CN107209797B - 用于对机械通气的基于模型的优化的系统和方法 - Google Patents

用于对机械通气的基于模型的优化的系统和方法 Download PDF

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CN107209797B
CN107209797B CN201580073999.5A CN201580073999A CN107209797B CN 107209797 B CN107209797 B CN 107209797B CN 201580073999 A CN201580073999 A CN 201580073999A CN 107209797 B CN107209797 B CN 107209797B
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ventilator
ventilated patient
model
patient
settings
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CN107209797A (zh
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A·阿尔巴内塞
N·W·什巴特
R·布伊扎
N·卡拉莫列赫科斯
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Koninklijke Philips NV
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    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
    • 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
    • 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
    • G—PHYSICS
    • G05—CONTROLLING; REGULATING
    • G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B17/00—Systems involving the use of models or simulators of said systems
    • G05B17/02—Systems involving the use of models or simulators of said systems electric
    • 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
    • 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
    • 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
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/02—Gases
    • A61M2202/0208—Oxygen
    • 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
    • A61M2205/3303—Using a biosensor
    • 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
    • A61M2205/3344—Measuring or controlling pressure at the body treatment site
    • 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/04—Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • 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
    • A61M2230/20—Blood composition characteristics
    • A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Hematology (AREA)
  • Pathology (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Automation & Control Theory (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
CN201580073999.5A 2014-12-23 2015-12-21 用于对机械通气的基于模型的优化的系统和方法 Active CN107209797B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201462096100P 2014-12-23 2014-12-23
US62/096,100 2014-12-23
PCT/IB2015/059819 WO2016103142A1 (en) 2014-12-23 2015-12-21 Systems and methods for model-based optimization of mechanical ventilation

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CN107209797A CN107209797A (zh) 2017-09-26
CN107209797B true CN107209797B (zh) 2021-08-24

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US (1) US10835699B2 (enExample)
EP (1) EP3238110B1 (enExample)
JP (1) JP6730990B2 (enExample)
CN (1) CN107209797B (enExample)
RU (1) RU2712749C2 (enExample)
WO (1) WO2016103142A1 (enExample)

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US9950129B2 (en) 2014-10-27 2018-04-24 Covidien Lp Ventilation triggering using change-point detection
US20170128317A1 (en) * 2015-11-06 2017-05-11 Hill-Rom Services Pte Limited Dynamic control of respiratory therapy devices
US11478595B2 (en) 2016-11-02 2022-10-25 Fisher & Paykel Healthcare Limited Method of driving a form of respiratory therapy
KR20240141855A (ko) 2017-10-06 2024-09-27 피셔 앤 페이켈 핼스케어 리미티드 폐루프 산소 제어
CN112770670A (zh) * 2018-08-21 2021-05-07 深圳迈瑞生物医疗电子股份有限公司 一种气道异常识别方法及装置、通气设备、存储介质
US11123505B2 (en) * 2018-12-05 2021-09-21 Aires Medical LLC Breathing apparatus with breath detection software
CN115804892B (zh) 2019-09-10 2025-12-02 费雪派克医疗保健有限公司 用于控制流量治疗设备中的氧气输送的方法和系统
DE102020001563A1 (de) * 2020-03-10 2021-09-16 Drägerwerk AG & Co. KGaA Medizinsystem zum Bereitstellen einer Behandlungsempfehlung
DE102020204632A1 (de) * 2020-04-09 2021-10-14 Technische Universität München, Körperschaft des öffentlichen Rechts Verfahren, Computerprogramm, System, und Beatmungsmaschine, zur Ermittlung patientenspezifischer Beatmungsparameter an einer Beatmungsmaschine
US11763947B2 (en) 2020-10-14 2023-09-19 Etiometry Inc. System and method for providing clinical decision support
CN112420186B (zh) * 2020-11-09 2022-02-22 丽水市中心医院 Cpr患者使用呼吸机的机械通气参数设置策略及呼吸机
WO2022104808A1 (zh) * 2020-11-23 2022-05-27 深圳迈瑞生物医疗电子股份有限公司 呼吸支持设备及其通气控制方法和计算机可读存储介质
CN113490523B (zh) * 2020-12-29 2022-04-05 东南大学附属中大医院 呼吸支持设备及其控制方法和存储介质
EP4084008A1 (en) 2021-04-30 2022-11-02 Universitat Politècnica de Catalunya A medical ventilator system and a method for predicting transient states of a ventilated patient upon changes in mechanical ventilator settings
US20230162850A1 (en) * 2021-11-23 2023-05-25 GE Precision Healthcare LLC Methods and systems for ventilators
CN118338841A (zh) * 2022-06-01 2024-07-12 深圳迈瑞生物医疗电子股份有限公司 通气分析方法、医疗设备、中央站和医疗系统
CN115487388B (zh) * 2022-09-15 2023-11-14 北京理工大学 一种基于血氧饱和度反馈的闭环供氧调节系统
WO2024192512A1 (en) * 2023-03-18 2024-09-26 Novaresp Technologies Inc. Digital twin and artificial intelligence (ai) models for personalization and management of breathing assistance
JP2025023417A (ja) 2023-08-04 2025-02-17 日本光電工業株式会社 処理装置、およびコンピュータプログラム
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

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US20120330177A1 (en) * 2009-12-28 2012-12-27 Nawar Nazar Yousif Al-Rawas System and Method for Assessing Real Time Pulmonary Mechanics
CN103907130A (zh) * 2011-06-30 2014-07-02 匹兹堡大学联邦系统高等教育 确定对心肺功能不足的易感性的系统和方法
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Publication number Publication date
US10835699B2 (en) 2020-11-17
RU2712749C2 (ru) 2020-01-31
JP2017538553A (ja) 2017-12-28
US20180001042A1 (en) 2018-01-04
RU2017126240A3 (enExample) 2019-06-18
BR112017013436A2 (pt) 2018-03-06
BR112017013436A8 (pt) 2023-03-07
CN107209797A (zh) 2017-09-26
EP3238110B1 (en) 2021-04-07
JP6730990B2 (ja) 2020-07-29
WO2016103142A1 (en) 2016-06-30
RU2017126240A (ru) 2019-01-24
EP3238110A1 (en) 2017-11-01

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