CN103764027B - 无创通气测量 - Google Patents

无创通气测量 Download PDF

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Publication number
CN103764027B
CN103764027B CN201280041085.7A CN201280041085A CN103764027B CN 103764027 B CN103764027 B CN 103764027B CN 201280041085 A CN201280041085 A CN 201280041085A CN 103764027 B CN103764027 B CN 103764027B
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CN
China
Prior art keywords
passive
subject
lung
exhalation
resistance
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
Application number
CN201280041085.7A
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English (en)
Chinese (zh)
Other versions
CN103764027A (zh
Inventor
H·郑
S·艾哈迈德
M·谷口
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
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Koninklijke Philips Electronics NV
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Publication of CN103764027A publication Critical patent/CN103764027A/zh
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Expired - Fee Related legal-status Critical Current
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Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/03—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs
    • 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
    • A61M16/021—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
    • 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
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G09B23/288—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine for artificial respiration or heart massage
    • 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
    • A61M2016/0027—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. 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
    • 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
    • A61M2205/15—Detection of leaks
    • 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
    • A61M2205/3365—Rotational speed
    • 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
    • A61M2205/3368—Temperature
    • 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
    • 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
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A61M2230/46—Resistance or compliance of the lungs

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • General Physics & Mathematics (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Physiology (AREA)
  • Medicinal Chemistry (AREA)
  • Computational Mathematics (AREA)
  • Algebra (AREA)
  • Mathematical Analysis (AREA)
  • Mathematical Optimization (AREA)
  • Mathematical Physics (AREA)
  • Pure & Applied Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Educational Administration (AREA)
  • Educational Technology (AREA)
  • Theoretical Computer Science (AREA)
  • Chemical & Material Sciences (AREA)
  • Cardiology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
CN201280041085.7A 2011-08-25 2012-07-25 无创通气测量 Expired - Fee Related CN103764027B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161527186P 2011-08-25 2011-08-25
US61/527,186 2011-08-25
PCT/IB2012/053777 WO2013027137A1 (en) 2011-08-25 2012-07-25 Non-invasive ventilation measurement.

Publications (2)

Publication Number Publication Date
CN103764027A CN103764027A (zh) 2014-04-30
CN103764027B true CN103764027B (zh) 2016-05-25

Family

ID=47071415

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201280041085.7A Expired - Fee Related CN103764027B (zh) 2011-08-25 2012-07-25 无创通气测量

Country Status (6)

Country Link
US (1) US9895083B2 (enExample)
EP (1) EP2747644A1 (enExample)
JP (1) JP6173320B2 (enExample)
CN (1) CN103764027B (enExample)
MX (1) MX2014002034A (enExample)
WO (1) WO2013027137A1 (enExample)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2776100B1 (en) 2011-11-07 2018-03-21 Koninklijke Philips N.V. Automatic patient synchrony adjustment for non invasive ventilation
US9375542B2 (en) 2012-11-08 2016-06-28 Covidien Lp Systems and methods for monitoring, managing, and/or preventing fatigue during ventilation
WO2015136405A1 (en) * 2014-03-11 2015-09-17 Koninklijke Philips N.V. Reducing hypercapnic respiratory failure during mechanical ventilation
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
CN108136146B (zh) * 2015-09-28 2021-05-11 皇家飞利浦有限公司 在存在泄漏的情况下估计患者回路的依从性的方法和系统
US10869977B2 (en) * 2016-04-28 2020-12-22 Invent Medical Corporation System and method for accurate estimation of intentional and unintentional leaks in flow generation systems
JP6980776B2 (ja) * 2016-10-07 2021-12-15 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 全ての呼吸筋反動生成圧が消失することを可能にするための、圧力制御された呼吸を用いた肺コンプライアンス及び肺抵抗の推定
US11559643B2 (en) 2017-11-14 2023-01-24 Covidien Lp Systems and methods for ventilation of patients
US11517691B2 (en) 2018-09-07 2022-12-06 Covidien Lp Methods and systems for high pressure controlled ventilation
DE102020123138B3 (de) 2020-09-04 2021-11-04 Drägerwerk AG & Co. KGaA Verfahren und Vorrichtung zur automatischen Festlegung der Sollfrequenz eines Beatmungsgeräts
LU102031B1 (de) * 2020-09-04 2022-03-04 Draegerwerk Ag & Co Kgaa Verfahren und Vorrichtung zur automatischen Festlegung der Sollfrequenz eines Beatmungsgeräts

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1098279A (zh) * 1993-03-10 1995-02-08 克里斯蒂安·弗马克 用于监视肺功能的方法和装置
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
JP2008000436A (ja) * 2006-06-23 2008-01-10 Air Water Safety Service Inc 肺のコンプライアンス推定装置および推定方法、推定装置を備える人工呼吸器
CN102056538A (zh) * 2008-06-06 2011-05-11 内尔科尔普里坦贝内特有限公司 用于在换气系统中确定患者努力及/或呼吸参数的系统及方法

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US5670557A (en) 1994-01-28 1997-09-23 Minnesota Mining And Manufacturing Company Polymerized microemulsion pressure sensitive adhesive compositions and methods of preparing and using same
AU2001254562A1 (en) 2000-04-26 2001-11-12 The University Of Manitoba Method and apparatus for determining respiratory system resistance during assisted ventilation
EP1534131B1 (en) 2002-08-30 2016-10-26 University of Florida Research Foundation, Inc. Method and apparatus for predicting work of breathing
SE0203431D0 (sv) 2002-11-20 2002-11-20 Siemens Elema Ab Method for assessing pulmonary stress and a breathing apparatus
DE102004014619A1 (de) * 2003-03-24 2005-03-17 Weinmann Geräte für Medizin GmbH + Co. KG Verfahren und Vorrichtung zur Erkennung von Leckagen bei Einrichtungen zum Zuführen von Atemgasen
US8272380B2 (en) 2008-03-31 2012-09-25 Nellcor Puritan Bennett, Llc Leak-compensated pressure triggering in medical ventilators
US8267085B2 (en) * 2009-03-20 2012-09-18 Nellcor Puritan Bennett Llc Leak-compensated proportional assist ventilation
US20100071696A1 (en) * 2008-09-25 2010-03-25 Nellcor Puritan Bennett Llc Model-predictive online identification of patient respiratory effort dynamics in medical ventilators
US9901692B2 (en) * 2008-12-19 2018-02-27 Koninklijke Philips N.V. System and method for treating lung disease using positive pressure airway support
US8418691B2 (en) * 2009-03-20 2013-04-16 Covidien Lp Leak-compensated pressure regulated volume control ventilation
RU2540151C2 (ru) * 2009-09-01 2015-02-10 Конинклейке Филипс Электроникс Н.В. Система и способ количественного определения растяжимости легких у субъекта, самостоятельно осуществляющего вентиляцию

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1098279A (zh) * 1993-03-10 1995-02-08 克里斯蒂安·弗马克 用于监视肺功能的方法和装置
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
JP2008000436A (ja) * 2006-06-23 2008-01-10 Air Water Safety Service Inc 肺のコンプライアンス推定装置および推定方法、推定装置を備える人工呼吸器
CN102056538A (zh) * 2008-06-06 2011-05-11 内尔科尔普里坦贝内特有限公司 用于在换气系统中确定患者努力及/或呼吸参数的系统及方法

Also Published As

Publication number Publication date
EP2747644A1 (en) 2014-07-02
JP2014528773A (ja) 2014-10-30
US20140194767A1 (en) 2014-07-10
WO2013027137A1 (en) 2013-02-28
JP6173320B2 (ja) 2017-08-02
MX2014002034A (es) 2014-03-21
US9895083B2 (en) 2018-02-20
CN103764027A (zh) 2014-04-30

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Granted publication date: 20160525

Termination date: 20180725