CN103170043B - 伺服呼吸机中目标通气量的调节 - Google Patents
伺服呼吸机中目标通气量的调节 Download PDFInfo
- Publication number
- CN103170043B CN103170043B CN201310075553.9A CN201310075553A CN103170043B CN 103170043 B CN103170043 B CN 103170043B CN 201310075553 A CN201310075553 A CN 201310075553A CN 103170043 B CN103170043 B CN 103170043B
- Authority
- CN
- China
- Prior art keywords
- ventilation
- target
- servo
- ventilating volumn
- ventilator apparatus
- 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
- 230000029058 respiratory gaseous exchange Effects 0.000 title claims abstract description 14
- 238000009423 ventilation Methods 0.000 claims abstract description 93
- 210000004704 glottis Anatomy 0.000 claims abstract description 9
- 230000007958 sleep Effects 0.000 claims description 7
- 230000014759 maintenance of location Effects 0.000 claims 1
- 230000004048 modification Effects 0.000 claims 1
- 238000012986 modification Methods 0.000 claims 1
- 230000000630 rising effect Effects 0.000 claims 1
- 230000002085 persistent effect Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- QSHDDOUJBYECFT-UHFFFAOYSA-N mercury Chemical compound [Hg] QSHDDOUJBYECFT-UHFFFAOYSA-N 0.000 description 2
- 229910052753 mercury Inorganic materials 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 208000019025 Hypokalemia Diseases 0.000 description 1
- 208000003826 Respiratory Acidosis Diseases 0.000 description 1
- 239000003513 alkali Substances 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 239000002574 poison Substances 0.000 description 1
- 231100000614 poison Toxicity 0.000 description 1
- 208000024896 potassium deficiency disease Diseases 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000003519 ventilatory effect Effects 0.000 description 1
Classifications
-
- 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. mouth-to-mouth respiration; 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
-
- 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. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; Tracheal tubes
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
- A61M16/022—Control means therefor
-
- 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. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0057—Pumps therefor
- A61M16/0066—Blowers or centrifugal pumps
-
- 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. mouth-to-mouth respiration; 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
-
- 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. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
-
- 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. mouth-to-mouth respiration; 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
-
- 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. mouth-to-mouth respiration; 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
-
- 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
- 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
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/502—User interfaces, e.g. screens or keyboards
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Hematology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Percussion Or Vibration Massage (AREA)
- Respiratory Apparatuses And Protective Means (AREA)
Abstract
Description
Claims (18)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2004905022 | 2004-09-03 | ||
AU2004905022A AU2004905022A0 (en) | 2004-09-03 | Adjustment of Target Ventilation in a Servoventilator | |
CN2005800377454A CN101052432B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2005800377454A Division CN101052432B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN103170043A CN103170043A (zh) | 2013-06-26 |
CN103170043B true CN103170043B (zh) | 2017-03-01 |
Family
ID=35999646
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201110005717.1A Expired - Fee Related CN102058924B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
CN201310075553.9A Expired - Fee Related CN103170043B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
CN2005800377454A Expired - Fee Related CN101052432B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201110005717.1A Expired - Fee Related CN102058924B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2005800377454A Expired - Fee Related CN101052432B (zh) | 2004-09-03 | 2005-09-02 | 伺服呼吸机中目标通气量的调节 |
Country Status (6)
Country | Link |
---|---|
US (2) | US9205210B2 (zh) |
EP (2) | EP2526991B1 (zh) |
JP (1) | JP4884390B2 (zh) |
CN (3) | CN102058924B (zh) |
NZ (2) | NZ587821A (zh) |
WO (1) | WO2006024107A1 (zh) |
Families Citing this family (22)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2009149351A1 (en) | 2008-06-06 | 2009-12-10 | Nellcor Puritan Bennett Llc | Systems and methods for determining patient effort and/or respiratory parameters in a ventilation system |
US8302602B2 (en) | 2008-09-30 | 2012-11-06 | Nellcor Puritan Bennett Llc | Breathing assistance system with multiple pressure sensors |
CN102114284B (zh) * | 2009-12-31 | 2013-07-10 | 北京谊安医疗系统股份有限公司 | 用于电动电控呼吸机的吸气保持方法 |
US8714154B2 (en) | 2011-03-30 | 2014-05-06 | Covidien Lp | Systems and methods for automatic adjustment of ventilator settings |
US9364624B2 (en) | 2011-12-07 | 2016-06-14 | Covidien Lp | Methods and systems for adaptive base flow |
US9498589B2 (en) | 2011-12-31 | 2016-11-22 | Covidien Lp | Methods and systems for adaptive base flow and leak compensation |
US8844526B2 (en) | 2012-03-30 | 2014-09-30 | Covidien Lp | Methods and systems for triggering with unknown base flow |
WO2013152403A1 (en) * | 2012-04-13 | 2013-10-17 | Resmed Limited | Apparatus and methods for ventilatory treatment |
US10362967B2 (en) | 2012-07-09 | 2019-07-30 | Covidien Lp | Systems and methods for missed breath detection and indication |
US10384023B2 (en) * | 2012-08-03 | 2019-08-20 | Breathe Technologies, Inc. | Selective ramping of therapeutic pressure in a patient breathing apparatus |
US9981096B2 (en) | 2013-03-13 | 2018-05-29 | Covidien Lp | Methods and systems for triggering with unknown inspiratory flow |
EP3043852A4 (en) * | 2013-09-10 | 2017-04-26 | Samir S. Ahmad | Zero pressure start continuous positive airway pressure therapy |
NZ750402A (en) | 2014-06-10 | 2020-08-28 | ResMed Pty Ltd | Method and apparatus for treatment of respiratory disorders |
US9808591B2 (en) | 2014-08-15 | 2017-11-07 | Covidien Lp | Methods and systems for breath delivery synchronization |
US9950129B2 (en) | 2014-10-27 | 2018-04-24 | Covidien Lp | Ventilation triggering using change-point detection |
US9925346B2 (en) | 2015-01-20 | 2018-03-27 | Covidien Lp | Systems and methods for ventilation with unknown exhalation flow |
TWI688524B (zh) * | 2015-03-17 | 2020-03-21 | 美商陶氏全球科技有限責任公司 | 用於撓性容器之撓性配件 |
WO2018177913A1 (en) * | 2017-03-31 | 2018-10-04 | Koninklijke Philips N.V. | Systems and methods for concurrent airway stabilization and pulmonary stretch receptor activation |
WO2019222258A1 (en) | 2018-05-14 | 2019-11-21 | Covidien Lp | Systems and methods for respiratory effort detection utilizing signal distortion |
US11752287B2 (en) | 2018-10-03 | 2023-09-12 | Covidien Lp | Systems and methods for automatic cycling or cycling detection |
US11324954B2 (en) | 2019-06-28 | 2022-05-10 | Covidien Lp | Achieving smooth breathing by modified bilateral phrenic nerve pacing |
US20220339396A1 (en) * | 2019-07-09 | 2022-10-27 | O2Matic Aps | Device for regulating oxygen for automated oxygen therapy |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5117819A (en) * | 1990-09-10 | 1992-06-02 | Healthdyne, Inc. | Nasal positive pressure device |
US5682878A (en) * | 1995-12-07 | 1997-11-04 | Respironics, Inc. | Start-up ramp system for CPAP system with multiple ramp shape selection |
US6401713B1 (en) * | 1999-05-05 | 2002-06-11 | Respironics, Inc. | Apparatus and method of providing continuous positive airway pressure |
US6467477B1 (en) * | 1999-03-26 | 2002-10-22 | Respironics, Inc. | Breath-based control of a therapeutic treatment |
CN1440302A (zh) * | 2000-07-05 | 2003-09-03 | 计算机医药导眠有限公司 | 用于正气压治疗仪的双气压供气机 |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0282675A3 (en) * | 1986-11-04 | 1990-01-03 | Bird Products Corporation | Flow control valve for a medical ventilator |
EP0520082A1 (de) * | 1991-06-28 | 1992-12-30 | Siemens-Elema AB | Beatmungsgerät mit vom Exspirationsgasfluss gesteuertem Inspirationsgasfluss |
US7013892B2 (en) * | 1991-11-01 | 2006-03-21 | Ric Investments, Llc | Sleep apnea treatment apparatus |
EP0612257B1 (en) * | 1991-11-14 | 2000-06-07 | University Technologies International Inc. | Auto cpap system |
AUPO247496A0 (en) * | 1996-09-23 | 1996-10-17 | Resmed Limited | Assisted ventilation to match patient respiratory need |
US6644312B2 (en) | 2000-03-07 | 2003-11-11 | Resmed Limited | Determining suitable ventilator settings for patients with alveolar hypoventilation during sleep |
US6532956B2 (en) * | 2000-03-30 | 2003-03-18 | Respironics, Inc. | Parameter variation for proportional assist ventilation or proportional positive airway pressure support devices |
US6581595B1 (en) * | 2000-11-14 | 2003-06-24 | Sensormedics Corporation | Positive airway pressure device with indirect calorimetry system |
US7168429B2 (en) * | 2001-10-12 | 2007-01-30 | Ric Investments, Llc | Auto-titration pressure support system and method of using same |
WO2003075990A2 (en) * | 2002-03-08 | 2003-09-18 | Kaerys S.A. | A breathing apparatus with computation of the airflow provided to the patient using only pressure sensors |
-
2005
- 2005-09-02 EP EP12172101.3A patent/EP2526991B1/en not_active Not-in-force
- 2005-09-02 JP JP2007529304A patent/JP4884390B2/ja active Active
- 2005-09-02 EP EP05777824A patent/EP1789120A4/en not_active Withdrawn
- 2005-09-02 WO PCT/AU2005/001336 patent/WO2006024107A1/en active Application Filing
- 2005-09-02 US US11/574,057 patent/US9205210B2/en active Active
- 2005-09-02 CN CN201110005717.1A patent/CN102058924B/zh not_active Expired - Fee Related
- 2005-09-02 CN CN201310075553.9A patent/CN103170043B/zh not_active Expired - Fee Related
- 2005-09-02 CN CN2005800377454A patent/CN101052432B/zh not_active Expired - Fee Related
- 2005-09-02 NZ NZ587821A patent/NZ587821A/en unknown
- 2005-09-02 NZ NZ553429A patent/NZ553429A/en unknown
-
2015
- 2015-10-21 US US14/918,765 patent/US10688263B2/en not_active Expired - Fee Related
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5117819A (en) * | 1990-09-10 | 1992-06-02 | Healthdyne, Inc. | Nasal positive pressure device |
US5682878A (en) * | 1995-12-07 | 1997-11-04 | Respironics, Inc. | Start-up ramp system for CPAP system with multiple ramp shape selection |
US6467477B1 (en) * | 1999-03-26 | 2002-10-22 | Respironics, Inc. | Breath-based control of a therapeutic treatment |
US6401713B1 (en) * | 1999-05-05 | 2002-06-11 | Respironics, Inc. | Apparatus and method of providing continuous positive airway pressure |
CN1440302A (zh) * | 2000-07-05 | 2003-09-03 | 计算机医药导眠有限公司 | 用于正气压治疗仪的双气压供气机 |
Also Published As
Publication number | Publication date |
---|---|
CN102058924A (zh) | 2011-05-18 |
JP4884390B2 (ja) | 2012-02-29 |
EP2526991A1 (en) | 2012-11-28 |
CN102058924B (zh) | 2014-03-05 |
EP1789120A4 (en) | 2009-10-28 |
US10688263B2 (en) | 2020-06-23 |
EP2526991B1 (en) | 2019-02-20 |
EP1789120A1 (en) | 2007-05-30 |
CN103170043A (zh) | 2013-06-26 |
NZ587821A (en) | 2012-03-30 |
JP2008511372A (ja) | 2008-04-17 |
CN101052432A (zh) | 2007-10-10 |
WO2006024107A1 (en) | 2006-03-09 |
US20090013999A1 (en) | 2009-01-15 |
CN101052432B (zh) | 2013-03-27 |
US9205210B2 (en) | 2015-12-08 |
US20160038698A1 (en) | 2016-02-11 |
NZ553429A (en) | 2010-11-26 |
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Address after: New South Wales, Australia Applicant after: RESMED Ltd. Address before: New South Wales, Australia Applicant before: RESMED Ltd. |
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