CN108290019B - 处置共济失调性呼吸的方法和设备 - Google Patents

处置共济失调性呼吸的方法和设备 Download PDF

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CN108290019B
CN108290019B CN201680070360.6A CN201680070360A CN108290019B CN 108290019 B CN108290019 B CN 108290019B CN 201680070360 A CN201680070360 A CN 201680070360A CN 108290019 B CN108290019 B CN 108290019B
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breathing
patient
flow
ataxic
gas
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CN108290019A (zh
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S·温特
E·N·斯卡拜雷
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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
    • A61B5/48—Other medical applications
    • A61B5/4806—Sleep evaluation
    • A61B5/4818—Sleep apnoea
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • 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
    • A61B5/0816—Measuring devices for examining respiratory frequency
    • 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
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/113—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb occurring during breathing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/113—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb occurring during breathing
    • A61B5/1135—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb occurring during breathing by monitoring thoracic expansion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/40—Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4076—Diagnosing or monitoring particular conditions of the nervous system
    • 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
    • A61B5/4806—Sleep evaluation
    • 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
    • A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition
    • 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
    • A61M16/021—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
    • 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
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/082—Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • 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
    • A61B5/7235—Details of waveform analysis
    • A61B5/725—Details of waveform analysis using specific filters therefor, e.g. Kalman or adaptive filters
    • 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
    • A61M2205/02—General characteristics of the apparatus characterised by a particular materials
    • A61M2205/0272—Electro-active or magneto-active materials
    • A61M2205/0294—Piezoelectric materials
    • 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
    • A61M2205/332—Force measuring means
    • 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
    • A61M2230/005—Parameter used as control input for the apparatus
    • 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
    • A61M2230/42—Rate

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Neurology (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Neurosurgery (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Percussion Or Vibration Massage (AREA)
CN201680070360.6A 2015-12-01 2016-11-21 处置共济失调性呼吸的方法和设备 Active CN108290019B (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201562261359P 2015-12-01 2015-12-01
US62/261,359 2015-12-01
EP16150293.5 2016-01-06
EP16150293 2016-01-06
PCT/EP2016/078220 WO2017093054A1 (en) 2015-12-01 2016-11-21 Method and device for treating ataxic breathing

Publications (2)

Publication Number Publication Date
CN108290019A CN108290019A (zh) 2018-07-17
CN108290019B true CN108290019B (zh) 2021-06-18

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US (1) US11013457B2 (enExample)
EP (1) EP3383463B1 (enExample)
JP (1) JP6885943B2 (enExample)
CN (1) CN108290019B (enExample)
WO (1) WO2017093054A1 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2017252643B2 (en) 2016-04-19 2022-04-14 Inspire Medical Systems, Inc. Accelerometer-based sensing for sleep disordered breathing (SDB) care
CN112584753B (zh) * 2018-08-09 2024-09-13 柯惠有限合伙公司 基于视频的患者监测系统以及用于检测和监测呼吸的相关方法
WO2020146326A1 (en) * 2019-01-07 2020-07-16 Cates Lara M B Computer-based dynamic rating of ataxic breathing
JP7586893B2 (ja) 2019-07-25 2024-11-19 インスパイア・メディカル・システムズ・インコーポレイテッド 呼吸検出
AU2020315918B2 (en) 2019-07-25 2025-09-18 Inspire Medical Systems, Inc. Systems and methods for operating an implantable medical device based upon sensed posture information
KR20230006818A (ko) * 2020-03-27 2023-01-11 레즈메드 아시아 피티이. 엘티디. 휴대용 산소 발생기의 전력 관리
US20230419724A1 (en) * 2022-06-22 2023-12-28 Koninklijke Philips N.V. Automated camera-based non-invasive monitoring for spontaneous breathing and awakening trials in intensive care
CN118662127B (zh) * 2024-08-16 2024-12-13 中国船舶集团有限公司第七一九研究所 一种基于人体微动传感矩阵的生理指标无感监测方法和系统

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101448539A (zh) * 2006-03-20 2009-06-03 Ric投资有限公司 通气控制系统

Family Cites Families (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2517961A1 (fr) * 1981-12-11 1983-06-17 Synthelabo Biomedical Procede et dispositif pour commander la respiration artificielle
GB8704104D0 (en) * 1987-02-21 1987-03-25 Manitoba University Of Respiratory system load apparatus
US5199424A (en) 1987-06-26 1993-04-06 Sullivan Colin E Device for monitoring breathing during sleep and control of CPAP treatment that is patient controlled
US4915103A (en) 1987-12-23 1990-04-10 N. Visveshwara, M.D., Inc. Ventilation synchronizer
US5645054A (en) 1992-06-01 1997-07-08 Sleepnet Corp. Device and method for the treatment of sleep apnea syndrome
JPH0819610A (ja) 1994-07-05 1996-01-23 Teijin Ltd 気道陽圧式呼吸補助装置
US6000396A (en) * 1995-08-17 1999-12-14 University Of Florida Hybrid microprocessor controlled ventilator unit
SE9504120D0 (sv) * 1995-11-16 1995-11-16 Siemens Elema Ab Ventilator for respiratory treatment
GB9802382D0 (en) * 1998-02-04 1998-04-01 Medtronic Inc Apparatus for management of sleep apnea
SE0002806D0 (sv) * 2000-08-01 2000-08-01 Siemens Elema Ab Användargränssnitt
JP3477166B2 (ja) 2000-12-07 2003-12-10 学校法人慶應義塾 監視装置
EP1410755A4 (en) 2001-06-15 2009-01-28 Sumitomo Osaka Cement Co Ltd CONTROL DEVICE
JP3764949B2 (ja) * 2003-06-09 2006-04-12 住友大阪セメント株式会社 状態解析装置
US7469697B2 (en) 2003-09-18 2008-12-30 Cardiac Pacemakers, Inc. Feedback system and method for sleep disordered breathing therapy
US20110288609A1 (en) 2003-10-15 2011-11-24 Rmx, Llc Therapeutic diaphragm stimulation device and method
US7077810B2 (en) * 2004-02-05 2006-07-18 Earlysense Ltd. Techniques for prediction and monitoring of respiration-manifested clinical episodes
NZ591307A (en) * 2004-02-11 2012-06-29 Resmed Ltd Session-by-session adjustment of a device for treating sleep disordered breathing
US7717110B2 (en) * 2004-10-01 2010-05-18 Ric Investments, Llc Method and apparatus for treating Cheyne-Stokes respiration
FR2906474B3 (fr) * 2006-09-29 2009-01-09 Nellcor Puritan Bennett Incorp Systeme et procede de commande d'une therapie respiratoire sur la base d'evenements respiratoires detectes
WO2009026582A1 (en) 2007-08-23 2009-02-26 Invacare Corporation Method and apparatus for adjusting desired pressure in positive airway pressure devices
WO2009063226A2 (en) * 2007-11-12 2009-05-22 Karolinska Institutet Innovations Ab Methods relating to breathing disorders
JP2012502671A (ja) * 2008-05-12 2012-02-02 アーリーセンス エルティディ 臨床症状のモニタリング、予測及び治療
US9056172B2 (en) 2009-02-25 2015-06-16 Koninklijke Philips N.V. Automatic pressure titration
CN102665546B (zh) * 2009-07-16 2015-12-09 瑞思迈有限公司 睡眠状况的检测
US8701665B2 (en) * 2009-07-25 2014-04-22 Fleur T Tehrani Automatic control system for mechanical ventilation for active or passive subjects
US9044560B2 (en) 2010-01-14 2015-06-02 Koninklijke Philips N.V. Servo ventilation using pressure drop from baseline
US9636474B2 (en) * 2010-08-27 2017-05-02 Resmed Limited Adaptive cycling for respiratory treatment apparatus
JP6223340B2 (ja) * 2011-08-25 2017-11-01 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 人工呼吸療法装置を制御するための方法及び機器
CA2961902C (en) 2012-01-26 2020-08-04 Med-El Elektromedizinische Geraete Gmbh Neural monitoring methods and systems for treating pharyngeal disorders
US9375542B2 (en) 2012-11-08 2016-06-28 Covidien Lp Systems and methods for monitoring, managing, and/or preventing fatigue during ventilation
JP2014147595A (ja) 2013-02-01 2014-08-21 Daikin Ind Ltd 生体監視システム
US20140323824A1 (en) * 2013-04-25 2014-10-30 Covidien Lp Systems and methods for determining fluid responsiveness
US10518050B2 (en) * 2013-06-11 2019-12-31 Koninklijke Philips N.V. Synchronous airway pressure release ventilation
JP7002940B2 (ja) * 2015-03-31 2022-01-20 フィッシャー アンド ペイケル ヘルスケア リミテッド 酸素化および／またはｃｏ２クリアランスのための方法ならびに装置
US10172724B2 (en) * 2016-11-23 2019-01-08 Mark Thomas Harness for upper extremity below-elbow prosthesis

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101448539A (zh) * 2006-03-20 2009-06-03 Ric投资有限公司 通气控制系统

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CN108290019A (zh) 2018-07-17
EP3383463B1 (en) 2022-09-07
WO2017093054A1 (en) 2017-06-08
JP6885943B2 (ja) 2021-06-16
JP2018535770A (ja) 2018-12-06
US11013457B2 (en) 2021-05-25
EP3383463A1 (en) 2018-10-10
US20180368758A1 (en) 2018-12-27

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