CN107205694B - 通过呼吸参数的区域拟合的呼吸参数的同时估计 - Google Patents

通过呼吸参数的区域拟合的呼吸参数的同时估计 Download PDF

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Publication number
CN107205694B
CN107205694B CN201680009858.1A CN201680009858A CN107205694B CN 107205694 B CN107205694 B CN 107205694B CN 201680009858 A CN201680009858 A CN 201680009858A CN 107205694 B CN107205694 B CN 107205694B
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respiratory
mus
muscle pressure
respiratory muscle
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CN107205694A (zh
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A·阿尔巴内塞
F·比卡里奥
王东
N·卡拉莫列赫科斯
N·W·什巴特
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Koninklijke Philips 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
    • A61B5/08—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
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes with alarm devices
    • 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
    • A61M16/0063—Compressors
    • 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
    • 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
    • A61M16/0003—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
    • A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • 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
    • 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
    • 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
CN201680009858.1A 2015-02-12 2016-01-12 通过呼吸参数的区域拟合的呼吸参数的同时估计 Expired - Fee Related CN107205694B (zh)

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US201562115182P 2015-02-12 2015-02-12
US62/115,182 2015-02-12
PCT/IB2016/050115 WO2016128846A1 (en) 2015-02-12 2016-01-12 Simultaneous estimation of respiratory parameters by regional fitting of respiratory parameters

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CN107205694A CN107205694A (zh) 2017-09-26
CN107205694B true CN107205694B (zh) 2021-04-06

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US (1) US10828444B2 (https=)
EP (1) EP3256197B1 (https=)
JP (1) JP6717843B2 (https=)
CN (1) CN107205694B (https=)
RU (1) RU2712040C2 (https=)
WO (1) WO2016128846A1 (https=)

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CN108135493B (zh) 2015-10-19 2021-05-28 皇家飞利浦有限公司 用于通气机械参数估计的异常检测设备和方法
CN108348718B (zh) 2015-11-02 2021-02-02 皇家飞利浦有限公司 用于改善估计性能的患者肺参数的逐次呼吸重新评估
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
WO2018078505A1 (en) * 2016-10-26 2018-05-03 Koninklijke Philips N.V. System and methods for estimation of respiratory muscle pressure and respiratory mechanics using p0.1 maneuver
WO2018115119A1 (en) 2016-12-20 2018-06-28 Koninklijke Philips N.V. Determining respiratory mechanic parameters in the presence of intrinsic positive end-expiratory pressure
CN109350063B (zh) * 2018-12-03 2021-03-30 北京航空航天大学 一种适用于慢阻肺监控的呼吸力学参数检测装置及方法
JP6981551B2 (ja) * 2019-02-19 2021-12-15 Ｊｆｅスチール株式会社 連続鋳造機の制御方法、連続鋳造機の制御装置、及び鋳片の製造方法
WO2020170563A1 (ja) * 2019-02-19 2020-08-27 Ｊｆｅスチール株式会社 連続鋳造機の制御方法、連続鋳造機の制御装置、及び鋳片の製造方法
CN110537917A (zh) * 2019-08-15 2019-12-06 郴州市第一人民医院 一种基于呼吸力学的机械通气智能监测系统及监测方法
DE102020133460A1 (de) 2020-01-07 2021-07-08 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitungseinheit zur Ermittlung eines pneumatischen Maßes unter Verwendung eines lungenmechanischen Modells und eines Verlaufsmodells
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CN113546260B (zh) * 2021-06-07 2023-08-22 中国人民解放军总医院第一医学中心 监测经鼻高流量使用异常的方法、装置和存储介质
CN114220530B (zh) * 2021-11-02 2025-04-01 湖南万脉医疗科技有限公司 一种呼吸机人机适配评估方法
CN116796656B (zh) * 2023-05-17 2024-03-19 中国人民解放军总医院第一医学中心 一种可估算集总参数呼吸系统模型参数的方法
CN117323525B (zh) * 2023-12-01 2024-02-23 南京沪家医疗科技有限公司 呼吸机的压力控制方法及装置
CN118807050B (zh) * 2024-08-16 2025-09-23 深圳市科曼医疗设备有限公司 机械通气下的呼吸力学参数确定方法、装置、介质及设备
CN119026357B (zh) * 2024-08-19 2025-11-18 北京航空航天大学 一种呼吸系统的呼吸力学参数确定方法及装置
CN119622152B (zh) * 2024-12-05 2025-12-30 浙江工业大学 一种基于呼吸机波形获取机械通气下自主呼吸努力曲线的方法

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US20180001041A1 (en) 2018-01-04
RU2712040C2 (ru) 2020-01-24
EP3256197B1 (en) 2019-07-24
RU2017131740A (ru) 2019-03-12
EP3256197A1 (en) 2017-12-20
JP6717843B2 (ja) 2020-07-08
CN107205694A (zh) 2017-09-26
US10828444B2 (en) 2020-11-10
WO2016128846A1 (en) 2016-08-18
RU2017131740A3 (https=) 2019-06-14
JP2018506354A (ja) 2018-03-08

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