CN101454040B - Respiratory device measurement system - Google Patents

Respiratory device measurement system Download PDF

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Publication number
CN101454040B
CN101454040B CN2006800221205A CN200680022120A CN101454040B CN 101454040 B CN101454040 B CN 101454040B CN 2006800221205 A CN2006800221205 A CN 2006800221205A CN 200680022120 A CN200680022120 A CN 200680022120A CN 101454040 B CN101454040 B CN 101454040B
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pressure
breathable gas
atmospheric
gas
flow rate
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CN101454040A (en
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安德鲁·L·希斯勒
帕特里克·W·特鲁伊特
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Philips RS North America LLC
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RIC Investments LLC
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Abstract

A gas delivery system (12) comprising a pressure generator (14), a pressure sensor (21), a control valve (20), and a processor (32). The pressure generator (14) pressurizes breathable gas (22) for delivery to a patient. Th e pressure sensor (21) measures a pressure difference between the pressurized breathable gas (22) and atmospheric pressure. The control valve (20) is disposed downstream from the pressure generator (14) and is constructed and arranged to control a flow rate of the pressurized breathable gas (22). The processor (32) controls the control valve (20) to bring the flow rate of the pressurized breathable gas (22) to substantially zero while the pressure generator (14) is operating and, when the flow rate is substantially zero, determines at least one of atmospheric pressure, an atmospheric air density, or a density correction factor based at least in part on the pressure difference between the pressurized breathable gas (22) and the atmospheric pressure.

Description

Respiratory device measurement system
Priority
The application enjoys the priority of the U. S. application of submitting on June 21st, 2,005 60/692,506 according to 35U.S.C. § 119 (e) request, and its full content is combined with reference at this.
Technical field
The present invention relates to breathing equipment.
Background technology
But known positive airway pressure (PAP) device from the pressurization respiratory air flow to the patient that carry.Usually, this PAP device comprises the pick off to pressure generator, one or more monitoring breathable gas and/or the various parameters of ambient atmosphere of breathable gas pressurization.The PAP device usually adopt the information that receives from pick off with controlled pressure generator following of feedback under desired pressure and/or flow velocity, breathable gas to be provided to the patient.The PAP device also can be monitored the total amount to gas that the patient provides.
Confirm to carry to the patient pressure, flow velocity and/or the cumulative volume of breathable gas for improving precision ground, some PAP devices comprise that various mechanism for example monitor atmospheric barometric pressure sensor to improve certainty of measurement.Although these pick offs can improve the precision of pressure, flow velocity and/or the cumulative volume of confirming breathable gas, it has increased the totle drilling cost of this device.
Summary of the invention
The present invention relates to a kind of gas transmission system, comprise pressure generator, pressure transducer, control valve and processor.Pressure generator pressurizes to transmit to the patient to breathable gas.Pressure transducer is measured the breathable gas of pressurization and the pressure reduction between the atmospheric pressure.Control valve is arranged on the downstream of pressure generator and is configured and is set to control the flow velocity of pressurized breathable gas.Processor control control valve so that during the pressure generator operation flow velocity of pressurized breathable gas be substantially zero, and when flow velocity is substantially zero, at least partly confirm at least one in atmospheric pressure, atmospheric density or the density correction factor based on the pressure reduction between pressurized breathable gas and the atmospheric pressure.
The invention still further relates to a kind of gas transmission system, comprise pressure generator, pressure transducer, flow sensor and processor.Pressure generator pressurizes to transmit to the patient to breathable gas.Pressure transducer is measured the breathable gas of pressurization and the pressure reduction between the atmospheric pressure.Flow sensor measures is by the standard flow rate of pressurized breathable gas that pressure generator is exported.Processor part is at least confirmed at least one in atmospheric pressure, atmospheric density or the density correction factor based on the standard flow rate of pressure reduction and measurement.
The invention still further relates to the method for monitoring to the pressurized breathable gas of patient's transmission.This method comprises with the pressure generator pressurized breathable gas, confirms to be applied to the pressure of breathable gas and at least partly to be confirmed at least one in atmospheric pressure, atmospheric density or the density correction factor based on the pressure that is applied to breathable gas by pressure generator by pressure generator.
Below considering during with reference to the description of accompanying drawing and accessory claim; These and other target of the present invention, character and characteristic; And the function of operation method and associated structural elements and part combination and manufacturing cost will be more clear; Description below all and accessory claim form the part of this description, and wherein identical reference marker is represented the appropriate section in each accompanying drawing.But, can be expressly understood that accompanying drawing only is explanation and purpose of description and should not be construed as restriction definition of the present invention.As used in the specification and in the claims, " one " of singulative comprises plural indicant, only if the expression otherwise of clear from context ground.
Description of drawings
Fig. 1 is the sketch map according to the patient treatment system of the embodiment of the invention;
Fig. 2 is the exemplary description according to the pressure generator of the embodiment of the invention;
Fig. 3 has described the other a kind of configuration according to the patient treatment system of the embodiment of the invention; And
Fig. 4 is the exemplary description according to the other a kind of configuration of patient treatment system of the embodiment of the invention.
The specific embodiment
Fig. 1 schematically describes exemplary first embodiment of patient treatment system 10 in accordance with the principles of the present invention.Patient treatment system 10 generally includes gas transmission system 12.Gas transmission system 12 be controlled to the patient breathable gas flow and comprise the pressure generator 14 that receives source of the gas 16 breathable gas of supplying.Among the embodiment, source of the gas 16 is atmosphere simply.Pressure generator 14 improves the gas pressure that source of the gas 16 is supplied to patient airway.
In one embodiment of the invention, describe in more detail with reference to figure 2 like hereinafter, pressure generator 14 comprises aerator.Aerator produces constant compression force or flow velocitys with constant speed drive to export 18 at it alternatively in pressure Supporting Therapy process.The present invention considers that also respiratory gas source 16 can be any respiratory gas source, air or oxygen mixture helium-oxygen gas mixture for example for example, the perhaps mixture of breathing gas and gas form medicine nitric oxide for example.
In described embodiment, gas transmission system 12 comprises control valve 20.The pressure rising gas flow that pressure generator 14 sends is transported to the control valve 20 in pressure generator 14 downstream.Control valve 20 perhaps perhaps leaves the final pressure or the flow velocity of the gas 22 of gas transmission system 12 individually with pressure generator 14 Combination Control.The instance of control valve 20 can comprise sleeve pipe or cone valve, and its method as control patient catheter pressure is discharged gas from patient's conduit.As another instance; People's such as Hete United States Patent (USP) 5; 694,923 have instructed a kind of bipyramid valve system that is suitable for as the control valve 20 that gas is drained into atmosphere and restriction pressure generator 14 to patient's gas flow rate, and its entirety is combined in this as a reference.
Among the embodiment, the aerator of pressure generator 14 for only under a speed, moving.Among such embodiment, control valve 20 is controlled the final pressure and the flow velocity of the breathing gas 22 that is delivered to the patient separately.But the speed of service that the present invention also considers to jointly control valve 20 controlled pressure generators 14 aerators is delivered to the final pressure and the flow velocity of patient's breathing gas with control.For example, can set up pressure or the flow velocity (macro-control) that approaches desired pressure or flow velocity through the suitable speed of service of setting up aerator.Then can by 20 pairs of pressure of control valve or flow velocity carry out fine adjusting (micromanagement) thus both move the final pressure with the breathing gas of confirming to be delivered to the patient together.
Can increase through being arranged on the pressure that pressure transducer 21 gaging pressure generators 14 between pressure generator 14 and the control valve 20 are applied to breathable gas.Be more especially, among the embodiment, pressure transducer 21 is arranged near the inlet or inlet of the control valve 20 of pressure generator 14 reception breathable gas.Pressure transducer 21 can be a differential pressure pickup of measuring control valve 20 inlets or near the pressure reduction of inlet.That is, pressure transducer 21 is measured control valve 20 inlets or the poor of near pressure of breathable gas delivered and atmospheric pressure that enter the mouth.The calibration difference pressure sensor is a zero pressure with the pressure measxurement around inciting somebody to action.Therefore, the pressure that measurement was substantially zero when differential pressure pick-up 21 was not worked when pressure generator 14, and the pressure of measuring to represent with the deviation of this null value pressure (atmospheric pressure) changes.
In the described embodiment of Fig. 1, gas transmission system 12 also comprises the flow sensor 24 that is used to measure the pressurized breathable gas standard flow rate.That is, calibration flow speed sensors 24 is in standard temperature (273K) and normal pressure (1 atmospheric pressure) with the supposition pressurized breathable gas, and therefore so-called " standard flow rate " is provided.Because flow sensor 24 is measured " standard flow rate ", so because the temperature and pressure of breathable gas maybe this measured value can change along with volume flow rate a little along with therefore standard temperature and pressure (STP) change.Flow sensor 24 can comprise the equipment that is suitable for the measurement standard flow velocity, for example hot-wire anemometer, pulmonary function appearance, respiration rate appearance, variable openings pick off or other normal flow speed sensors.In described embodiment, flow sensor 24 is arranged on from patient interface assembly position far away.But the present invention considers flow sensor 24 is arranged on any position and is arranged on the patient interface assembly 28 along patient's conduit 26.For example, people's such as Starr United States Patent (USP) 6,017,315 has been instructed a kind of quantitative flow velocity element that is positioned at patient interface 28, and its full content combined reference is at this.
Carry gas flow from gas transmission system 12 to the patient through patient's conduit 26, this conduit is generally to patient interface assembly 28 and carries the single flexible conduit of gas flow.Patient interface assembly 28 is any intrusion or the non-intruding utensil that is suitable for to patient airway supply breathing gas, for example nose cup, nose/mask, whole face shield, nasal cannula, endotracheal tube or breathing catheter.Patient interface assembly 28 can comprise the head cap that utensil is installed in patient's head.In described embodiment, patient interface assembly 28 and/or patient's conduit 26 comprise the suitable outlet 30 that is used for from these parts atmosphere discharge towards periphery gas.Outlet 30 is preferably the passive outlet of continuous opening form, and it applies flow restriction to allow the gas pressure in the control patient interface assembly 28 to discharging gas.But, will be understood that outlet 30 can be to carry out the active outlet that difference is configured to control the velocity of discharge.For example at the United States Patent (USP) 5,685,296 and 5,937 of all authorizing people such as Zdrojkowski, instructed the instance of suitable outlet in 885.
As shown in Figure 1, gas transmission system 12 comprises the processor module 32 of control gas transmission system 12 various ruuning situations.For example, to processor module 32 output of flow sensor 24 and pressure transducer 21 is provided, then to confirm the standard flow rate and the differential pressure of delivery value patient's breathable gas if desired.
The control interface 34 that is included in the gas transmission system 12 provides data and order to processor module 32.To processor module 32 equipment of information and/or order is provided through rigid line or wireless connections although control interface 34 can comprise any be fit to, the instance of controlling interface 34 comprise keypad, keyboard, touch pads, mouse, mike, switch, button, dial, or any other permission user to the equipment of patient treatment system 10 input informations.
The present invention considers that also patient's conduit 26 can be two brasnch conducts, and this point is common in conventional ventilation installation.Breathing gas is transmitted to the patient in first branch for example patient's conduit 26, and just it does not have outlet.On the contrary; Second branch is from patient's Atmospheric Transportation discharge towards periphery gas; Usually, the active outlet in controller (for example processor module 32) control second branch down for the patient provide the end-tidal of aspiration level rectify pressure (Positive end expiratory pressure, PEEP).In addition; Gas delivery system 12 and relevant parts can comprise that other filtration, measurement, monitoring and analysis stream are to the patient or from the conventional equipment and the parts of patient's effluent air flow velocity, for example humidifier, heater, biofilter, humidity sensor and gas sensor (for example capnometer (capnometer)).
The actuating of processor module 32 control control valves 20, thus control is delivered to patient's breathing gas pressure.Processor module 32 is suitable for being applied to according to various air vent modes with calculating one or more algorithms programmings of patient's pressure.In more advanced embodiment of the present invention; Processor module 32 selectively comprises the memorizer 36 relevant with gas transmission system 12, and it carries out any one needed program of multiple air vent mode according to nurse who uses control interface 34 or the selected air vent mode storage of patient.Memorizer 36 can also be stored about the data of patient treatment system 10 operations, input command, alert threshold and any other and move relevant information, the for example measured value of patient's flow velocity, volume, pressure, equipment purposes, operating temperature and electromotor velocity with patient treatment system.
Fig. 2 is the exemplary description according to the pressure generator 14 of the embodiment of the invention.Pressure generator 14 comprises aerator 38, and it receives can absorb gas and improve from source of the gas 16 (not shown Fig. 2) and greater than ambient pressure is being the pressure that is delivered to patient's absorbed gas under the atmospheric pressure.By patient's conduit 26 the breathable gas stream that pressurizes is delivered to the patient then.
As shown in Figure 2ly go out, aerator 38 comprises the impeller 40 that is positioned at cover 42.Be coupled to motor 44 rotary blades 40 of driving shaft 46.Breathable gas is delivered to the center of impeller 40 through blower inlet 50.The rotation of impeller 40 is exerted pressure to breathable gas, thereby to gas pressurized and at blower export 52 this gas is released aerator 38.Operation by processor module 32 control motor 44.In one embodiment of the invention, processor module 32 speed that can adjust motor 44 is treated the desired pressure by pressure generator 14 outputs with setting.For this reason, be provided at conventional control device that control comprises in the interface 34, for example select the output pressure of expectation and therefore select the speed of service of motor 44 input to be provided to processor module 32.By measuring the speed of service of motor 44 with the current meter of processor module 32 cooperations 48.People's such as Truitt United States Patent (USP) 6,622,724 has been described the aerator and the impeller that can in one embodiment of the invention, be used as aerator 38 and impeller 40 especially, and its full content combined reference is at this.
In other embodiments of the invention, pressure generator 14 can be not depart from piston, pump or the bellows of listed principle here.
Get back to Fig. 1, at gas transmission system 12 duration of works, the breathable gas stream that processor module 32 is confirmed to be delivered to the patient is not by pressure transducer 21 and the flow sensor 24 direct various parameters of measuring.For example, processor 32 can be confirmed volume flow rate or other parameter of atmospheric pressure (being barometer pressure), atmospheric density, pressurized breathable gas.Wherein, these Determination of Parameters can make processor module 32 monitoring be delivered to the volume of the breathable gas of patient interface assembly 28.
The breathable gas volume that is delivered to patient interface assembly 28 depends on the volume flow rate of pressurized breathable gas.But the flow velocity that flow sensor 24 is measured is a standard flow rate, if the pressure and temperature of breathable gas is in the status of criterion (for example 273K and 1 atmospheric pressure) then this standard flow rate will equal volume flow rate (the actual volume flow velocity of gas).Relation between volume flow rate and the standard flow rate is represented as follows:
1. equation (1) Q Vol=Q Std* C;
Here Q VolThe expression volume flow rate, Q StdThe expression standard flow rate, and C representes density correction factor.Therefore, can be based on the standard flow rate of flow sensor 24 measurements and through confirming the definite or approximate volumes flow velocity of density correction factor.For describing purpose, " density correction factor " is the scale factor that multiply by the volume flow rate of confirming gas with the standard flow rate of air-flow mutually.Density correction factor is the function of ambient conditions in gas transmission system 12 and gas transmission system, for example ambient pressure, environment temperature and/or surrounding air density.For example can confirm density correction factor according to following formula:
2. equation (2) C = ( T m T Std ) ( P Std P m ) ;
Adopt the ideal gas rule can it be rewritten as:
3. equation (3) C = ρ Std ρ m ;
T wherein mThe absolute temperature that expression is measured, T StdThe expression standard temperature, P StdThe expression normal pressure, P mThe absolute pressure that expression is measured, ρ StdExpression standard air density, and ρ mThe atmospheric density that expression is measured.
For confirming density correction factor according to equation (2) or one of them represented relation of (3), processor module 32 at first calculates measures absolute pressure (equation 2) or Measurement of Air density (equation 3).Through carrying out several hypothesis, comprising: suppose the adiabatic process that is pressurised into of breathable gas; And hypothesis applies along impeller 44, and distinguishing gas pressure can be expressed as to the increase of breathable gas applied pressure by aerator 38 only for distinguishing the function of distance between volume and impeller 44 rotating shafts (being driving shaft 46) on any volume:
4. equation (4) Δ P = P Inlet * ( e ω 2 · r 2 2 · R · T - 1 ) ;
Wherein Δ P representes to increase P by 38 applied pressures of aerator InletThe expression breathable gas is at the pressure of blower inlet 50, and ω representes the angular frequency of impeller 40, and r representes the radius of impeller 40, and R representes the gas constant of breathable gas, and T representes the temperature of breathable gas.
For confirming atmospheric pressure through using equation (4); Control valve 20 is closed when aerator 38 operations; Effectively the flow velocity of breathable gas (standard and volume) is reduced to zero (perhaps being substantially zero) simultaneously, this point causes the pressure (P of breathable gas at blower inlet 50 Inlet) equal (perhaps being substantially equal to) atmospheric pressure.This is because employed source of the gas 16 is atmosphere simply.Because pressure transducer 21 is arranged on the upper reaches (perhaps front) of control valve 20 and measures atmospheric pressure (equaling the pressure of blower inlet 50 now) and by aerator 38 pressurization but be closed absolute pressure poor of the breathable gas that control valve 20 stops, so pressure transducer 21 measured pressure reduction are substantially equal to be applied to by aerator 38 pressure (Δ P) of breathable gas.Based on this relation, can produce following formula to atmospheric pressure solves equation (4):
5. equation (5) P Atm = P Diff e ω 2 · r 2 2 · R · T - 1 ;
P wherein AtmThe expression atmospheric pressure, P DiffThe differential pressure that expression pressure transducer 21 is measured.Among the embodiment,, for example can directly measure the temperature of breathable gas by thermometer or gas temperature sensor although will increase the cost of equipment.Therefore, in another embodiment, can estimate temperature based on common service condition.Among the embodiment, suppose that the temperature of breathable gas is approximately 315 degree Kelvins.Among this embodiment, the pick off of temperature when flow sensor 24 can comprise compensated measurement gas-pressurized standard flow rate to a certain extent.For example, flow sensor 24 can comprise hot wire anemometer, and it has and comprises by constant current heating or maintain the core of hot line of the exposure of steady temperature.Among this embodiment, can be the function of walking heat by the pressurized breathable gas convective zone with the flow-speed measurement of pressurized breathable gas.As be to be understood that, because such anemometer will rely on the measurement (it will be influenced by the convection current of pick off environment temperature and pressurized breathable gas) of gas temperature, settle the standard flow velocity with the temperature around the part compensation sensor from this measurement.
Because atmospheric pressure (for example all night) during the patient uses patient treatment system 10 usually keeps relative stability usually; So only measure a subatmospheric when starting in one embodiment and suppose that it is constant; Start when treating task at gas transmission system 12 promptly that control valve 32 is closed after aerator 38 is increased to the speed of service, confirm atmospheric pressure separately so that processor module 32 begins to make in the treatment task.Think that during whole task atmospheric pressure is constant.Among another embodiment, closed control valve 20 is to start the calculating once more of ambient pressure during the treatment task.
Among other embodiment, can under the situation of closed control valve 20 not, confirm atmospheric pressure.For example, in single branch system, for example in the patient treatment system 10, the breathable gas that the patient is carried gas transmission system 10 flows incoming call patient conduit 26.When the gas that leaves patient airway was compelled to get back to patient's conduit 26 to gas transmission system 12 to pressurized breathable gas stream, the instantaneous at least flow velocity of gas-pressurized that makes of this incoming call reduced to zero basically.Because the patient exhales or other phenomenon and do not produce identical with closing of control valve 20 basically condition through the air-flow of gas transmission system 12.This makes processor module 32 application equations (5) confirm current atmospheric pressure from the measurement of pressure transducer 21, current meter 48 and temperature sensor (if perhaps patient treatment system 10 does not comprise temperature sensor then supposes a temperature).Among this embodiment, zero (or being substantially zero) instantaneous velocity measurement of flow sensor 24 can be used as triggering processor module 32 and recomputates current atmospheric predetermined trigger incident.
In case confirm atmospheric pressure, then can add the differential pressure that detects by pressure transducer 21 (P for example through the atmospheric pressure that the front is confirmed m=P Atm+ P Diff) and draw the absolute pressure of breathable gas.Adopt the measured value of absolute pressure, pass through the absolute pressure of breathable gas and temperature substitution equation (2) the monitoring density correction factor of breathable gas by processor module 32 then.Measure from the calculating of density correction factor and the standard flow rate of flow sensor 24, processor module 32 is according to the volume flow rate of equation (1) monitoring breathable gas.The volume flow rate of monitoring breathable gas makes processing module confirm the breathable gas cumulative volume of being carried by gas transmission system 12, and based on the special parameter of breathable gas and the operation of ambient conditions adjustment pressure generator 14 and/or control valve 20.For example, processor module 32 can be based on the speed of confirming to reduce motor 44 to raising atmospheric pressure (perhaps improving atmospheric density).Wherein, the speed that reduces motor 44 reduces the noise that gas transmission system 12 produced and reduces gas transmission system 12 employed power, and reduces the wearing and tearing of aerator 38 various parts (for example impeller 40, motor 44 and driving shaft 46) and tear.
Among the embodiment, processor module 32 is monitored the density of pressurized breathable gas according to following ideal gas law:
6. equation (6) ρ m = P m R · T ·
Among this embodiment, processing module 32 can be through with the calculating substitution equation (3) of this gas-pressurized density rather than adopt above-mentioned equation (2) monitoring density correction factor.
Will be understood that; The configuration of patient treatment system 10 shown in Figure 1 is not from the restriction purpose, and scope of the present invention comprises that any other makes processor module 32 monitor the configuration of directly not measuring this parameter to patient's gas-pressurized volume flow rate and/or atmospheric density and/or atmospheric pressure.For example, Fig. 3 has described the configuration of patient treatment system 10 according to an embodiment of the invention, and wherein gas transmission system 12 does not comprise control valve 20.In Fig. 3, identical part be endowed with Fig. 1 and 2 in identical Reference numeral.
In the configuration of the described patient treatment system 10 of Fig. 3, gas transmission system 12 only is sent to the pressure of patient's breathable gas based on the output control of pressure generator 14.That is, processor module 32 is controlled to patient's breathing gas pressure through the rotary speed of controlled pressure generator 14 only, and wherein pressure generator is aerator 38 once more.According to this embodiment, processor module 32 can be measured with feedback system controlled pressure generator 14 (with reference to figure 2) based on the one or many of pressure transducer 21 and/or 48 pairs of pressure of breathable gas delivered of current meter.
Because the configuration of gas transmission system 12 illustrated in fig. 3 does not comprise control valve 20, so the flow velocity of pressurized breathable gas can not be by processor module 32 vanishing controllably when pressure generator 14 operations.But; When the instantaneous velocity of pressurized breathable gas reaches zero; For example when reaching zero owing to patient's exhalation flow rate is instantaneous, perhaps through making other mechanism or the phenomenon of the vanishing of breathable gas flow velocity, processor module 32 still can be confirmed atmospheric pressure according to equation (5).Based on once confirming (or repeatedly confirming) to atmospheric, processing module can be monitored the density of pressurized breathable gas, the volume flow rate of breathable gas or other parameter of breathable gas as stated.
According to an aspect of the present invention, can in feedback cycle, use measurement atmospheric pressure, atmospheric density and/or density correction factor various aspects by processor 32 with control patient treatment system 10.For example, processor 32 can be used for the control operation (for example speed and output) of controlled pressure generator 14.In addition, provide therein among the embodiment of control valve 20, processor 32 can be used for the operation of control valve 20 to regulate and control the flow velocity to the patient.When being provided, processor 32 can strengthen the control and the measurement of flowing to patient's output to the control of pressure generator 14 and/or valve 20 and according to the information that above-mentioned disclosure is added.
Fig. 4 has described other a kind of configuration of patient treatment system 10 in accordance with another embodiment of the present invention.Once more, identical part is endowed identical Reference numeral.More particularly, in the configuration of patient treatment system 10 illustrated in fig. 4, gas transmission system 12 does not comprise flow sensor 24.But processor module 32 also can be through closed control valve 20, measure differential pressures (Pdiff) and supposition (but not measurement) zero flow velocity confirms atmospheric pressure according to equation (5) through pressure transducer 21.Based on this result, processor module 32 can be monitored the various parameters of above-mentioned pressurized breathable gas when gas transmission system 12 operations.
Will be understood that only for describing purpose above-mentioned special equation is provided, expected range of the present invention comprises other a kind of algorithm of breathable gas monitoring parameter and directly do not measure atmospheric pressure that this parameter is atmospheric function.
Although based on thinking that now the most practical and preferred embodiment is to describe purpose to describe the present invention in detail; But will understand such details only is for this purpose, and the invention is not restricted to the disclosed embodiments but opposite expectation comprises the change and equivalence setting that belongs to accessory claim essence and scope.

Claims (28)

1. a gas transmission system (12) comprising:
Pressure generator (14) pressurizes to transmit to the patient to breathable gas (22);
Pressure transducer (21) is measured the breathable gas (22) of pressurization and the pressure reduction between the atmospheric pressure;
Flow sensor (24), measure by pressure generator (14) the standard flow rate of the pressurized breathable gas of exporting (22); And
Processor (32) is confirmed at least one in atmospheric pressure, atmospheric density or the density correction factor based on the standard flow rate of pressure reduction and measurement at least in part.
2. the system of claim 1 (12), wherein flow sensor (24) is a hot wire anemometer.
3. system as claimed in claim 2 (12), wherein processor (32) is triggered when detecting the predetermined trigger incident, to confirm at least one in atmospheric pressure, atmospheric density or the density correction factor.
4. system as claimed in claim 3 (12), wherein predetermined trigger event comprises the pressurized breathable gas (22) that standard flow rate is substantially zero.
5. the system of claim 1 (12) also comprises the control valve (20) in pressure generator (14) downstream, and control valve (20) is controlled by processor (32).
6. the system of claim 1 (12), wherein processor (32) is confirmed density correction factor and the standard flow rate of pressurized breathable gas multiply by density correction factor to confirm the volume flow rate of pressurized breathable gas (22).
7. the system of claim 1 (12) also comprises the temperature monitor of keeping watch on pressurized breathable gas (22) temperature.
8. system as claimed in claim 7 (12), wherein processor (32) is also at least partly confirmed at least one in atmospheric pressure, atmospheric density or the density correction factor based on the temperature of pressurized breathable gas (22).
9. the system of claim 1 (12), wherein pressure generator (14) comprises aerator (38), aerator (38) also comprises:
The motor (44) relevant with aerator (38); And
The impeller (40) relevant with aerator (38); Impeller (40) is driven so that breathable gas (22) is pressurizeed by motor (44) rotation, and wherein processor (32) is also at least partly confirmed at least one in atmospheric pressure, atmospheric density and the density correction factor based on the size of impeller (40) and the rotary speed of drives impeller (40).
10. system as claimed in claim 9 (12) also comprises the tachometer (48) of the rotating speed of keeping watch on drives impeller (40).
11. the system of claim 1 (12), wherein processor (32) is supposed incompressible adiabatic process that is pressurised into of breathable gas (22).
12. a gas transmission system (12) comprising:
Pressure generator (14) pressurizes to transmit to the patient to breathable gas (22);
Pressure transducer (21) is measured the breathable gas (22) of pressurization and the pressure reduction between the atmospheric pressure;
Control valve (20) is arranged on the downstream of pressure generator (14), and control valve (20) is configured and is set to control the flow velocity of pressurized breathable gas (22); And
Processor (32); Control control valve (20) and is at least partly confirmed at least one in atmospheric pressure, atmospheric density or the density correction factor based on the pressure reduction between pressurized breathable gas (22) and the atmospheric pressure so that the flow velocity of pressure generator (14) when operation pressurized breathable gas (22) is substantially zero when flow velocity is substantially zero.
13. system as claimed in claim 12 (12) also comprises the flow sensor (24) that is arranged on pressure generator (14) downstream, flow sensor (24) is measured the standard flow rate of pressurized breathable gas (22).
14. system as claimed in claim 13 (12), wherein processor (32) is confirmed density correction factor and the standard flow rate of pressurized breathable gas multiply by density correction factor to confirm the volume flow rate of pressurized breathable gas (22).
15. system as claimed in claim 12 (12), wherein processor (32) is supposed incompressible adiabatic process that is pressurised into of breathable gas (22).
16. system as claimed in claim 12 (12), wherein processor (32) is based at least one comes the operation of controlled pressure generator (14) in atmospheric pressure, atmospheric density or the density correction factor.
17. the method for monitor transmissions to patient's a pressurized breathable gas (22), this method comprises:
(a) with pressure generator (14) breathable gas (22) is pressurizeed;
(b) definite pressure that is applied to breathable gas (22) by pressure generator (14); And
(c) part is confirmed at least one in atmospheric pressure, atmospheric density or the density correction factor based on the pressure that is applied to breathable gas by pressure generator (14) at least.
18. method as claimed in claim 17 also comprises:
Confirm the standard flow rate of pressurized breathable gas (22), and confirm that wherein step (c) is also at least partly based on standard flow rate.
19. method as claimed in claim 18 is wherein through confirming the standard flow rate of pressurized breathable gas (22) with flow sensor (24) measurement standard flow velocity.
20. method as claimed in claim 19, wherein flow sensor (24) is a hot wire anemometer.
21. method as claimed in claim 19 also comprises and detects the predetermined trigger incident, and confirms that wherein the step of at least one is to trigger by detecting the predetermined trigger incident in atmospheric pressure, atmospheric density or the density correction factor.
22. method as claimed in claim 21, wherein predetermined trigger event comprises that the standard flow rate of definite pressurized breathable gas (22) is substantially zero.
23. method as claimed in claim 17 also comprises:
The flow velocity of pressurized breathable gas (22) is substantially zero, confirms that wherein step (c) also at least partly is zero hypothesis based on standard flow rate.
24. method as claimed in claim 23 wherein makes the standard flow rate of pressurized breathable gas (22) be substantially zero and comprises closed control valve (20), control valve (20) is arranged on the downstream of pressure generator (14).
25. method as claimed in claim 17 also comprises the temperature of definite pressurized breathable gas (22).
26. method as claimed in claim 25, wherein at least part based on by pressure generator (14) pressure and the temperature of pressurized breathable gas (22) of the breathable gas that is applied to (22) confirm at least one in atmospheric pressure, atmospheric density or the density correction factor.
27. method as claimed in claim 17 also comprises:
At least part is based at least one the controlled pressure generator (14) in atmospheric pressure, atmospheric density or the density correction factor.
28. method as claimed in claim 17 also comprises:
At least part is controlled control valve (20) based in atmospheric pressure, atmospheric density or the density correction factor at least one, and control valve (20) is arranged on the downstream of pressure generator (14).
CN2006800221205A 2005-06-21 2006-06-13 Respiratory device measurement system Active CN101454040B (en)

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