CN109069030B - 经由使用中心静脉压测压法增强呼吸参数估计和异步检测算法 - Google Patents

经由使用中心静脉压测压法增强呼吸参数估计和异步检测算法 Download PDF

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Publication number
CN109069030B
CN109069030B CN201780023987.0A CN201780023987A CN109069030B CN 109069030 B CN109069030 B CN 109069030B CN 201780023987 A CN201780023987 A CN 201780023987A CN 109069030 B CN109069030 B CN 109069030B
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signal
patient
cvp
processor
pressure
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CN109069030A (zh
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F·比卡里奥
N·卡拉莫列赫科斯
A·阿尔巴内塞
N·W·什巴特
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Koninklijke Philips NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/087Measuring breath flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057Pumps therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/04Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/30Blood pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/60Muscle strain, i.e. measured on the user

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
CN201780023987.0A 2016-02-18 2017-02-01 经由使用中心静脉压测压法增强呼吸参数估计和异步检测算法 Expired - Fee Related CN109069030B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662296666P 2016-02-18 2016-02-18
US62/296,666 2016-02-18
PCT/EP2017/052140 WO2017140500A1 (en) 2016-02-18 2017-02-01 Enhancement of respiratory parameter estimation and asynchrony detection algorithms via the use of central venous pressure manometry

Publications (2)

Publication Number Publication Date
CN109069030A CN109069030A (zh) 2018-12-21
CN109069030B true CN109069030B (zh) 2021-10-19

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Country Link
US (1) US11224379B2 (https=)
EP (1) EP3416543A1 (https=)
JP (1) JP6960929B2 (https=)
CN (1) CN109069030B (https=)
RU (1) RU2737295C2 (https=)
WO (1) WO2017140500A1 (https=)

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US20210093824A1 (en) * 2018-04-06 2021-04-01 ResMed Pty Ltd Methods and apparatus for treating a respiratory disorder
DE102019005601A1 (de) * 2018-08-13 2020-02-13 Löwenstein Medical Technology S.A. Verfahren zur sicheren Kommunikation in einem Beatmungssystem
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EP3834871B1 (en) * 2018-08-21 2025-04-16 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Computer program for ventilation trigger detection, ventilation trigger detection apparatus, and ventilation device
US11752287B2 (en) * 2018-10-03 2023-09-12 Covidien Lp Systems and methods for automatic cycling or cycling detection
DE102019120307A1 (de) * 2019-07-26 2021-01-28 Forschungszentrum Borstel, Leibniz Lungenzentrum Vorrichtung zur unterstützenden Beatmung eines Lebewesens und Computerprogramm
DE102019006480A1 (de) 2019-09-16 2021-03-18 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitung zum Ermitteln der Atmungsaktivität eines Patienten
DE102019006866A1 (de) * 2019-10-02 2021-04-08 Drägerwerk AG & Co. KGaA Verfahren und Vorrichtung zum Ermitteln eines respiratorischen oder eines kardiogenen Signals
DE102019007717B3 (de) * 2019-11-07 2021-01-07 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitungseinheit zum Ermitteln der Atmungsaktivität eines Patienten
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
US20210322691A1 (en) * 2020-04-17 2021-10-21 Covidien Lp Systems and methods for detecting respiratory mechanics
US12268811B2 (en) 2020-09-04 2025-04-08 Koninklijke Philips N.V. Estimation of cardiogenic artefacts on ventilator airway pressure and flow for the automated detection and resolution of patient ventilator asynchronies
CN112258432B (zh) * 2020-10-23 2021-09-21 成都大学 基于复合型结构元素数学形态学的中子-伽马甄别方法
CN115702787B (zh) * 2021-08-11 2025-08-01 深圳市美好创亿医疗科技股份有限公司 脉冲振荡呼吸阻抗检测方法及检测系统
US12420045B2 (en) * 2022-03-15 2025-09-23 GE Precision Healthcare LLC System and method for patient-ventilator synchronization/onset detection utilizing time-frequency analysis of EMG signals
CN114931371B (zh) * 2022-05-24 2025-01-21 北京清雷科技有限公司 肺功能指标的测量方法及其装置、电子设备及存储介质
CN114913752B (zh) * 2022-05-26 2024-03-26 中国人民解放军陆军军医大学 一种基于集总参数的人体呼吸系统模型
CN114983469B (zh) * 2022-06-21 2023-04-18 四川大学华西医院 利用超声进行呼吸驱动评估的方法及装置
EP4385547A1 (en) * 2022-12-16 2024-06-19 Koninklijke Philips N.V. Detecting, identifying and alleviating causes for pressure burden using positive airway pressure devices
WO2025117420A1 (en) * 2023-11-27 2025-06-05 Zoll Medical Corporation Patient ventilator asynchrony management system, including asynchrony mitigation messaging and adjustments
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

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Also Published As

Publication number Publication date
CN109069030A (zh) 2018-12-21
JP2019509791A (ja) 2019-04-11
WO2017140500A1 (en) 2017-08-24
JP6960929B2 (ja) 2021-11-05
EP3416543A1 (en) 2018-12-26
RU2018132930A (ru) 2020-03-18
RU2737295C2 (ru) 2020-11-26
US11224379B2 (en) 2022-01-18
US20210205558A1 (en) 2021-07-08
RU2018132930A3 (https=) 2020-06-04

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