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 (enExample)
EP (1) EP3585465B1 (enExample)
JP (1) JP7004748B2 (enExample)
CN (1) CN110545872B (enExample)
WO (1) WO2018153964A1 (enExample)

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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
EP3773838B1 (en) * 2018-10-17 2021-11-10 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
CN111479605A (zh) * 2018-11-23 2020-07-31 深圳迈瑞生物医疗电子股份有限公司 一种呼气末正压确定方法及装置、通气设备、存储介质
EP4070840B1 (en) * 2019-12-03 2025-07-16 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Patient ventilation monitoring apparatus and ventilation monitoring method therefor
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
CN116600844A (zh) * 2020-11-17 2023-08-15 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
WO2022104808A1 (zh) * 2020-11-23 2022-05-27 深圳迈瑞生物医疗电子股份有限公司 呼吸支持设备及其通气控制方法和计算机可读存储介质
WO2022141125A1 (zh) * 2020-12-29 2022-07-07 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
WO2023097553A1 (zh) * 2021-12-01 2023-06-08 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
SE9504312L (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
JP5264506B2 (ja) * 2006-01-19 2013-08-14 マケット・クリティカル・ケア・アーベー 機械的な呼吸補助を受ける自発呼吸患者の呼吸特性を動的に決定するデバイス
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.
EP2091429B1 (de) 2006-11-16 2010-11-10 Hamilton Medical AG Verfahren und vorrichtung zur bestimmung des peep bei der beatmung eines patienten
US8640700B2 (en) 2008-03-27 2014-02-04 Covidien Lp Method for selecting target settings in a medical device
US9333312B2 (en) 2009-03-27 2016-05-10 Maquet Critical Care Ab Peep regulation for a breathing apparatus
US8408203B2 (en) 2009-04-30 2013-04-02 General Electric Company System and methods for ventilating a patient
BR112012004244B1 (pt) * 2009-09-01 2021-10-13 Koninklijke Philips N.V. Sistema configurado para quantificar a complacência pulmonar de um paciente que esteja pelo menos parcialmente auto-ventilado
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
CN107847699A (zh) * 2015-06-30 2018-03-27 皇家飞利浦有限公司 用于可变阻力气道正压设备管路补偿的气压传感器

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

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Granted publication date: 20221108