment may also be appropriately combined to form other implementation modes that can be understood by those skilled in the art.

Claims

1. A digital device for individualized enteral nutrition management with the ability to add prepared food, characterized in that: It includes a central control module and a treatment device for enteral nutrition treatment controlled by the central control module, the central control includes a processor and a memory, the memory stores an enteral nutrition treatment software program, the processor controls enteral nutrition treatment based on the enteral nutrition treatment software program, reads a clinical nutrition prescription, analyzes the clinical nutrition prescription, calculates the amount of water, weighs special medical foods and / or cooked foods, and water, mixes the weighed special medical foods and / or cooked foods with water, makes a fluid individualized enteral nutrition product, and then packages and outputs it.

2. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 1, characterized in that: The individualized enteral nutrition product is a sealed and intact product with packaging, and the content of the individual nutrition prescription is recorded on the label, including the patient's name, total energy value for the day, energy value per bag, proportion of cooked food, bag capacity, storage temperature, and completion time.

3. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 1, characterized in that: The processing device has three processing modes. In the first processing mode, the special medical food is mixed with water and then processed and output. In the second processing mode, the cooked food is mixed with water and then processed and output. In the third processing mode, the special medical food and cooked food are mixed with water and then output.

4. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 3, characterized in that: The clinical nutrition prescription includes a special medical food prescription, a cooked food prescription, and a mixed prescription of special medical food and cooked food; the processing device can identify the category of the nutrition prescription input therein, and automatically select one of the three processing modes to work.

5. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 1, characterized in that: When the treatment device performs enteral nutrition treatment, after weighing the special medical food and / or cooked food, the special medical food, cooked food or a mixture of the special medical food and cooked food is automatically added with water through the filling unit and loaded into the packaging bag, and the lid is automatically screwed and sealed, and the label is automatically printed and labeled before being output offline.

6. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 1, characterized in that: The disposal device includes a mixing dish with a sealing cover that can be opened automatically, which includes a stirring blade and is provided with a water injection port, an enteral nutrient solution bagging port, and a cleaning liquid discharge port; the enteral nutrient solution bagging port and the cleaning liquid discharge port are connected to an intelligent flow quantitative controller and a three-way control valve, the water injection port is connected to a drain pipe of a pure water storage tank with another intelligent flow quantitative controller, the feed port of the mixing dish is connected to multiple special medical food hoppers located above it and a discharge port of a cooked food storage tank, and the pure water storage tank is located on one side of the cooked food storage tank; a bagging, capping and screwing cover assembly is arranged below the mixing dish; a storage space for enteral nutrient solution disposal products is arranged below the bagging, capping and screwing cover assembly.

7. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 6, characterized in that: The sealing cover plate comprises a left cover and a right cover, which are arranged symmetrically and closed by synchronous movement under the drive of a bidirectional stepping motor and a steel wire rope; an electric push rod is arranged above the mixing dish, and the cross arm of the electric push rod is arranged horizontally. The sealing cover plate can be opened by moving downward, and cooperates with the bidirectional stepping motor to realize the opening and closing control of the sealing cover plate; the mixing dish is arranged with ultraviolet disinfection lamps, which are symmetrically arranged on both sides on the outer surfaces of the left cover and the right cover.

8. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 7, characterized in that: The enteral nutrition treatment software program controls the treatment device to automatically start a cleaning program to clean the mixing dish and start an ultraviolet disinfection lamp to disinfect after each individualized enteral nutrition product treatment is completed.

9. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 6, characterized in that: A feeding screw is arranged in the FEMS food hopper and connected to a feeding stepping motor, and the feeding stepping motor controls the feeding. A pressure sensor is arranged in the FEMS food hopper; The cooked food storage tank is provided with a cooked food paste mixing blade connected to a mixing motor, and the bottom is connected to a cooked food paste discharge pipe and a cleaning liquid discharge pipe through a three-way valve connected to a discharge inlet. The inlet side of the three-way valve is connected to a third intelligent flow quantitative controller and is provided with a cleaning water inlet, which is connected to the drain pipe of the pure water storage tank.

10. The digital equipment for individualized enteral nutrition management capable of adding prepared food according to claim 6, characterized in that: The mixing dish is also connected to a preset component adding tube, the preset component adding tube is connected to a preset component adding tube storage, and an automatic control valve is provided on the preset component adding tube.

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