CN103002802B - 用于确定连接至呼吸装置的患者体内的跨肺压的系统 - Google Patents
用于确定连接至呼吸装置的患者体内的跨肺压的系统 Download PDFInfo
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- CN103002802B CN103002802B CN201180030254.2A CN201180030254A CN103002802B CN 103002802 B CN103002802 B CN 103002802B CN 201180030254 A CN201180030254 A CN 201180030254A CN 103002802 B CN103002802 B CN 103002802B
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- peep
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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
- A61B5/085—Measuring impedance of respiratory organs or lung elasticity
-
- 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
-
- 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
- A61B5/0871—Peak expiratory flowmeters
-
- 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
- A61B5/091—Measuring volume of inspired or expired gases, e.g. to determine lung capacity
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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
- A61B5/097—Devices for facilitating collection of breath or for directing breath into or through measuring devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7225—Details of analogue processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation
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- A—HUMAN NECESSITIES
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- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- 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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- A—HUMAN NECESSITIES
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- A61B5/7271—Specific aspects of physiological measurement analysis
- A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition
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- A—HUMAN NECESSITIES
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- 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
-
- 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
- A61M16/0057—Pumps therefor
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- A—HUMAN NECESSITIES
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- 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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- 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
- A61M16/021—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
- A61M16/024—Control means therefor including calculation means, e.g. using a processor
- A61M16/026—Control 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
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- 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
- A61M16/06—Respiratory or anaesthetic masks
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
- A61M16/202—Controlled valves electrically actuated
- A61M16/203—Proportional
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
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- A61M16/203—Proportional
- A61M16/205—Proportional used for exhalation control
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/12—Preparation of respiratory gases or vapours by mixing different gases
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- 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
- A61M2016/0015—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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- 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
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
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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
- A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
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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
- A61M2016/0042—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the expiratory circuit
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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
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- A—HUMAN NECESSITIES
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- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/105—Oesophagus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M2230/00—Measuring parameters of the user
- A61M2230/40—Respiratory characteristics
- A61M2230/46—Resistance or compliance of the lungs
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pulmonology (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Hematology (AREA)
- Emergency Medicine (AREA)
- Anesthesiology (AREA)
- Physiology (AREA)
- Signal Processing (AREA)
- Artificial Intelligence (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Psychiatry (AREA)
- Power Engineering (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Percussion Or Vibration Massage (AREA)
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US35658910P | 2010-06-19 | 2010-06-19 | |
| EP10166587.5 | 2010-06-19 | ||
| US61/356,589 | 2010-06-19 | ||
| EP10166587A EP2397074B1 (en) | 2010-06-19 | 2010-06-19 | A system and computer readable medium for determination of transpulmonary pressure in a patient connected to a breathing apparatus |
| US201161469100P | 2011-03-30 | 2011-03-30 | |
| US61/469,100 | 2011-03-30 | ||
| PCT/EP2011/060264 WO2011157855A1 (en) | 2010-06-19 | 2011-06-20 | A system and method for determination of transpulmonary pressure in a patient connected to a breathing apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103002802A CN103002802A (zh) | 2013-03-27 |
| CN103002802B true CN103002802B (zh) | 2015-03-25 |
Family
ID=43003420
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201180030254.2A Active CN103002802B (zh) | 2010-06-19 | 2011-06-20 | 用于确定连接至呼吸装置的患者体内的跨肺压的系统 |
Country Status (6)
| Country | Link |
|---|---|
| US (3) | US8701663B2 (https=) |
| EP (3) | EP2397074B1 (https=) |
| JP (3) | JP5864562B2 (https=) |
| CN (1) | CN103002802B (https=) |
| BR (1) | BR112012032557A2 (https=) |
| WO (1) | WO2011157855A1 (https=) |
Families Citing this family (51)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2397074B1 (en) * | 2010-06-19 | 2012-10-24 | M Stenqvist AB | A system and computer readable medium for determination of transpulmonary pressure in a patient connected to a breathing apparatus |
| WO2012001621A1 (en) * | 2010-07-02 | 2012-01-05 | Koninklijke Philips Electronics N.V. | System for performing respiratory diagnostics |
| CN108814598A (zh) * | 2012-01-27 | 2018-11-16 | 斯威斯托姆公开股份有限公司 | 电阻抗测量带及其使用方法 |
| DE102012215662A1 (de) * | 2012-09-04 | 2014-03-06 | Hamilton Medical Ag | System zur automatisierten Einstellung eines durch eine Beatmungseinrichtung vorgegebenen Drucks |
| US20150114395A1 (en) * | 2013-10-29 | 2015-04-30 | General Electric Company | Method and arrangement for determining a ventilation need specific for a patient |
| CN104001249B (zh) * | 2014-06-13 | 2016-06-15 | 北京易世恒电子技术有限责任公司 | 呼吸末正压的控制方法及装置 |
| WO2016032375A1 (en) * | 2014-08-27 | 2016-03-03 | Maquet Critical Care Ab | Method and apparatus for prediction of fluid responsiveness in mechanically ventilated subjects |
| NL2013551B1 (en) * | 2014-10-01 | 2016-10-03 | Medwear B V | Device and method for assessing respiratory data in a monitored subject. |
| CN105982378B (zh) * | 2015-03-06 | 2018-10-30 | 陈金连 | 一种智能口罩 |
| SE538864C2 (sv) * | 2015-05-25 | 2017-01-10 | The Lung Barometry Sweden AB | Method System and Software for Protective Ventilation |
| DE102016011161A1 (de) * | 2016-09-16 | 2018-03-22 | Drägerwerk AG & Co. KGaA | Vorrichtung zur Verarbeitung und Visualisierung von Daten eines Elektro-lmpedanz-Tomographie-Gerätes zu einer Ermittlung und Visualisierung von regionalen Eigenschaften der Ventilation der Lunge |
| JP2018057600A (ja) * | 2016-10-05 | 2018-04-12 | 株式会社デンソー | 肺コンプライアンス測定装置 |
| WO2018065246A1 (en) * | 2016-10-07 | 2018-04-12 | Koninklijke Philips N.V. | Estimating lung compliance and lung resistance using a pressure controlled breath to allow all respiratory muscle recoil generated pressure to vanish |
| DE102016012824A1 (de) * | 2016-10-25 | 2018-04-26 | Drägerwerk AG & Co. KGaA | Verfahren und Vorrichtung zum adaptiven Regeln eines positiv endexspiratorischen Drucks (PEEP) |
| DE102017101645A1 (de) * | 2017-01-27 | 2018-08-02 | Ventinova Technologies B.V. | Vorrichtungen und Verfahren zur Beatmung eines Patienten |
| CN110545872B (zh) * | 2017-02-22 | 2022-11-08 | 皇家飞利浦有限公司 | 机械通气的自动peep选择 |
| EP3629919B1 (en) * | 2017-05-24 | 2021-05-19 | Koninklijke Philips N.V. | Expiratory flow limitation detection using pressure perturbations |
| US11904093B2 (en) | 2017-07-18 | 2024-02-20 | Koninklijke Philips N.V. | Ventilator gas delivery initiation via a virtual pressure triggering mechanism |
| US20190125994A1 (en) * | 2017-10-27 | 2019-05-02 | OrangeMed, Inc. | Ventilators and systems for performing automated ventilation procedures |
| WO2019099185A1 (en) | 2017-11-14 | 2019-05-23 | Covidien Lp | Methods and systems for drive pressure spontaneous ventilation |
| US12303244B2 (en) | 2018-01-31 | 2025-05-20 | Loewenstein Medical Technology S.A. | System for recording the breathing efforts of a patient |
| EP3749402B1 (en) * | 2018-02-06 | 2022-12-21 | Maquet Critical Care AB | Ventilator arrangement |
| US11478594B2 (en) | 2018-05-14 | 2022-10-25 | Covidien Lp | Systems and methods for respiratory effort detection utilizing signal distortion |
| US11298485B2 (en) | 2019-07-17 | 2022-04-12 | Convergent Engineering, Inc. | Esophageal pressure clinical decision support system |
| CN118252493A (zh) * | 2018-08-07 | 2024-06-28 | 罗斯特姆医疗创新有限公司 | 计算机程序产品和用于监测通气患者中的气体交换的方法 |
| US11752287B2 (en) | 2018-10-03 | 2023-09-12 | Covidien Lp | Systems and methods for automatic cycling or cycling detection |
| CN109718445B (zh) * | 2018-12-29 | 2020-04-21 | 北京谊安医疗系统股份有限公司 | 医疗呼吸设备p/v环拐点的确定方法及装置 |
| US20220008698A1 (en) * | 2019-02-20 | 2022-01-13 | Maquet Critical Care Ab | Automatic evaluation of a filling volume of an oesophageal balloon catheter |
| CN110237375B (zh) * | 2019-04-18 | 2022-07-08 | 北京雅果科技有限公司 | 一种呼吸机和负压排痰机 |
| CN110623668A (zh) * | 2019-09-18 | 2019-12-31 | 中国科学院武汉物理与数学研究所 | 一种用于肺顺应性定量评价的快速磁共振成像方法 |
| CN114641236A (zh) * | 2019-10-07 | 2022-06-17 | 提姆佩尔医疗有限责任公司 | 经由区域阻抗和患者定位评估肺部特征的装置、系统和方法 |
| CN114126694B (zh) * | 2019-12-03 | 2024-08-23 | 深圳迈瑞生物医疗电子股份有限公司 | 一种患者通气监测装置及其通气监测方法 |
| US11844610B2 (en) * | 2019-12-23 | 2023-12-19 | Koninklijke Philips N.V. | System and method for monitoring gas exchange |
| CN111383764B (zh) * | 2020-02-25 | 2024-03-26 | 山东师范大学 | 一种机械通气驱动压与呼吸机相关事件的相关性检测系统 |
| DE102020001440A1 (de) | 2020-03-06 | 2021-09-09 | Drägerwerk AG & Co. KGaA | Beatmungsvorrichtung |
| WO2021189197A1 (zh) * | 2020-03-23 | 2021-09-30 | 深圳迈瑞生物医疗电子股份有限公司 | 一种呼吸监测装置及方法 |
| US20210322691A1 (en) * | 2020-04-17 | 2021-10-21 | Covidien Lp | Systems and methods for detecting respiratory mechanics |
| DE102020114209B3 (de) * | 2020-05-27 | 2021-07-29 | Ventinova Technologies B.V. | Beatmungsvorrichtung und Verfahren zur Bestimmung zumindest der gewebsrelatierten Resistance im Atemweg |
| DE102020120900A1 (de) | 2020-08-07 | 2022-02-10 | Drägerwerk AG & Co. KGaA | Vorrichtung und Verfahren zur Messung der Lungen-Compliance |
| US12086980B2 (en) * | 2020-10-27 | 2024-09-10 | Vida Diagnostics, Inc. | Pulmonary analysis using transpulmonary pressure |
| CN112535471B (zh) * | 2020-11-06 | 2022-05-03 | 北京航空航天大学 | 一种基于肺的静态吸气压强-容积曲线估计肺复张特性的方法 |
| DE102021102886A1 (de) * | 2021-02-08 | 2022-08-11 | Hamilton Medical Ag | Verfahren und Beatmungsvorrichtung zur Bestimmung eines Atemtraktinhalts an Atemgas während einer künstlichen Beatmung |
| CN113425279B (zh) * | 2021-05-27 | 2022-12-20 | 中国人民解放军总医院第八医学中心 | 一种用于呼吸窘迫综合征的动物实验方法 |
| CN117500552A (zh) * | 2021-06-18 | 2024-02-02 | 德尔格制造股份两合公司 | 用于测定患者的状况的设备、方法和计算机程序 |
| CN113598750B (zh) * | 2021-08-09 | 2023-08-08 | 中国人民解放军空军特色医学中心 | 一种用于实验猪的呼气监测方法 |
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| CN114732710A (zh) * | 2022-04-20 | 2022-07-12 | 肖继来 | 一种肺复张系统 |
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| CN116869510B (zh) * | 2023-07-10 | 2024-09-27 | 南京航空航天大学 | 基于生物阻抗谱的肺容积测量方法 |
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Also Published As
| Publication number | Publication date |
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| JP6657143B2 (ja) | 2020-03-04 |
| BR112012032557A2 (pt) | 2016-09-20 |
| JP2017196438A (ja) | 2017-11-02 |
| WO2011157855A1 (en) | 2011-12-22 |
| JP2016104186A (ja) | 2016-06-09 |
| EP2582292A1 (en) | 2013-04-24 |
| JP2013534844A (ja) | 2013-09-09 |
| US20170332943A1 (en) | 2017-11-23 |
| US20140296730A1 (en) | 2014-10-02 |
| US8701663B2 (en) | 2014-04-22 |
| EP2923641A1 (en) | 2015-09-30 |
| US9655544B2 (en) | 2017-05-23 |
| US20130174846A1 (en) | 2013-07-11 |
| US11154217B2 (en) | 2021-10-26 |
| EP2582292B1 (en) | 2020-08-12 |
| EP2923641B1 (en) | 2019-09-11 |
| JP6162785B2 (ja) | 2017-07-12 |
| EP2397074B1 (en) | 2012-10-24 |
| CN103002802A (zh) | 2013-03-27 |
| EP2397074A1 (en) | 2011-12-21 |
| JP5864562B2 (ja) | 2016-02-17 |
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