CN103068428B - 向对象的气道提供具有随机波动的可呼吸气体的加压流的系统和方法 - Google Patents

向对象的气道提供具有随机波动的可呼吸气体的加压流的系统和方法 Download PDF

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CN103068428B
CN103068428B CN201180039029.5A CN201180039029A CN103068428B CN 103068428 B CN103068428 B CN 103068428B CN 201180039029 A CN201180039029 A CN 201180039029A CN 103068428 B CN103068428 B CN 103068428B
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pressure
subject
breathable gas
airway
pressurized flow
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CN103068428A (zh
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S·加尔德
M·阿希利亚
S·艾哈迈德
M·E·麦迪逊
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Koninklijke Philips NV
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Koninklijke Philips Electronics NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20Valves specially adapted to medical respiratory 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. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M16/0006Accessories therefor, e.g. sensors, vibrators, negative pressure with means for creating vibrations in patients' airways
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057Pumps therefor
    • A61M16/0066Blowers or centrifugal pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057Pumps therefor
    • A61M16/0075Bellows-type
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0465Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • A61M16/0666Nasal cannulas or tubing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816Joints or connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0875Connecting tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10Preparation of respiratory gases or vapours
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/14Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16Devices to humidify the respiration air
    • A61M16/161Devices to humidify the respiration air with means for measuring the humidity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/201Controlled valves
    • A61M16/202Controlled valves electrically actuated
    • A61M16/203Proportional
    • A61M16/204Proportional used for inhalation control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0051Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; 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. ventilators; Tracheal tubes
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/201Controlled valves
    • A61M16/206Capsule valves, e.g. mushroom, membrane valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/208Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0036Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10Preparation 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
    • 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
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/332Force measuring means
    • 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
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3368Temperature
    • 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
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3375Acoustical, e.g. ultrasonic, measuring means
    • 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

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Devices For Medical Bathing And Washing (AREA)
CN201180039029.5A 2010-08-13 2011-08-11 向对象的气道提供具有随机波动的可呼吸气体的加压流的系统和方法 Active CN103068428B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US37335410P 2010-08-13 2010-08-13
US61/373,354 2010-08-13
PCT/IB2011/053581 WO2012020387A1 (en) 2010-08-13 2011-08-11 System and method for providing a pressurized flow of breathable gas to the airway of a subject with stochastic fluctuations

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CN103068428A CN103068428A (zh) 2013-04-24
CN103068428B true CN103068428B (zh) 2016-01-13

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CN201180039029.5A Active CN103068428B (zh) 2010-08-13 2011-08-11 向对象的气道提供具有随机波动的可呼吸气体的加压流的系统和方法

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US (1) US20130133654A1 (enExample)
EP (1) EP2603266B1 (enExample)
JP (1) JP5872554B2 (enExample)
CN (1) CN103068428B (enExample)
BR (1) BR112013003293A2 (enExample)
IN (1) IN2013CN01313A (enExample)
RU (1) RU2584806C2 (enExample)
WO (1) WO2012020387A1 (enExample)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104334080B (zh) * 2012-05-22 2017-05-31 皇家飞利浦有限公司 咳嗽辅助及测量系统和方法
JP6288861B2 (ja) * 2012-05-22 2018-03-07 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 成形された気流による圧補助療法のためのシステム及び方法
US20140000606A1 (en) * 2012-07-02 2014-01-02 Nellcor Puritan Bennett Llc Methods and systems for mimicking fluctuations in delivered flow and/or pressure during ventilation
WO2015021350A1 (en) 2013-08-09 2015-02-12 Advanced Cooling Therapy, Llc Systems and methods for providing ventilation
EP3030302B1 (en) * 2013-09-04 2023-02-22 Fisher&Paykel Healthcare Limited Improvements to flow therapy
US11147939B2 (en) * 2014-03-11 2021-10-19 Koninklijke Philips N.V. Compact dual limb diaphragm valve system and method
WO2016079703A1 (en) * 2014-11-20 2016-05-26 Koninklijke Philips N.V. Non-invasive ventilation with high frequency oscillations
EP3244954A4 (en) 2015-01-16 2018-07-25 Western Michigan University Research Foundation Dual pressure respiratory assistance device
WO2019193535A1 (en) 2018-04-05 2019-10-10 John Anna Dual-pressure respiratory assistance device
EP3873576A4 (en) 2018-11-02 2022-08-03 University of Cincinnati PULSED POSITIVE AIRWAY PRESSURE DEVICES AND METHODS OF USE
US12491331B2 (en) 2021-04-30 2025-12-09 Stephen John Dual-pressure respiratory assistance device

Citations (8)

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US4592349A (en) * 1981-08-10 1986-06-03 Bird F M Ventilator having an oscillatory inspiratory phase and method
US5165398A (en) * 1989-12-08 1992-11-24 Bird F M Ventilator and oscillator for use therewith and method
US6257234B1 (en) * 1998-08-21 2001-07-10 Respironics, Inc. Apparatus and method for determining respiratory mechanics of a patient and for controlling a ventilator based thereon
EP1179354A2 (en) * 2000-08-08 2002-02-13 Siemens-Elema AB Ventilator
US6708690B1 (en) * 1999-09-03 2004-03-23 Respironics, Inc. Apparatus and method for providing high frequency variable pressure to a patient
CN100512900C (zh) * 2003-09-08 2009-07-15 J.H.埃默森公司 带有用于去除支气管肺分泌物的冲击辅助的吹气-呼气系统
WO2009126739A1 (en) * 2008-04-10 2009-10-15 Seattle Children's Hospital Research Institute Broad-band, low frequency, high-amplitude, long time duration, oscillating airway pressure breathing apparatus and method utilizing bubbles
US20090272381A1 (en) * 2006-09-14 2009-11-05 Raffaele Dellaca Apparatus for respiratory support and non-invasive detection of alveolar derecruitment for patients suffering from respiratory failure

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* Cited by examiner, † Cited by third party
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RU2164805C1 (ru) * 1999-10-08 2001-04-10 Открытое акционерное общество Акционерная компания "Туламашзавод" Устройство для дыхательных упражнений
US7478634B2 (en) * 2002-09-17 2009-01-20 Jam Mohammad R Respiratory booster machine and method for enhancing ventilation
SE529328C2 (sv) * 2005-11-15 2007-07-10 Johan Stenberg Styrsystem samt metod för styrning av elektromagnetiskt drivna pumpar
US8051854B2 (en) * 2006-09-15 2011-11-08 Comedica Incorporated Continuous high-frequency oscillation breathing treatment apparatus

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4592349A (en) * 1981-08-10 1986-06-03 Bird F M Ventilator having an oscillatory inspiratory phase and method
US5165398A (en) * 1989-12-08 1992-11-24 Bird F M Ventilator and oscillator for use therewith and method
US6257234B1 (en) * 1998-08-21 2001-07-10 Respironics, Inc. Apparatus and method for determining respiratory mechanics of a patient and for controlling a ventilator based thereon
US6708690B1 (en) * 1999-09-03 2004-03-23 Respironics, Inc. Apparatus and method for providing high frequency variable pressure to a patient
EP1179354A2 (en) * 2000-08-08 2002-02-13 Siemens-Elema AB Ventilator
CN100512900C (zh) * 2003-09-08 2009-07-15 J.H.埃默森公司 带有用于去除支气管肺分泌物的冲击辅助的吹气-呼气系统
US20090272381A1 (en) * 2006-09-14 2009-11-05 Raffaele Dellaca Apparatus for respiratory support and non-invasive detection of alveolar derecruitment for patients suffering from respiratory failure
WO2009126739A1 (en) * 2008-04-10 2009-10-15 Seattle Children's Hospital Research Institute Broad-band, low frequency, high-amplitude, long time duration, oscillating airway pressure breathing apparatus and method utilizing bubbles

Also Published As

Publication number Publication date
EP2603266A1 (en) 2013-06-19
CN103068428A (zh) 2013-04-24
WO2012020387A1 (en) 2012-02-16
RU2013110816A (ru) 2014-09-20
EP2603266B1 (en) 2017-05-24
JP5872554B2 (ja) 2016-03-01
JP2013533087A (ja) 2013-08-22
IN2013CN01313A (enExample) 2015-08-07
BR112013003293A2 (pt) 2019-09-24
RU2584806C2 (ru) 2016-05-20
US20130133654A1 (en) 2013-05-30

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