BR112015032083A2 - método, e aparelho de determinação de parâmetro fisiológico - Google Patents

método, e aparelho de determinação de parâmetro fisiológico Download PDF

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Publication number
BR112015032083A2
BR112015032083A2 BR112015032083-0A BR112015032083A BR112015032083A2 BR 112015032083 A2 BR112015032083 A2 BR 112015032083A2 BR 112015032083 A BR112015032083 A BR 112015032083A BR 112015032083 A2 BR112015032083 A2 BR 112015032083A2
Authority
BR
Brazil
Prior art keywords
pressure
lung
individual
invasively
airway pressure
Prior art date
Application number
BR112015032083-0A
Other languages
English (en)
Portuguese (pt)
Inventor
Nicolas Wadih Chbat
Antonio ALBANESE
Syed Waseem Haider
Nikolaos KARAMOLEGKOS
Adam Jacob Seiver
Original Assignee
Koninklijke Philips N.V.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Koninklijke Philips N.V. filed Critical Koninklijke Philips N.V.
Publication of BR112015032083A2 publication Critical patent/BR112015032083A2/pt

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/085Measuring impedance of respiratory organs or lung elasticity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs
    • A61B5/036Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A61B5/037Measuring oesophageal pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs
    • A61B5/036Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A61B5/038Measuring oral pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/087Measuring breath flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/091Measuring volume of inspired or expired gases, e.g. to determine lung capacity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7278Artificial waveform generation or derivation, e.g. synthesizing signals from measured signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • A61M16/026Control means therefor including calculation means, e.g. using a processor specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/105Oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • A61M2230/46Resistance or compliance of the lungs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/65Impedance, e.g. conductivity, capacity

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Dentistry (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Artificial Intelligence (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
BR112015032083-0A 2013-06-28 2014-06-19 método, e aparelho de determinação de parâmetro fisiológico BR112015032083A2 (pt)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201361840658P 2013-06-28 2013-06-28
EP13179067.7 2013-08-02
EP13179067 2013-08-02
PCT/IB2014/062406 WO2014207623A2 (en) 2013-06-28 2014-06-19 Non-invasive estimation of intra-pleural pressure and/or computation of work of breathing based on a non-invasive estimation of intra-pleural pressure

Publications (1)

Publication Number Publication Date
BR112015032083A2 true BR112015032083A2 (pt) 2020-07-21

Family

ID=48915905

Family Applications (1)

Application Number Title Priority Date Filing Date
BR112015032083-0A BR112015032083A2 (pt) 2013-06-28 2014-06-19 método, e aparelho de determinação de parâmetro fisiológico

Country Status (8)

Country Link
US (1) US10842411B2 (enExample)
EP (1) EP3013224A2 (enExample)
JP (1) JP6487425B2 (enExample)
CN (1) CN105530860B (enExample)
BR (1) BR112015032083A2 (enExample)
MX (1) MX2015016918A (enExample)
RU (1) RU2700981C2 (enExample)
WO (1) WO2014207623A2 (enExample)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105530860B (zh) 2013-06-28 2019-07-09 皇家飞利浦有限公司 对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算
US10758157B2 (en) * 2014-10-24 2020-09-01 Koninklijke Philips N.V. Determining if airway clearance is required during respiratory therapy
CN107690310B (zh) * 2015-06-02 2021-06-15 皇家飞利浦有限公司 用于经由连续参数估计来监测患者呼吸状态的无创方法
JP6941095B2 (ja) * 2015-10-12 2021-09-29 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 古典的フィードバック制御を用いる患者の呼吸仕事量を自動制御する機械式換気
EP3413965B1 (en) * 2015-12-14 2024-01-31 Stimdia Medical, Inc. Electrical stimulation for preservation and restoration of diaphragm function
WO2017140500A1 (en) 2016-02-18 2017-08-24 Koninklijke Philips N.V. Enhancement of respiratory parameter estimation and asynchrony detection algorithms via the use of central venous pressure manometry
IT201600103298A1 (it) * 2016-10-14 2018-04-14 Univ Degli Studi Di Trieste Apparato e metodo per il controllo dei parametri di una macchina di assistenza alla respirazione
DE102017101645A1 (de) * 2017-01-27 2018-08-02 Ventinova Technologies B.V. Vorrichtungen und Verfahren zur Beatmung eines Patienten
US11207517B2 (en) 2017-07-06 2021-12-28 Stimdia Medical, Inc. Percutaneous electrical phrenic nerve stimulation system
US11559643B2 (en) 2017-11-14 2023-01-24 Covidien Lp Systems and methods for ventilation of patients
WO2019234588A1 (de) * 2018-06-04 2019-12-12 Imt Analytics Ag Prüfvorrichtung und verfahren zum prüfen einer messsonde sowie verwendung eines beatmungsgeräts zum prüfen der messsonde
DE102020120900A1 (de) * 2020-08-07 2022-02-10 Drägerwerk AG & Co. KGaA Vorrichtung und Verfahren zur Messung der Lungen-Compliance
CN112244808B (zh) * 2020-11-10 2024-02-20 中国人民解放军陆军特色医学中心 一种用于测量胸腔压的胃管
CN112826489B (zh) * 2021-01-05 2021-11-30 中国医学科学院北京协和医院 一种可视化的腔内压测量装置
CN112790754B (zh) * 2021-01-05 2021-11-09 中国医学科学院北京协和医院 一种胸腔内压测量装置
EP4608484A1 (en) * 2022-10-28 2025-09-03 Fisher & Paykel Healthcare Limited Determining work of breathing in respiratory flow therapy systems
CN116327172B (zh) * 2023-04-04 2026-03-17 广州医科大学 一种基于胸腹运动呼吸流量监控方法及装置

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4597394A (en) * 1981-05-26 1986-07-01 Respitrace Corporation Method for noninvasively monitoring mouth volume
DE3279666D1 (en) 1981-11-02 1989-06-08 Respitrace Corp Apparatus for monitoring clinically significant surface movements in living organisms
US4860766A (en) * 1983-11-18 1989-08-29 Respitrace Corp. Noninvasive method for measuring and monitoring intrapleural pressure in newborns
US4856532A (en) * 1987-07-22 1989-08-15 Johnson Arthur T Large-signal airway resistance measurement
JP2582010B2 (ja) 1991-07-05 1997-02-19 芳嗣 山田 呼吸筋活動のモニタ装置
US5316010A (en) * 1993-04-02 1994-05-31 Brown Jesse P Apparatus for noninvasive measuring of upper airway resistance in humans during sleep
RU2207159C2 (ru) 2001-09-21 2003-06-27 Новокузнецкий государственный институт усовершенствования врачей Способ проведения искусственной вентиляции легких, регулируемой по объему
EP2123319A3 (en) * 2002-06-27 2010-03-10 YRT Limited Device for monitoring and improving patient-ventilator interaction
AU2003268324B2 (en) * 2002-08-30 2008-05-29 University Of Florida Research Foundation, Inc. Method and apparatus for predicting work of breathing
CN101380233B (zh) * 2007-09-05 2010-12-22 深圳迈瑞生物医疗电子股份有限公司 基于呼吸力学模块的呼吸功实时监测方法及监测装置
TWM335075U (en) 2007-09-10 2008-06-21 Hon Hai Prec Ind Co Ltd Electrical connector
CN102202574B (zh) * 2008-08-28 2013-10-30 圣米高医院 测定自主呼吸的、机械通气患者中患者-通气机呼吸贡献指数的系统和方法
US20100071696A1 (en) * 2008-09-25 2010-03-25 Nellcor Puritan Bennett Llc Model-predictive online identification of patient respiratory effort dynamics in medical ventilators
EP2189111A1 (en) * 2008-11-21 2010-05-26 Pulsion Medical Systems AG Apparatus and method for determining a physiologic parameter
JP5181291B2 (ja) 2008-12-22 2013-04-10 日本光電工業株式会社 呼吸機能測定装置
EP2519151B1 (en) * 2009-12-28 2018-05-16 University of Florida Research Foundation, Inc. System and method for assessing real time pulmonary mechanics
WO2012003403A2 (en) * 2010-06-30 2012-01-05 Indiana University Research And Technology Corporation Supersensitive linear pressure transducer
US8811635B2 (en) * 2011-07-06 2014-08-19 Robert Bosch Gmbh Apparatus and method for driving parasitic capacitances using diffusion regions under a MEMS structure
CN105530860B (zh) 2013-06-28 2019-07-09 皇家飞利浦有限公司 对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算

Also Published As

Publication number Publication date
JP6487425B2 (ja) 2019-03-20
CN105530860B (zh) 2019-07-09
US20160135713A1 (en) 2016-05-19
WO2014207623A2 (en) 2014-12-31
EP3013224A2 (en) 2016-05-04
RU2016102185A (ru) 2017-08-01
CN105530860A (zh) 2016-04-27
RU2700981C2 (ru) 2019-09-24
WO2014207623A3 (en) 2015-04-09
RU2016102185A3 (enExample) 2018-05-28
JP2016526430A (ja) 2016-09-05
MX2015016918A (es) 2016-04-04
US10842411B2 (en) 2020-11-24

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Legal Events

Date Code Title Description
B06F Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette]
B15I Others concerning applications: loss of priority

Free format text: PERDA DA PRIORIDADE US61/840,658, DE 28/06/2013, REIVINDICADA NO PCT/IB2014/062406, CONFORME AS DISPOSICOES PREVISTAS NA LEI 9279, DE 14/05/1996 (LPI), ART. 16, 7O. ESTA PERDA SE DEU PELO FATO DE O DEPOSITANTE CONSTANTE DA PETICAO DE REQUERIMENTO DO REFERIDO PEDIDO PCT SER DISTINTO DAQUELE QUE DEPOSITOU A PRIORIDADE REIVINDICADA E NAO TER SIDO APRESENTADO DOCUMENTO COMPROBATORIO DE CESSAO COM OS DADOS IDENTIFICADORES DA REFERIDA PRIORIDADE, CONFORME AS DISPOSICOES PREVISTAS NA LEI 9279 DE 14/05/1996 (LPI), ART. 16, 6O, ITEM 27, E NO ART. 2 DA RESOLUCAO INPI-PR 179/2017.

B06U Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]
B11B Dismissal acc. art. 36, par 1 of ipl - no reply within 90 days to fullfil the necessary requirements
B350 Update of information on the portal [chapter 15.35 patent gazette]
B350 Update of information on the portal [chapter 15.35 patent gazette]