CA2726604A1 - Ventilateur et systeme de ventilation - Google Patents

Ventilateur et systeme de ventilation Download PDF

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Publication number
CA2726604A1
CA2726604A1 CA2726604A CA2726604A CA2726604A1 CA 2726604 A1 CA2726604 A1 CA 2726604A1 CA 2726604 A CA2726604 A CA 2726604A CA 2726604 A CA2726604 A CA 2726604A CA 2726604 A1 CA2726604 A1 CA 2726604A1
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Canada
Prior art keywords
pressure
patient
value
true
time
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CA2726604A
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English (en)
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CA2726604C (fr
Inventor
Nader M. Habashi
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INTENSIVE CARE ON-LINE NETWORK Inc
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Priority to CA3165969A priority Critical patent/CA3165969A1/fr
Publication of CA2726604A1 publication Critical patent/CA2726604A1/fr
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Classifications

    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0051Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0015Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
    • A61M2016/0021Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with a proportional output signal, e.g. from a thermistor
    • 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. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; 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
    • A61M2016/0039Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
    • 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. mouth-to-mouth respiration; 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
    • A61M2016/0042Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the expiratory circuit
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/1005Preparation of respiratory gases or vapours with O2 features or with parameter measurement
    • A61M2016/102Measuring a parameter of the content of the delivered gas
    • A61M2016/1025Measuring a parameter of the content of the delivered gas the O2 concentration
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/1005Preparation of respiratory gases or vapours with O2 features or with parameter measurement
    • A61M2016/102Measuring a parameter of the content of the delivered gas
    • A61M2016/103Measuring a parameter of the content of the delivered gas the CO2 concentration
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • A61M2205/505Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
    • 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
    • A61M2230/20Blood composition characteristics
    • A61M2230/202Blood composition characteristics partial carbon oxide pressure, e.g. partial dioxide pressure (P-CO2)
    • 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
    • A61M2230/20Blood composition characteristics
    • A61M2230/205Blood composition characteristics partial oxygen pressure (P-O2)
    • 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
    • A61M2230/43Composition of exhalation
    • A61M2230/432Composition of exhalation partial CO2 pressure (P-CO2)
    • 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
    • A61M2230/43Composition of exhalation
    • A61M2230/435Composition of exhalation partial O2 pressure (P-O2)
    • 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
    • A61M2230/60Muscle strain, i.e. measured on the user

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Ventilation (AREA)

Abstract

L'invention concerne un ventilateur (10) devant être utilisé par un médecin pour aider un patient en détresse pulmonaire. Un module d'unité de commande (20) avec un écran tactile (26) actionne une source de gaz de pression positive ou négative (40) qui communique avec le patient configuré à pression négative ou intubé par des orifices d'alimentation et d'évacuation (42, 44) à soupape (46). Une variété de capteurs positionnés sur les orifices d'alimentation/évacuation, périphériques, centraux (54) peut être incluse pour mesurer la pression, le débit volumétrique, la concentration en gaz, le transducteur et le travail de respiration des parois de la poitrine. Des modules et sous-programmes innovants (30) sont incorporés dans le module d'unité de commande permettant des protocoles et modèles de ventilation hybrides à autoréglage qui sont compatibles avec presque chaque technique connue, envisagée et possible, et qui établissent des commandes rigoureuses configurées pour s'adapter rapidement aux réponses de patient même lorsque lesdites réponses sont petites avec une grande précision de sorte à maximiser la ventilation et le recrutement tout en rendant minimaux les risques de lésion, d'atélectasie et de jours de ventilation prolongée.
CA2726604A 2007-06-01 2008-06-02 Ventilateur et systeme de ventilation Active CA2726604C (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA3165969A CA3165969A1 (fr) 2007-06-01 2008-06-02 Ventilateur et systeme de ventilation

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US92483507P 2007-06-01 2007-06-01
US60/924,835 2007-06-01
PCT/US2008/065592 WO2008148134A1 (fr) 2007-06-01 2008-06-02 Ventilateur et système de ventilation

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA3165969A Division CA3165969A1 (fr) 2007-06-01 2008-06-02 Ventilateur et systeme de ventilation

Publications (2)

Publication Number Publication Date
CA2726604A1 true CA2726604A1 (fr) 2008-12-04
CA2726604C CA2726604C (fr) 2023-09-12

Family

ID=39720088

Family Applications (2)

Application Number Title Priority Date Filing Date
CA3165969A Pending CA3165969A1 (fr) 2007-06-01 2008-06-02 Ventilateur et systeme de ventilation
CA2726604A Active CA2726604C (fr) 2007-06-01 2008-06-02 Ventilateur et systeme de ventilation

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CA3165969A Pending CA3165969A1 (fr) 2007-06-01 2008-06-02 Ventilateur et systeme de ventilation

Country Status (4)

Country Link
EP (1) EP2167178A1 (fr)
JP (2) JP5628669B2 (fr)
CA (2) CA3165969A1 (fr)
WO (1) WO2008148134A1 (fr)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6024089A (en) 1997-03-14 2000-02-15 Nelcor Puritan Bennett Incorporated System and method for setting and displaying ventilator alarms
US8021310B2 (en) 2006-04-21 2011-09-20 Nellcor Puritan Bennett Llc Work of breathing display for a ventilation system
US7784461B2 (en) 2006-09-26 2010-08-31 Nellcor Puritan Bennett Llc Three-dimensional waveform display for a breathing assistance system
US20080295839A1 (en) * 2007-06-01 2008-12-04 Habashi Nader M Ventilator Apparatus and System of Ventilation
EP2257328A2 (fr) 2008-03-27 2010-12-08 Nellcor Puritan Bennett LLC Systèmes d'assistance respiratoire avec man uvres de recrutement pulmonaire
EP2181726B1 (fr) * 2008-10-31 2017-04-19 ResMed Ltd. Système de guidage de transitions entre des modes de thérapie associés au traitement et/ou diagnostic des troubles respiratoires du sommeil
JP5411289B2 (ja) * 2008-12-10 2014-02-12 コーニンクレッカ フィリップス エヌ ヴェ 気道圧開放換気
US20100224191A1 (en) * 2009-03-06 2010-09-09 Cardinal Health 207, Inc. Automated Oxygen Delivery System
EP2453966B1 (fr) 2009-07-14 2019-03-20 ResMed Ltd. Automatisation d'installation pour appareil de traitement respiratoire
US8924878B2 (en) 2009-12-04 2014-12-30 Covidien Lp Display and access to settings on a ventilator graphical user interface
US9119925B2 (en) 2009-12-04 2015-09-01 Covidien Lp Quick initiation of respiratory support via a ventilator user interface
US8335992B2 (en) 2009-12-04 2012-12-18 Nellcor Puritan Bennett Llc Visual indication of settings changes on a ventilator graphical user interface
US9262588B2 (en) 2009-12-18 2016-02-16 Covidien Lp Display of respiratory data graphs on a ventilator graphical user interface
US8499252B2 (en) 2009-12-18 2013-07-30 Covidien Lp Display of respiratory data graphs on a ventilator graphical user interface
JP6820656B2 (ja) * 2012-05-22 2021-01-27 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 咳介助及び測定システム並びに方法
US10362967B2 (en) 2012-07-09 2019-07-30 Covidien Lp Systems and methods for missed breath detection and indication
WO2015195007A1 (fr) 2014-06-18 2015-12-23 Maquet Critical Care Ab Appareil de distribution de gaz additif
US9950129B2 (en) 2014-10-27 2018-04-24 Covidien Lp Ventilation triggering using change-point detection
EP3359237B1 (fr) * 2015-10-05 2024-08-21 Université Laval Système de distribution de gaz respiratoire à un patient
US10835177B2 (en) * 2017-06-02 2020-11-17 General Electric Company Anesthesia assessment system and method for lung protective ventilation
CN109107007B (zh) * 2018-07-10 2024-08-02 上海敏恒企业咨询有限公司 一种智能APRVplus呼吸机通气系统及使用方法
KR102117158B1 (ko) * 2018-08-21 2020-05-29 주식회사 멕 아이씨에스 인공 호흡기의 흡입산소농도의 자동 제어 방법
US11672934B2 (en) 2020-05-12 2023-06-13 Covidien Lp Remote ventilator adjustment
CN112675393B (zh) * 2020-12-18 2024-04-19 杭州脉兴医疗科技有限公司 一种呼吸机撤机管理系统及方法

Family Cites Families (14)

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JPS5948106B2 (ja) * 1980-08-27 1984-11-24 株式会社東芝 呼吸監視装置
JPS6185963A (ja) * 1984-10-02 1986-05-01 安本 和正 炭酸ガス分圧制御装置
US5320093A (en) * 1990-12-21 1994-06-14 Brigham And Women's Hospital Rapid anesthesia emergence system using closed-loop PCO2 control
US6463930B2 (en) * 1995-12-08 2002-10-15 James W. Biondi System for automatically weaning a patient from a ventilator, and method thereof
DE50004721D1 (de) * 1999-01-29 2004-01-22 Siemens Elema Ab Nichtinvasives verfahren zur optimierung der beatmung atelektatischer lungen
JP5059260B2 (ja) * 2001-03-29 2012-10-24 帝人株式会社 医療機器の遠隔監視方法
JP4603714B2 (ja) * 2001-04-06 2010-12-22 帝人株式会社 鼻マスク式人工呼吸装置
US7246618B2 (en) * 2001-06-21 2007-07-24 Nader Maher Habashi Ventilation method and control of a ventilator based on same
EP1670547B1 (fr) * 2003-08-18 2008-11-12 Cardiac Pacemakers, Inc. Systeme de surveillance de patient
EP2208504B1 (fr) * 2003-11-26 2012-12-26 ResMed Limited Appareil pour le contrôle systématique de l'assistance respiratoire en présence d'une insuffisance respiratoire
JP2005245825A (ja) * 2004-03-05 2005-09-15 Teijin Pharma Ltd 呼吸用気体供給装置
US7527054B2 (en) * 2005-05-24 2009-05-05 General Electric Company Apparatus and method for controlling fraction of inspired oxygen
US8561611B2 (en) * 2005-06-21 2013-10-22 Ric Investments, Llc Respiratory device measurement system
US20070062533A1 (en) * 2005-09-21 2007-03-22 Choncholas Gary J Apparatus and method for identifying FRC and PEEP characteristics

Also Published As

Publication number Publication date
JP2015037579A (ja) 2015-02-26
WO2008148134A1 (fr) 2008-12-04
JP5628669B2 (ja) 2014-11-19
CA3165969A1 (fr) 2008-12-04
EP2167178A1 (fr) 2010-03-31
JP2010528723A (ja) 2010-08-26
CA2726604C (fr) 2023-09-12
JP6001029B2 (ja) 2016-10-05

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