CN110545872B - 机械通气的自动peep选择 - Google Patents

机械通气的自动peep选择 Download PDF

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Publication number
CN110545872B
CN110545872B CN201880026629.XA CN201880026629A CN110545872B CN 110545872 B CN110545872 B CN 110545872B CN 201880026629 A CN201880026629 A CN 201880026629A CN 110545872 B CN110545872 B CN 110545872B
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China
Prior art keywords
pressure
subject
peep
inflection point
lung
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Expired - Fee Related
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CN201880026629.XA
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English (en)
Chinese (zh)
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CN110545872A (zh
Inventor
F·比卡里奥
R·布伊扎
W·A·特鲁什切尔
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Koninklijke Philips NV
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Koninklijke Philips NV
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Publication of CN110545872A publication Critical patent/CN110545872A/zh
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    • 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
    • A61M16/10—Preparation of respiratory gases or vapours
    • 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
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • 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
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • A61M2205/3344—Measuring or controlling pressure at the body treatment site
    • 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
    • A61M2230/46—Resistance or compliance of the lungs

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  • 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)
CN201880026629.XA 2017-02-22 2018-02-22 机械通气的自动peep选择 Expired - Fee Related CN110545872B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762461825P 2017-02-22 2017-02-22
US62/461,825 2017-02-22
PCT/EP2018/054352 WO2018153964A1 (en) 2017-02-22 2018-02-22 Automatic peep selection for mechanical ventilation

Publications (2)

Publication Number Publication Date
CN110545872A CN110545872A (zh) 2019-12-06
CN110545872B true CN110545872B (zh) 2022-11-08

Family

ID=61563359

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880026629.XA Expired - Fee Related CN110545872B (zh) 2017-02-22 2018-02-22 机械通气的自动peep选择

Country Status (5)

Country Link
US (1) US11351320B2 (cg-RX-API-DMAC7.html)
EP (1) EP3585465B1 (cg-RX-API-DMAC7.html)
JP (1) JP7004748B2 (cg-RX-API-DMAC7.html)
CN (1) CN110545872B (cg-RX-API-DMAC7.html)
WO (1) WO2018153964A1 (cg-RX-API-DMAC7.html)

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SE538864C2 (sv) * 2015-05-25 2017-01-10 The Lung Barometry Sweden AB Method System and Software for Protective Ventilation
US12239784B2 (en) 2018-10-17 2025-03-04 Maquet Critical Care Ab Lung recruitment in mechanical ventilation
US11154673B2 (en) 2018-10-17 2021-10-26 Maquet Critical Care Ab Lung recruitment in mechanical ventilation
WO2020080983A1 (en) * 2018-10-17 2020-04-23 Maquet Critical Care Ab Lung Recruitment in Mechanical Ventilation
EP3884981B1 (en) * 2018-11-23 2024-07-10 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Positive end expiratory pressure determining apparatus
CN114126694B (zh) * 2019-12-03 2024-08-23 深圳迈瑞生物医疗电子股份有限公司 一种患者通气监测装置及其通气监测方法
CN115297916A (zh) * 2020-03-23 2022-11-04 深圳迈瑞生物医疗电子股份有限公司 一种呼吸监测装置及方法
DE102020120900A1 (de) * 2020-08-07 2022-02-10 Drägerwerk AG & Co. KGaA Vorrichtung und Verfahren zur Messung der Lungen-Compliance
CN112535471B (zh) * 2020-11-06 2022-05-03 北京航空航天大学 一种基于肺的静态吸气压强-容积曲线估计肺复张特性的方法
WO2022105555A1 (zh) * 2020-11-17 2022-05-27 深圳迈瑞生物医疗电子股份有限公司 呼吸支持设备、监护设备、医疗设备系统及参数处理方法
CN112955204B (zh) * 2020-11-23 2022-09-02 深圳迈瑞生物医疗电子股份有限公司 呼吸支持设备及其通气控制方法和计算机可读存储介质
CN113490523B (zh) * 2020-12-29 2022-04-05 东南大学附属中大医院 呼吸支持设备及其控制方法和存储介质
WO2023045488A1 (zh) * 2021-09-24 2023-03-30 深圳迈瑞生物医疗电子股份有限公司 一种医疗设备和检测呼气末正压的方法
CN117651580A (zh) * 2021-12-01 2024-03-05 深圳迈瑞生物医疗电子股份有限公司 一种通气设备及其扩展模块、压力监测方法
CN114146282B (zh) * 2021-12-08 2022-12-09 山东大学 一种用于便携式呼吸机的呼气末正压阀及其控制方法
US12447296B1 (en) * 2022-02-28 2025-10-21 Breas Medical Ab Systems and methods of determining therapeutic expiratory pressure automatically
WO2024251630A1 (en) * 2023-06-08 2024-12-12 The Lung Barometry Sweden AB Rapid determination of transpulmonary pressure in a patient connected to a breathing apparatus

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5937854A (en) * 1998-01-06 1999-08-17 Sensormedics Corporation Ventilator pressure optimization method and apparatus
CN104023633A (zh) * 2011-12-30 2014-09-03 皇家飞利浦有限公司 与呼吸处置设备整合的气道阻抗测量

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SE9400487L (sv) 1994-02-14 1995-03-13 Siemens Elema Ab Ventilator/Respirator
SE504285C2 (sv) * 1995-12-01 1996-12-23 Siemens Elema Ab Sätt vid styrning av en andningsapparat samt en andningsapparat
US6610043B1 (en) 1999-08-23 2003-08-26 Bistech, Inc. Tissue volume reduction
SE0103182D0 (sv) 2001-09-25 2001-09-25 Siemens Elema Ab Förfarande för lungmekanisk undersökning och andningsapparatsystem
US7802571B2 (en) 2003-11-21 2010-09-28 Tehrani Fleur T Method and apparatus for controlling a ventilator
US20070062533A1 (en) 2005-09-21 2007-03-22 Choncholas Gary J Apparatus and method for identifying FRC and PEEP characteristics
EP1973470B1 (en) * 2006-01-19 2017-07-12 Maquet Critical Care AB System for determining dynamically respiratory features in spontaneously breathing patients receiving mechanical ventilatory assist
FR2903314B1 (fr) 2006-07-10 2018-01-12 Universite Pierre Et Marie Curie Dispositif de detection d'un reglage inapproprie d'une machine d'assistance ventilatoire utilisee sur un mammifere.
US8528553B2 (en) 2006-11-16 2013-09-10 Hamilton Medical Ag Method and device for determining the PEEP during the respiration of a patient
US8640699B2 (en) 2008-03-27 2014-02-04 Covidien Lp Breathing assistance systems with lung recruitment maneuvers
CN102369036B (zh) * 2009-03-27 2015-08-19 马奎特紧急护理公司 呼吸设备的peep调节
US8408203B2 (en) 2009-04-30 2013-04-02 General Electric Company System and methods for ventilating a patient
AU2010290917B2 (en) * 2009-09-01 2014-07-24 Koninklijke Philips Electronics N.V. System and method for quantifying lung compliance in a self-ventilating subject
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
DE102012215662A1 (de) * 2012-09-04 2014-03-06 Hamilton Medical Ag System zur automatisierten Einstellung eines durch eine Beatmungseinrichtung vorgegebenen Drucks
DE102013203177A1 (de) 2013-02-26 2014-08-28 Hamilton Medical Ag System zur automatisierten Einstellung eines durch eine Beatmungseinrichtung vorgegebenen Drucks
SE538864C2 (sv) * 2015-05-25 2017-01-10 The Lung Barometry Sweden AB Method System and Software for Protective Ventilation
WO2017001601A1 (en) * 2015-06-30 2017-01-05 Koninklijke Philips N.V. Barometric pressure sensor for variable resistance positive airway pressure device circuit compensation

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5937854A (en) * 1998-01-06 1999-08-17 Sensormedics Corporation Ventilator pressure optimization method and apparatus
CN104023633A (zh) * 2011-12-30 2014-09-03 皇家飞利浦有限公司 与呼吸处置设备整合的气道阻抗测量

Also Published As

Publication number Publication date
JP2020508194A (ja) 2020-03-19
CN110545872A (zh) 2019-12-06
EP3585465A1 (en) 2020-01-01
JP7004748B2 (ja) 2022-02-04
US11351320B2 (en) 2022-06-07
US20190374733A1 (en) 2019-12-12
WO2018153964A1 (en) 2018-08-30
EP3585465B1 (en) 2023-07-05

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Granted publication date: 20221108