CN109069780A - 从呼气运行转变到吸气运行时具有改善的同步性的呼吸仪 - Google Patents

从呼气运行转变到吸气运行时具有改善的同步性的呼吸仪 Download PDF

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Publication number
CN109069780A
CN109069780A CN201780023459.5A CN201780023459A CN109069780A CN 109069780 A CN109069780 A CN 109069780A CN 201780023459 A CN201780023459 A CN 201780023459A CN 109069780 A CN109069780 A CN 109069780A
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breathing
respirometer
slope
patient
control device
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CN201780023459.5A
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Chinese (zh)
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约翰内斯·比约恩·托马斯·迈尔
多米尼克·诺沃特尼
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Hamilton Medical AG
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Hamilton Medical AG
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    • 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
    • A61M16/026Control 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
    • 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
    • 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
    • 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
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/104Preparation of respiratory gases or vapours specially adapted for anaesthetics
    • 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
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/208Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
    • 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
    • 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
    • A61M16/01Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes specially adapted for anaesthetising
    • 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
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/14Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16Devices to humidify the respiration air
    • 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
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/201Controlled valves
    • A61M16/202Controlled valves electrically actuated
    • A61M16/203Proportional
    • A61M16/204Proportional used for inhalation control
    • 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
    • A61M16/20Valves specially adapted to medical respiratory devices
    • A61M16/201Controlled valves
    • A61M16/202Controlled valves electrically actuated
    • A61M16/203Proportional
    • A61M16/205Proportional used for exhalation control
    • 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
    • A61M2016/0015Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
    • 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
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0036Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • 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
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0042Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the expiratory circuit
    • 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
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • 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
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • A61M2205/505Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
    • 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
    • A61M2205/52General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • 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
    • A61M2230/42Rate
    • 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
    • A61M2230/46Resistance or compliance of the lungs

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
CN201780023459.5A 2016-04-15 2017-04-10 从呼气运行转变到吸气运行时具有改善的同步性的呼吸仪 Pending CN109069780A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102016206442.8A DE102016206442A1 (de) 2016-04-15 2016-04-15 Beatmungsgerät mit verbesserter Synchronität beim Übergang von exspiratorischem zu inspiratorischem Betrieb
DE102016206442.8 2016-04-15
PCT/EP2017/058577 WO2017178440A1 (de) 2016-04-15 2017-04-10 Beatmungsgerät mit verbesserter synchronität beim übergang von exspiratorischem zu inspiratorischem betrieb

Publications (1)

Publication Number Publication Date
CN109069780A true CN109069780A (zh) 2018-12-21

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CN201780023459.5A Pending CN109069780A (zh) 2016-04-15 2017-04-10 从呼气运行转变到吸气运行时具有改善的同步性的呼吸仪

Country Status (7)

Country Link
US (1) US20200215283A9 (enExample)
EP (1) EP3247437B1 (enExample)
JP (1) JP2019511301A (enExample)
CN (1) CN109069780A (enExample)
AU (1) AU2017251164A1 (enExample)
DE (1) DE102016206442A1 (enExample)
WO (1) WO2017178440A1 (enExample)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110947062A (zh) * 2019-03-31 2020-04-03 湖南明康中锦医疗科技发展有限公司 呼吸支持设备呼吸撤换判定方法
CN111298255A (zh) * 2020-02-22 2020-06-19 湖南城市学院 基于通气容量的自动触发呼吸机切换输出呼吸气压的方法
CN111632241A (zh) * 2020-06-08 2020-09-08 山东科技大学 一种湿化治疗仪控制系统
CN111840719A (zh) * 2019-04-24 2020-10-30 律维施泰因医学技术股份有限公司 用于呼吸气体供应的系统和方法
WO2021068160A1 (zh) * 2019-10-10 2021-04-15 深圳迈瑞生物医疗电子股份有限公司 一种通气切换控制方法及装置、医用通气设备、存储介质
CN114630690A (zh) * 2019-10-31 2022-06-14 汉密尔顿医疗股份公司 执行自动避免肺部过度扩张的p/v动作的方法和构成为执行该方法的呼吸设备
CN114681739A (zh) * 2020-12-30 2022-07-01 深圳迈瑞生物医疗电子股份有限公司 麻醉呼吸设备及呼吸回路顺应性检测方法
CN114917440A (zh) * 2022-06-01 2022-08-19 四川千里倍益康医疗科技股份有限公司 呼吸检测方法、脉冲式制氧机的控制方法及脉冲式制氧机
CN115151818A (zh) * 2020-03-05 2022-10-04 罗伯特·博世有限公司 呼吸气体分析设备及其运行方法

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DE102017006655A1 (de) * 2017-07-13 2019-01-17 GRÜNDLER GmbH System zur Unterstützung der Atmung und Patientenset hierfür
DE102017008791B4 (de) * 2017-09-20 2025-10-02 Drägerwerk AG & Co. KGaA Beatmungsgerät mit einer Steuerungseinheit
CN118718190A (zh) * 2018-09-04 2024-10-01 费雪派克医疗保健有限公司 用于呼吸辅助设备和/或附件的支撑件
JP7290406B2 (ja) * 2018-10-03 2023-06-13 帝人ファーマ株式会社 呼吸用気体供給装置及びその制御方法
CN114126691B (zh) * 2019-12-03 2024-10-11 深圳迈瑞生物医疗电子股份有限公司 压力产生装置识别方法及系统、通气支持设备、存储介质
DE102021110429A1 (de) * 2021-04-23 2022-10-27 Drägerwerk AG & Co. KGaA Beatmungsgerät zur maschinellen Beatmung eines Patienten
DE102025115018A1 (de) * 2024-04-25 2025-10-30 Löwenstein Medical Technology S.A. Beatmungsgerät mit Display

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US5303700A (en) * 1991-07-04 1994-04-19 Dragerwerk Aktiengesellschaft Method for detecting the respiratory phases of a patient during an assisted ventilating process
EP0714670A2 (en) * 1994-12-02 1996-06-05 RESPIRONICS Inc. Breathing gas delivery method and apparatus
US5551419A (en) * 1994-12-15 1996-09-03 Devilbiss Health Care, Inc. Control for CPAP apparatus
DE19528113A1 (de) * 1995-08-01 1997-02-06 Univ Ludwigs Albert Beatmungseinrichtung
US6439229B1 (en) * 2000-08-08 2002-08-27 Newport Medical Instruments, Inc. Pressure support ventilation control system and method
US20020185131A1 (en) * 2000-06-30 2002-12-12 Stefan Madaus Device for detecting the respiratory activity of a person
US20070089745A1 (en) * 2004-03-23 2007-04-26 Stephan Gabriel Method for controlling a bi-level apparatus, and bi-level apparatus
CN101547716A (zh) * 2005-11-16 2009-09-30 心肺技术公司 旁流型呼吸气体监测系统和方法
CN103124574A (zh) * 2010-09-10 2013-05-29 皇家飞利浦电子股份有限公司 用于识别呼吸转换的系统和方法
CN103608062A (zh) * 2011-03-18 2014-02-26 马奎特紧急护理公司 支持换气的呼吸设备和方法

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US3834382A (en) 1972-09-05 1974-09-10 Johnson Service Co Fluidic respirator control system with patient triggering response means
DE4432219C1 (de) 1994-09-10 1996-04-11 Draegerwerk Ag Beatmungssystem zur Versorgung eines Patienten mit Atemgas
JP2926392B2 (ja) * 1996-06-03 1999-07-28 レスピロニクス,インコーポレイテッド 検出装置
DE102007052897B4 (de) * 2007-11-07 2013-02-21 Dräger Medical GmbH Verfahren zum automatischen Steuern eines Beatmungssystems sowie zugehöriges Beatmungssystem
EP4112110A1 (en) * 2010-08-27 2023-01-04 ResMed Pty Ltd Adaptive cycling for respiratory treatment apparatus
CN103182120B (zh) * 2011-12-30 2016-06-15 北京谊安医疗系统股份有限公司 有创呼吸机在无创通气模式下人机同步的装置

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US5303700A (en) * 1991-07-04 1994-04-19 Dragerwerk Aktiengesellschaft Method for detecting the respiratory phases of a patient during an assisted ventilating process
EP0714670A2 (en) * 1994-12-02 1996-06-05 RESPIRONICS Inc. Breathing gas delivery method and apparatus
US5551419A (en) * 1994-12-15 1996-09-03 Devilbiss Health Care, Inc. Control for CPAP apparatus
DE19528113A1 (de) * 1995-08-01 1997-02-06 Univ Ludwigs Albert Beatmungseinrichtung
US20020185131A1 (en) * 2000-06-30 2002-12-12 Stefan Madaus Device for detecting the respiratory activity of a person
US6439229B1 (en) * 2000-08-08 2002-08-27 Newport Medical Instruments, Inc. Pressure support ventilation control system and method
US20070089745A1 (en) * 2004-03-23 2007-04-26 Stephan Gabriel Method for controlling a bi-level apparatus, and bi-level apparatus
CN101547716A (zh) * 2005-11-16 2009-09-30 心肺技术公司 旁流型呼吸气体监测系统和方法
CN103124574A (zh) * 2010-09-10 2013-05-29 皇家飞利浦电子股份有限公司 用于识别呼吸转换的系统和方法
CN103608062A (zh) * 2011-03-18 2014-02-26 马奎特紧急护理公司 支持换气的呼吸设备和方法

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110947062A (zh) * 2019-03-31 2020-04-03 湖南明康中锦医疗科技发展有限公司 呼吸支持设备呼吸撤换判定方法
CN111840719A (zh) * 2019-04-24 2020-10-30 律维施泰因医学技术股份有限公司 用于呼吸气体供应的系统和方法
CN112969486A (zh) * 2019-10-10 2021-06-15 深圳迈瑞生物医疗电子股份有限公司 一种通气切换控制方法及装置、医用通气设备、存储介质
WO2021068160A1 (zh) * 2019-10-10 2021-04-15 深圳迈瑞生物医疗电子股份有限公司 一种通气切换控制方法及装置、医用通气设备、存储介质
CN112969486B (zh) * 2019-10-10 2023-02-28 深圳迈瑞生物医疗电子股份有限公司 一种通气切换控制方法及装置、医用通气设备、存储介质
CN114630690A (zh) * 2019-10-31 2022-06-14 汉密尔顿医疗股份公司 执行自动避免肺部过度扩张的p/v动作的方法和构成为执行该方法的呼吸设备
CN114630690B (zh) * 2019-10-31 2025-08-26 汉密尔顿医疗股份公司 执行自动避免肺部过度扩张的p/v动作的方法和构成为执行该方法的呼吸设备
CN111298255A (zh) * 2020-02-22 2020-06-19 湖南城市学院 基于通气容量的自动触发呼吸机切换输出呼吸气压的方法
CN111298255B (zh) * 2020-02-22 2023-07-18 湖南城市学院 一种基于通气容量自动触发切换输出呼吸气压的呼吸机
CN115151818A (zh) * 2020-03-05 2022-10-04 罗伯特·博世有限公司 呼吸气体分析设备及其运行方法
CN111632241A (zh) * 2020-06-08 2020-09-08 山东科技大学 一种湿化治疗仪控制系统
CN111632241B (zh) * 2020-06-08 2021-05-11 山东科技大学 一种湿化治疗仪控制系统
CN114681739A (zh) * 2020-12-30 2022-07-01 深圳迈瑞生物医疗电子股份有限公司 麻醉呼吸设备及呼吸回路顺应性检测方法
CN114917440A (zh) * 2022-06-01 2022-08-19 四川千里倍益康医疗科技股份有限公司 呼吸检测方法、脉冲式制氧机的控制方法及脉冲式制氧机

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