CN105530860B - 对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算 - Google Patents

对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算 Download PDF

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Publication number
CN105530860B
CN105530860B CN201480037198.9A CN201480037198A CN105530860B CN 105530860 B CN105530860 B CN 105530860B CN 201480037198 A CN201480037198 A CN 201480037198A CN 105530860 B CN105530860 B CN 105530860B
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lung
pressure
estimated
physiological parameter
subject
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CN105530860A (zh
Inventor
N·W·什巴特
A·阿尔巴内塞
S·W·海德
N·卡拉莫列赫科斯
A·J·塞沃
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Koninklijke Philips NV
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Koninklijke Philips Electronics NV
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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
    • A61B5/03—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs
    • A61B5/036—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A61B5/037—Measuring oesophageal pressure
    • 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
    • A61B5/036—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A61B5/038—Measuring oral pressure
    • 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
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/091—Measuring volume of inspired or expired gases, e.g. to determine lung capacity
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7278—Artificial waveform generation or derivation, e.g. synthesizing signals from measured signals
    • 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
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247—Pressure sensors
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1042—Alimentary tract
    • A61M2210/105—Oesophagus
    • 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
    • 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
    • A61M2230/65—Impedance, e.g. conductivity, capacity

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Dentistry (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)
  • Apparatus For Radiation Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
CN201480037198.9A 2013-06-28 2014-06-19 对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算 Expired - Fee Related CN105530860B (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361840658P 2013-06-28 2013-06-28
US61/840,658 2013-06-28
EP13179067.7 2013-08-02
EP13179067 2013-08-02
PCT/IB2014/062406 WO2014207623A2 (en) 2013-06-28 2014-06-19 Non-invasive estimation of intra-pleural pressure and/or computation of work of breathing based on a non-invasive estimation of intra-pleural pressure

Publications (2)

Publication Number Publication Date
CN105530860A CN105530860A (zh) 2016-04-27
CN105530860B true CN105530860B (zh) 2019-07-09

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CN201480037198.9A Expired - Fee Related CN105530860B (zh) 2013-06-28 2014-06-19 对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算

Country Status (8)

Country Link
US (1) US10842411B2 (enExample)
EP (1) EP3013224A2 (enExample)
JP (1) JP6487425B2 (enExample)
CN (1) CN105530860B (enExample)
BR (1) BR112015032083A2 (enExample)
MX (1) MX2015016918A (enExample)
RU (1) RU2700981C2 (enExample)
WO (1) WO2014207623A2 (enExample)

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CN105530860B (zh) 2013-06-28 2019-07-09 皇家飞利浦有限公司 对胸膜腔内压的无创估计和/或基于对胸膜腔内压的无创估计的呼吸功的计算
US10758157B2 (en) * 2014-10-24 2020-09-01 Koninklijke Philips N.V. Determining if airway clearance is required during respiratory therapy
CN107690310B (zh) * 2015-06-02 2021-06-15 皇家飞利浦有限公司 用于经由连续参数估计来监测患者呼吸状态的无创方法
JP6941095B2 (ja) * 2015-10-12 2021-09-29 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 古典的フィードバック制御を用いる患者の呼吸仕事量を自動制御する機械式換気
EP3413965B1 (en) * 2015-12-14 2024-01-31 Stimdia Medical, Inc. Electrical stimulation for preservation and restoration of diaphragm function
WO2017140500A1 (en) 2016-02-18 2017-08-24 Koninklijke Philips N.V. Enhancement of respiratory parameter estimation and asynchrony detection algorithms via the use of central venous pressure manometry
IT201600103298A1 (it) * 2016-10-14 2018-04-14 Univ Degli Studi Di Trieste Apparato e metodo per il controllo dei parametri di una macchina di assistenza alla respirazione
DE102017101645A1 (de) * 2017-01-27 2018-08-02 Ventinova Technologies B.V. Vorrichtungen und Verfahren zur Beatmung eines Patienten
US11207517B2 (en) 2017-07-06 2021-12-28 Stimdia Medical, Inc. Percutaneous electrical phrenic nerve stimulation system
US11559643B2 (en) 2017-11-14 2023-01-24 Covidien Lp Systems and methods for ventilation of patients
WO2019234588A1 (de) * 2018-06-04 2019-12-12 Imt Analytics Ag Prüfvorrichtung und verfahren zum prüfen einer messsonde sowie verwendung eines beatmungsgeräts zum prüfen der messsonde
DE102020120900A1 (de) * 2020-08-07 2022-02-10 Drägerwerk AG & Co. KGaA Vorrichtung und Verfahren zur Messung der Lungen-Compliance
CN112244808B (zh) * 2020-11-10 2024-02-20 中国人民解放军陆军特色医学中心 一种用于测量胸腔压的胃管
CN112826489B (zh) * 2021-01-05 2021-11-30 中国医学科学院北京协和医院 一种可视化的腔内压测量装置
CN112790754B (zh) * 2021-01-05 2021-11-09 中国医学科学院北京协和医院 一种胸腔内压测量装置
EP4608484A1 (en) * 2022-10-28 2025-09-03 Fisher & Paykel Healthcare Limited Determining work of breathing in respiratory flow therapy systems
CN116327172B (zh) * 2023-04-04 2026-03-17 广州医科大学 一种基于胸腹运动呼吸流量监控方法及装置

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CN101785666A (zh) * 2008-11-21 2010-07-28 普尔松医疗系统公司 用于确定生理参数的仪器及方法
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EP2123319A2 (en) * 2002-06-27 2009-11-25 YRT Limited Device for monitoring and improving patient-ventilator interaction
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Publication number Publication date
JP6487425B2 (ja) 2019-03-20
US20160135713A1 (en) 2016-05-19
WO2014207623A2 (en) 2014-12-31
EP3013224A2 (en) 2016-05-04
RU2016102185A (ru) 2017-08-01
CN105530860A (zh) 2016-04-27
RU2700981C2 (ru) 2019-09-24
BR112015032083A2 (pt) 2020-07-21
WO2014207623A3 (en) 2015-04-09
RU2016102185A3 (enExample) 2018-05-28
JP2016526430A (ja) 2016-09-05
MX2015016918A (es) 2016-04-04
US10842411B2 (en) 2020-11-24

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