CN109803708B - 呼吸设备和通气机设备 - Google Patents

呼吸设备和通气机设备 Download PDF

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Publication number
CN109803708B
CN109803708B CN201780061941.8A CN201780061941A CN109803708B CN 109803708 B CN109803708 B CN 109803708B CN 201780061941 A CN201780061941 A CN 201780061941A CN 109803708 B CN109803708 B CN 109803708B
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CN
China
Prior art keywords
pressure
airway
extended
inhalation
airway pressure
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201780061941.8A
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English (en)
Chinese (zh)
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CN109803708A (zh
Inventor
F·J·伊萨萨
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
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Koninklijke Philips NV
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Publication of CN109803708A publication Critical patent/CN109803708A/zh
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Expired - Fee Related legal-status Critical Current
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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
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/12Preparation of respiratory gases or vapours by mixing different gases
    • 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
    • A61M2016/0027Accessories 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
    • 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
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • A61M2230/46Resistance or compliance of the lungs

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (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)
CN201780061941.8A 2016-10-07 2017-09-25 呼吸设备和通气机设备 Expired - Fee Related CN109803708B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662405405P 2016-10-07 2016-10-07
US62/405,405 2016-10-07
PCT/EP2017/074154 WO2018065246A1 (en) 2016-10-07 2017-09-25 Estimating lung compliance and lung resistance using a pressure controlled breath to allow all respiratory muscle recoil generated pressure to vanish

Publications (2)

Publication Number Publication Date
CN109803708A CN109803708A (zh) 2019-05-24
CN109803708B true CN109803708B (zh) 2022-03-01

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201780061941.8A Expired - Fee Related CN109803708B (zh) 2016-10-07 2017-09-25 呼吸设备和通气机设备

Country Status (5)

Country Link
US (1) US11413415B2 (enExample)
EP (1) EP3522968B1 (enExample)
JP (1) JP6980776B2 (enExample)
CN (1) CN109803708B (enExample)
WO (1) WO2018065246A1 (enExample)

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102015015441A1 (de) * 2015-12-02 2017-06-08 Drägerwerk AG & Co. KGaA Anästhesiebeatmungsvorrichtung zur automatisierten Beatmung sowie zur Detektion eines Betriebszustandes hinsichtlich der automatisierten Beatmung
EP3481476B1 (en) 2016-07-08 2021-09-08 Trudell Medical International Smart oscillating positive expiratory pressure device
JP7093353B2 (ja) 2016-12-09 2022-06-29 トゥルーデル メディカル インターナショナル スマートネブライザ
DE102017008791B4 (de) * 2017-09-20 2025-10-02 Drägerwerk AG & Co. KGaA Beatmungsgerät mit einer Steuerungseinheit
CA3086890A1 (en) 2018-01-04 2019-07-11 Trudell Medical International Smart oscillating positive expiratory pressure device
AU2020338979B2 (en) 2019-08-27 2025-09-25 Trudell Medical International Inc. Smart oscillating positive expiratory pressure device
DE102019129549A1 (de) * 2019-10-31 2021-05-06 Hamilton Medical Ag Verfahren zur Durchführung eines automatisiert eine Lungenüberdehnung vermeidenden P/V-Manövers und zur Ausführung des Verfahrens ausgebildete Beatmungsvorrichtung
CN110755077B (zh) * 2019-11-18 2022-02-22 北华大学 一种基于呼吸装置的肺弹性系数测量方法及系统
CN111249588A (zh) * 2020-01-20 2020-06-09 深圳市科曼医疗设备有限公司 基于呼吸机的呼气压力控制方法、装置、设备及存储介质
DE102020118529A1 (de) * 2020-07-14 2022-01-20 Ventinova Technologies B.V. Beatmungsvorrichtung und Verfahren zur Bestimmung zumindest eines alveolären Druckes bzw. eines Verlaufs eines alveolären Druckes in einem Atemweg eines Patienten
DE102020120900A1 (de) 2020-08-07 2022-02-10 Drägerwerk AG & Co. KGaA Vorrichtung und Verfahren zur Messung der Lungen-Compliance
CN112169103A (zh) * 2020-09-27 2021-01-05 湖南明康中锦医疗科技发展有限公司 自适应调整升降压速度的方法及其应用、呼吸支持设备
US20220152338A1 (en) * 2020-11-17 2022-05-19 Koninklijke Philips N.V. Airway therapy system
CN112857608A (zh) * 2021-02-22 2021-05-28 东莞永胜医疗制品有限公司 一种ntc测温电路、呼吸机以及呼吸机开机自检方法
CN113040747A (zh) * 2021-03-18 2021-06-29 中国科学院空天信息创新研究院 肺功能监测评估设备及方法
CN113769217B (zh) * 2021-09-17 2023-07-07 北华大学 一种呼吸系统潮气量控制方法、装置及设备
CN114366086B (zh) * 2022-01-13 2023-12-19 湖南比扬医疗科技有限公司 一种呼吸门控监控装置、方法及计算机可读存储介质
CN115414026A (zh) * 2022-08-31 2022-12-02 首都医科大学附属北京天坛医院 一种基于流速波形的呼吸自动切分方法及其系统

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4351344A (en) * 1980-11-13 1982-09-28 Bio-Med Devices, Inc. Method and apparatus for monitoring lung compliance
US6135105A (en) * 1995-10-20 2000-10-24 University Of Florida Lung classification scheme, a method of lung class identification and inspiratory waveform shapes
GB9525994D0 (en) 1995-12-20 1996-02-21 Univ Manitoba Improvements in delivery of assist modes of mechanical ventilation
SE0102221D0 (sv) * 2001-06-19 2001-06-19 Siemens Elema Ab Method for assessing pulmonary stress and a breathing apparatus
WO2006012205A2 (en) * 2004-06-24 2006-02-02 Convergent Engineering, Inc. METHOD AND APPARATUS FOR NON-INVASIVE PREDICTION OF INTRINSIC POSITIVE END-EXPIRATORY PRESSURE (PEEPi) IN PATIENTS RECEIVING VENTILATOR SUPPORT
FR2887777B1 (fr) * 2005-06-29 2007-08-10 Taema Sa Appareil de ventilation
US7918223B2 (en) * 2005-11-09 2011-04-05 Carefusion 207, Inc. System and method for circuit compliance compensated pressure-regulated volume control in a patient respiratory ventilator
US20070272241A1 (en) * 2006-05-12 2007-11-29 Sanborn Warren G System and Method for Scheduling Pause Maneuvers Used for Estimating Elastance and/or Resistance During Breathing
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
US8424521B2 (en) 2009-02-27 2013-04-23 Covidien Lp Leak-compensated respiratory mechanics estimation in medical ventilators
EP2397074B1 (en) * 2010-06-19 2012-10-24 M Stenqvist AB A system and computer readable medium for determination of transpulmonary pressure in a patient connected to a breathing apparatus
US20140048072A1 (en) * 2010-11-29 2014-02-20 Covidien Lp Ventilator-initiated prompt regarding detection of fluctuations in compliance
US20120204875A1 (en) * 2011-02-15 2012-08-16 General Electric Company Method and apparatus for mechanical ventilation system with data display
US9038633B2 (en) * 2011-03-02 2015-05-26 Covidien Lp Ventilator-initiated prompt regarding high delivered tidal volume
US8714154B2 (en) * 2011-03-30 2014-05-06 Covidien Lp Systems and methods for automatic adjustment of ventilator settings
MX2014002034A (es) * 2011-08-25 2014-03-21 Koninkl Philips Nv Medicion de aireacion no invasiva.
WO2013098717A1 (en) 2011-12-27 2013-07-04 Koninklijke Philips Electronics N.V. Lung compliance and lung resistance estimation
US20150114395A1 (en) * 2013-10-29 2015-04-30 General Electric Company Method and arrangement for determining a ventilation need specific for a patient
WO2016098020A1 (en) 2014-12-16 2016-06-23 Koninklijke Philips N.V. Probabilistic non-invasive assessment of respiratory mechanics for different patient classes
JP6808627B2 (ja) * 2014-12-24 2021-01-06 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 呼吸の吸気相及び呼気相の両方で推定される患者肺コンプライアンスを使用してベンチレータと患者の分離を検出するためのシステム及び方法
US9925346B2 (en) * 2015-01-20 2018-03-27 Covidien Lp Systems and methods for ventilation with unknown exhalation flow

Also Published As

Publication number Publication date
JP6980776B2 (ja) 2021-12-15
US20200038611A1 (en) 2020-02-06
US11413415B2 (en) 2022-08-16
CN109803708A (zh) 2019-05-24
JP2019534074A (ja) 2019-11-28
WO2018065246A1 (en) 2018-04-12
EP3522968B1 (en) 2022-12-14
EP3522968A1 (en) 2019-08-14

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