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 PDFInfo
- 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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- China
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- signal
- patient
- cvp
- processor
- pressure
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- Expired - Fee Related
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Classifications
-
- 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
- A61B5/087—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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
-
- 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
- A61M16/0057—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
-
- 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
- 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
- A61M2230/04—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
- A61M2230/30—Blood pressure
-
- 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
-
- 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
- A61M2230/60—Muscle strain, i.e. measured on the user
Landscapes
- 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)
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 |
Family
ID=58009789
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201780023987.0A Expired - Fee Related CN109069030B (zh) | 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 |
Country Status (6)
| 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=) |
Families Citing this family (24)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019094736A1 (en) | 2017-11-09 | 2019-05-16 | Autonomous Healthcare, Inc. | Clinical decision support system for patient-ventilator asynchrony detection and management |
| US11457872B2 (en) * | 2017-12-01 | 2022-10-04 | Samsung Electronics Co., Ltd. | Bio-signal quality assessment apparatus and bio-signal quality assessment method |
| KR102588906B1 (ko) | 2017-12-01 | 2023-10-13 | 삼성전자주식회사 | 생체 신호 품질 평가 장치 및 방법 |
| 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 |
| CN112368042B (zh) * | 2018-08-21 | 2024-02-06 | 深圳迈瑞生物医疗电子股份有限公司 | 一种通气检测方法及装置、通气设备、存储介质 |
| 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 |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN87106212A (zh) * | 1987-09-05 | 1988-08-03 | 哈尔滨工业大学 | 智能式自由呼吸阻抗血流图仪 |
| WO1997022377A1 (en) * | 1995-12-20 | 1997-06-26 | University Of Manitoba | Device for the determination of at least two parameters of a patient's respiratory system and method therefor |
| JP2008000436A (ja) * | 2006-06-23 | 2008-01-10 | Air Water Safety Service Inc | 肺のコンプライアンス推定装置および推定方法、推定装置を備える人工呼吸器 |
| CN101888868A (zh) * | 2007-09-26 | 2010-11-17 | 呼吸科技公司 | 用于治疗睡眠呼吸暂停的方法和设备 |
| CN102164540A (zh) * | 2008-09-25 | 2011-08-24 | 内尔科尔普里坦贝内特有限公司 | 医用换气机中患者呼吸努力动态的模型预测在线识别 |
| WO2012085741A1 (en) * | 2010-12-21 | 2012-06-28 | Koninklijke Philips Electronics N.V. | Sleep-conducive ventilation therapy controller |
| CN103153184A (zh) * | 2010-08-13 | 2013-06-12 | 呼吸运动公司 | 用于通过呼吸量、运动和变化性的测量进行呼吸振动监视的设备和方法 |
| CN103974736A (zh) * | 2011-11-07 | 2014-08-06 | 皇家飞利浦有限公司 | 用于无创通气的自动患者同步调整 |
| CN104684614A (zh) * | 2012-06-21 | 2015-06-03 | 西蒙·弗雷泽大学 | 经血管的膈膜起搏系统及使用方法 |
| CN105251088A (zh) * | 2015-10-19 | 2016-01-20 | 广州弘凯物联网服务有限公司 | 一种呼吸机治疗质量管理方法及其系统 |
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| AUPO322396A0 (en) * | 1996-10-25 | 1996-11-21 | Robinson, Gavin J.B. Dr | A method of measuring cardiac output by pulmonary exchange of oxygen and an inert gas with the blood utilising a divided airway |
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| US6776764B2 (en) * | 2002-03-01 | 2004-08-17 | University Of Pittsburgh Of The Commonwealth System Of Higher Education | Use of aortic pulse pressure and flow in bedside hemodynamic management |
| US20030225339A1 (en) | 2002-05-06 | 2003-12-04 | Respironics Novametrix | Methods for inducing temporary changes in ventilation for estimation of hemodynamic performance |
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| EP1601281A2 (en) * | 2003-02-19 | 2005-12-07 | Fisher, Joseph | Method of measuring cardiac related parameters non-invasively via the lung during spontaneous and controlled ventilation |
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| BR112015032083A2 (pt) | 2013-06-28 | 2020-07-21 | Koninklijke Philips N.V. | método, e aparelho de determinação de parâmetro fisiológico |
| US20160325061A1 (en) | 2014-01-09 | 2016-11-10 | Koninklijke Philips N.V. | Patient ventilator asynchrony detection |
| RU2712040C2 (ru) | 2015-02-12 | 2020-01-24 | Конинклейке Филипс Н.В. | Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания |
| CN108135536B (zh) | 2015-09-29 | 2021-07-20 | 皇家飞利浦有限公司 | 经由参数优化的对呼吸动力学和患者努力的同时估计 |
-
2017
- 2017-02-01 WO PCT/EP2017/052140 patent/WO2017140500A1/en not_active Ceased
- 2017-02-01 RU RU2018132930A patent/RU2737295C2/ru active
- 2017-02-01 US US15/999,588 patent/US11224379B2/en active Active
- 2017-02-01 JP JP2018543194A patent/JP6960929B2/ja not_active Expired - Fee Related
- 2017-02-01 EP EP17704182.9A patent/EP3416543A1/en not_active Withdrawn
- 2017-02-01 CN CN201780023987.0A patent/CN109069030B/zh not_active Expired - Fee Related
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN87106212A (zh) * | 1987-09-05 | 1988-08-03 | 哈尔滨工业大学 | 智能式自由呼吸阻抗血流图仪 |
| WO1997022377A1 (en) * | 1995-12-20 | 1997-06-26 | University Of Manitoba | Device for the determination of at least two parameters of a patient's respiratory system and method therefor |
| JP2008000436A (ja) * | 2006-06-23 | 2008-01-10 | Air Water Safety Service Inc | 肺のコンプライアンス推定装置および推定方法、推定装置を備える人工呼吸器 |
| CN101888868A (zh) * | 2007-09-26 | 2010-11-17 | 呼吸科技公司 | 用于治疗睡眠呼吸暂停的方法和设备 |
| CN102164540A (zh) * | 2008-09-25 | 2011-08-24 | 内尔科尔普里坦贝内特有限公司 | 医用换气机中患者呼吸努力动态的模型预测在线识别 |
| CN103153184A (zh) * | 2010-08-13 | 2013-06-12 | 呼吸运动公司 | 用于通过呼吸量、运动和变化性的测量进行呼吸振动监视的设备和方法 |
| WO2012085741A1 (en) * | 2010-12-21 | 2012-06-28 | Koninklijke Philips Electronics N.V. | Sleep-conducive ventilation therapy controller |
| CN103974736A (zh) * | 2011-11-07 | 2014-08-06 | 皇家飞利浦有限公司 | 用于无创通气的自动患者同步调整 |
| CN104684614A (zh) * | 2012-06-21 | 2015-06-03 | 西蒙·弗雷泽大学 | 经血管的膈膜起搏系统及使用方法 |
| CN105251088A (zh) * | 2015-10-19 | 2016-01-20 | 广州弘凯物联网服务有限公司 | 一种呼吸机治疗质量管理方法及其系统 |
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| Title |
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| Simultaneous Parameter and Input Estimation of a Respiratory Mechanics Model;Francesco Vicario et al.;《Modeling, Simulation and Optimization of Complex Processes HPSC 2015》;20150320;235-247 * |
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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