CN102526850B - Cpap治疗过程中呼吸暂停/呼吸不足的确定 - Google Patents
Cpap治疗过程中呼吸暂停/呼吸不足的确定 Download PDFInfo
- Publication number
- CN102526850B CN102526850B CN201210012252.7A CN201210012252A CN102526850B CN 102526850 B CN102526850 B CN 102526850B CN 201210012252 A CN201210012252 A CN 201210012252A CN 102526850 B CN102526850 B CN 102526850B
- Authority
- CN
- China
- Prior art keywords
- apnea
- hypopnea
- pressure
- time interval
- ventilation
- Prior art date
- Legal status (The legal status 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 status listed.)
- Expired - Fee Related
Links
- 206010003497 Asphyxia Diseases 0.000 title 1
- 208000008784 apnea Diseases 0.000 claims abstract description 62
- 238000009423 ventilation Methods 0.000 claims abstract description 58
- 206010021079 Hypopnoea Diseases 0.000 claims abstract description 46
- 230000000241 respiratory effect Effects 0.000 claims abstract description 30
- 238000011513 continuous positive airway pressure therapy Methods 0.000 claims abstract description 10
- 238000004364 calculation method Methods 0.000 claims abstract description 8
- 230000007774 longterm Effects 0.000 claims description 30
- 230000001225 therapeutic effect Effects 0.000 claims description 6
- 230000004044 response Effects 0.000 claims description 5
- 238000002560 therapeutic procedure Methods 0.000 claims description 2
- 230000001684 chronic effect Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 9
- 230000029058 respiratory gaseous exchange Effects 0.000 description 9
- 238000001514 detection method Methods 0.000 description 8
- 239000007789 gas Substances 0.000 description 8
- 206010041235 Snoring Diseases 0.000 description 6
- 230000006870 function Effects 0.000 description 5
- 238000004422 calculation algorithm Methods 0.000 description 4
- 230000003434 inspiratory effect Effects 0.000 description 4
- 230000000414 obstructive effect Effects 0.000 description 4
- 230000002829 reductive effect Effects 0.000 description 4
- 206010067775 Upper airway obstruction Diseases 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 208000003417 Central Sleep Apnea Diseases 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 238000006213 oxygenation reaction Methods 0.000 description 2
- 238000012935 Averaging Methods 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 230000001269 cardiogenic effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000011038 discontinuous diafiltration by volume reduction Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000008518 non respiratory effect Effects 0.000 description 1
- 230000010355 oscillation Effects 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 201000002859 sleep apnea Diseases 0.000 description 1
- 208000019116 sleep disease Diseases 0.000 description 1
- 208000022925 sleep disturbance Diseases 0.000 description 1
- 210000001584 soft palate Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 238000004448 titration Methods 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Classifications
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0057—Pumps therefor
- A61M16/0066—Blowers or centrifugal pumps
- A61M16/0069—Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Measuring devices for evaluating the respiratory organs
- A61B5/087—Measuring breath flow
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- A61B5/4806—Sleep evaluation
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- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/725—Details of waveform analysis using specific filters therefor, e.g. Kalman or adaptive filters
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- A61B5/7271—Specific aspects of physiological measurement analysis
- A61B5/7278—Artificial waveform generation or derivation, e.g. synthesizing signals from measured signals
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- A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
- A61M16/022—Control means therefor
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
- A61M2016/0018—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
- A61M2016/0021—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with a proportional output signal, e.g. from a thermistor
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
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- A—HUMAN NECESSITIES
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
- A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
- A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
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- A—HUMAN NECESSITIES
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
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- A—HUMAN NECESSITIES
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- A61M2230/00—Measuring parameters of the user
- A61M2230/40—Respiratory characteristics
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Pulmonology (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Emergency Medicine (AREA)
- Surgery (AREA)
- Anesthesiology (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Hematology (AREA)
- Molecular Biology (AREA)
- Physiology (AREA)
- Artificial Intelligence (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Psychiatry (AREA)
- Signal Processing (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US77962506P | 2006-03-06 | 2006-03-06 | |
| US60/779,625 | 2006-03-06 | ||
| CN2007800078004A CN101394884B (zh) | 2006-03-06 | 2007-03-06 | Cpap治疗过程中呼吸暂停/呼吸不足的确定 |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2007800078004A Division CN101394884B (zh) | 2006-03-06 | 2007-03-06 | Cpap治疗过程中呼吸暂停/呼吸不足的确定 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102526850A CN102526850A (zh) | 2012-07-04 |
| CN102526850B true CN102526850B (zh) | 2016-01-27 |
Family
ID=38474536
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210012252.7A Expired - Fee Related CN102526850B (zh) | 2006-03-06 | 2007-03-06 | Cpap治疗过程中呼吸暂停/呼吸不足的确定 |
| CN2007800078004A Expired - Fee Related CN101394884B (zh) | 2006-03-06 | 2007-03-06 | Cpap治疗过程中呼吸暂停/呼吸不足的确定 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2007800078004A Expired - Fee Related CN101394884B (zh) | 2006-03-06 | 2007-03-06 | Cpap治疗过程中呼吸暂停/呼吸不足的确定 |
Country Status (7)
| Country | Link |
|---|---|
| US (3) | US8931483B2 (https=) |
| EP (1) | EP1991297B1 (https=) |
| JP (2) | JP5231256B2 (https=) |
| CN (2) | CN102526850B (https=) |
| AU (1) | AU2007222883B2 (https=) |
| NZ (2) | NZ569976A (https=) |
| WO (1) | WO2007101297A1 (https=) |
Families Citing this family (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7878198B2 (en) | 2004-03-31 | 2011-02-01 | Michael Farrell | Methods and apparatus for monitoring the cardiovascular condition of patients with sleep disordered breathing |
| US8931483B2 (en) | 2006-03-06 | 2015-01-13 | Resmed Limited | Determination of apnea/hypopnea during CPAP treatment |
| DE102007020038A1 (de) * | 2007-04-27 | 2008-10-30 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Nachweis einer Apnoe mit blutdruckabhängig erfassten Signalen |
| NZ614401A (en) * | 2007-05-11 | 2015-03-27 | Resmed Ltd | Automated control for detection of flow limitation |
| AU2008203812B2 (en) | 2007-08-17 | 2014-10-02 | ResMed Pty Ltd | Methods and Apparatus for Pressure Therapy in the Treatment of Sleep Disordered Breathing |
| RU2383346C2 (ru) * | 2007-10-30 | 2010-03-10 | Андрей Иванович Гомжин | Способ лечения больных гипогонадизмом с синдромом обструктивного апноэ сна |
| US8379193B2 (en) | 2008-08-27 | 2013-02-19 | Chemimage Corporation | SWIR targeted agile raman (STAR) system for on-the-move detection of emplace explosives |
| US8985106B2 (en) * | 2009-06-05 | 2015-03-24 | Resmed Limited | Methods and devices for the detection of hypopnoea |
| AU2010206053B2 (en) | 2009-07-31 | 2014-08-07 | ResMed Pty Ltd | Wire Heated Tube with Temperature Control System, Tube Type Detection, and Active Over Temperature Protection for Humidifier for Respiratory Apparatus |
| US8994934B1 (en) | 2010-11-10 | 2015-03-31 | Chemimage Corporation | System and method for eye safe detection of unknown targets |
| US8743358B2 (en) | 2011-11-10 | 2014-06-03 | Chemimage Corporation | System and method for safer detection of unknown materials using dual polarized hyperspectral imaging and Raman spectroscopy |
| EP2785270B1 (en) | 2011-12-03 | 2019-05-01 | Koninklijke Philips N.V. | Automatic depth scrolling and orientation adjustment for semi-automated path planning |
| JP6200430B2 (ja) * | 2011-12-23 | 2017-09-20 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 圧補助装置を監視し且つ制御する方法及び装置 |
| CA2961902C (en) | 2012-01-26 | 2020-08-04 | Med-El Elektromedizinische Geraete Gmbh | Neural monitoring methods and systems for treating pharyngeal disorders |
| JP6396892B2 (ja) | 2012-05-14 | 2018-09-26 | レスメド・モーター・テクノロジーズ・インコーポレーテッド | 呼吸の快適さのための圧力の制御 |
| CN102688025B (zh) * | 2012-06-14 | 2014-03-12 | 天津市第五中心医院 | 呼气暂停法呼气末血管内压力智能分析仪 |
| US9052290B2 (en) | 2012-10-15 | 2015-06-09 | Chemimage Corporation | SWIR targeted agile raman system for detection of unknown materials using dual polarization |
| NZ743034A (en) | 2013-02-01 | 2019-12-20 | ResMed Pty Ltd | Wire heated tube with temperature control system for humidifier for respiratory apparatus |
| NZ630750A (en) * | 2014-02-13 | 2016-03-31 | Resmed Ltd | Diagnosis and treatment of respiratory disorders |
| NZ630749A (en) * | 2014-02-13 | 2016-03-31 | Resmed Ltd | Real-time detection of periodic breathing |
| DE102014003542B4 (de) | 2014-03-12 | 2021-09-30 | Drägerwerk AG & Co. KGaA | Verfahren und Vorrichtung zur Erzeugung eines Alarms während einer maschinellen Patientenbeatmung |
| NZ734706A (en) * | 2014-06-10 | 2019-03-29 | ResMed Pty Ltd | Method and apparatus for treatment of respiratory disorders |
| CN107735133B (zh) * | 2015-07-07 | 2021-05-25 | 皇家飞利浦有限公司 | 用于无创通气的患者气道和泄漏流量估计的方法和系统 |
| US10589051B2 (en) | 2015-10-20 | 2020-03-17 | Steven Salter | CPAP compliance notification apparatus and method |
| US11471068B2 (en) * | 2016-05-10 | 2022-10-18 | Koninklijke Philips N.V. | Determining an airway flow limitation value |
| WO2018090095A1 (en) * | 2016-11-18 | 2018-05-24 | Resmed Limited | Methods and apparatus for ventilatory treatment of respiratory disorders |
| JP2018201724A (ja) * | 2017-05-31 | 2018-12-27 | 日本光電工業株式会社 | 呼吸気圧センサ |
| CN108742629A (zh) * | 2018-07-05 | 2018-11-06 | 孙晨 | 一种睡眠呼吸暂停综合征预警装置 |
| US12357194B2 (en) * | 2020-07-09 | 2025-07-15 | Covidien Lp | Informative display for non-contact patient monitoring |
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| EP0088761B1 (en) | 1981-04-24 | 1987-08-12 | Somed Pty. Ltd. | Device for treating snoring sickness |
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- 2007-03-06 JP JP2008557550A patent/JP5231256B2/ja not_active Expired - Fee Related
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- 2007-03-06 AU AU2007222883A patent/AU2007222883B2/en not_active Ceased
- 2007-03-06 NZ NZ593526A patent/NZ593526A/xx unknown
- 2007-03-06 CN CN2007800078004A patent/CN101394884B/zh not_active Expired - Fee Related
- 2007-03-06 WO PCT/AU2007/000273 patent/WO2007101297A1/en not_active Ceased
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| US6105575A (en) * | 1994-06-03 | 2000-08-22 | Respironics, Inc. | Method and apparatus for providing positive airway pressure to a patient |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2009528858A (ja) | 2009-08-13 |
| JP5231256B2 (ja) | 2013-07-10 |
| US20150165145A1 (en) | 2015-06-18 |
| EP1991297B1 (en) | 2019-12-04 |
| CN101394884A (zh) | 2009-03-25 |
| NZ593526A (en) | 2012-12-21 |
| WO2007101297A1 (en) | 2007-09-13 |
| NZ569976A (en) | 2011-07-29 |
| US8931483B2 (en) | 2015-01-13 |
| CN101394884B (zh) | 2012-03-21 |
| JP2012161639A (ja) | 2012-08-30 |
| US20190232002A1 (en) | 2019-08-01 |
| US20090050155A1 (en) | 2009-02-26 |
| EP1991297A4 (en) | 2013-07-03 |
| CN102526850A (zh) | 2012-07-04 |
| US11351319B2 (en) | 2022-06-07 |
| AU2007222883A1 (en) | 2007-09-13 |
| JP5689092B2 (ja) | 2015-03-25 |
| US10183136B2 (en) | 2019-01-22 |
| EP1991297A1 (en) | 2008-11-19 |
| AU2007222883B2 (en) | 2012-12-13 |
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