DE102016206442A1 - Beatmungsgerät mit verbesserter Synchronität beim Übergang von exspiratorischem zu inspiratorischem Betrieb - Google Patents

Beatmungsgerät mit verbesserter Synchronität beim Übergang von exspiratorischem zu inspiratorischem Betrieb Download PDF

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Publication number
DE102016206442A1
DE102016206442A1 DE102016206442.8A DE102016206442A DE102016206442A1 DE 102016206442 A1 DE102016206442 A1 DE 102016206442A1 DE 102016206442 A DE102016206442 A DE 102016206442A DE 102016206442 A1 DE102016206442 A1 DE 102016206442A1
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Prior art keywords
expiratory
ventilator
time constant
flow
slope
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DE102016206442.8A
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German (de)
English (en)
Inventor
Johannes Björn Thomas Meyer
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Hamilton Medical AG
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Hamilton Medical AG
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Publication date
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Priority to DE102016206442.8A priority Critical patent/DE102016206442A1/de
Priority to AU2017251164A priority patent/AU2017251164A1/en
Priority to PCT/EP2017/058577 priority patent/WO2017178440A1/de
Priority to US16/093,818 priority patent/US20200215283A9/en
Priority to EP17716248.4A priority patent/EP3247437B1/de
Priority to CN201780023459.5A priority patent/CN109069780A/zh
Priority to JP2018550597A priority patent/JP2019511301A/ja
Publication of DE102016206442A1 publication Critical patent/DE102016206442A1/de
Withdrawn legal-status Critical Current

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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
    • A61M16/026—Control 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
    • 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
    • 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
    • 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
    • A61M16/104—Preparation of respiratory gases or vapours specially adapted for anaesthetics
    • 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
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
    • 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
    • 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
    • A61M16/01—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes specially adapted for anaesthetising
    • 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
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • 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
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A61M16/203—Proportional
    • A61M16/204—Proportional used for inhalation control
    • 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
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A61M16/203—Proportional
    • A61M16/205—Proportional used for exhalation control
    • 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
    • A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors 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
    • 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
    • A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • 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
    • A61M2016/0042—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the expiratory circuit
    • 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
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • 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
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A61M2205/505—Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
    • 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
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • 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
    • A61M2230/42—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
    • 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)
  • 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)
DE102016206442.8A 2016-04-15 2016-04-15 Beatmungsgerät mit verbesserter Synchronität beim Übergang von exspiratorischem zu inspiratorischem Betrieb Withdrawn DE102016206442A1 (de)

Priority Applications (7)

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
AU2017251164A AU2017251164A1 (en) 2016-04-15 2017-04-10 Respirator having improved synchronicity during the transition from expiratory to inspiratory operation
PCT/EP2017/058577 WO2017178440A1 (de) 2016-04-15 2017-04-10 Beatmungsgerät mit verbesserter synchronität beim übergang von exspiratorischem zu inspiratorischem betrieb
US16/093,818 US20200215283A9 (en) 2016-04-15 2017-04-10 Respirator having improved synchronicity during the transition from expiratory to inspiratory operation
EP17716248.4A EP3247437B1 (de) 2016-04-15 2017-04-10 Beatmungsgerät mit verbesserter synchronität beim übergang von exspiratorischem zu inspiratorischem betrieb
CN201780023459.5A 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
JP2018550597A JP2019511301A (ja) 2016-04-15 2017-04-10 呼気動作から吸気動作への移行に際する同調性が改善された人工呼吸器

Applications Claiming Priority (1)

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

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DE102016206442A1 true DE102016206442A1 (de) 2017-10-19

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DE102016206442.8A Withdrawn DE102016206442A1 (de) 2016-04-15 2016-04-15 Beatmungsgerät mit verbesserter Synchronität beim Übergang von exspiratorischem zu inspiratorischem Betrieb

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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)

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DE102017008791A1 (de) * 2017-09-20 2019-03-21 Drägerwerk AG & Co. KGaA Verfahren zum Betrieb eines Beatmungsgeräts und nach dem Verfahren arbeitendes Beatmungsgerät

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DE102017006655A1 (de) * 2017-07-13 2019-01-17 GRÜNDLER GmbH System zur Unterstützung der Atmung und Patientenset hierfür
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
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
DE102020002278A1 (de) * 2019-04-24 2020-10-29 Löwenstein Medical Technology S.A. System zur Atemgasversorgung und Verfahren
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
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
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
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
DE102020202798A1 (de) 2020-03-05 2021-09-09 Robert Bosch Gesellschaft mit beschränkter Haftung Atemgasanalysegerät und Verfahren zu seinem Betrieb
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
US12073945B2 (en) * 2020-06-30 2024-08-27 Cerner Innovation, Inc. Patient ventilator asynchrony detection
CN114681739B (zh) * 2020-12-30 2024-07-30 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
DE102021110429A1 (de) * 2021-04-23 2022-10-27 Drägerwerk AG & Co. KGaA Beatmungsgerät zur maschinellen Beatmung eines Patienten
CN114917440B (zh) * 2022-06-01 2025-10-24 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
CN116510141A (zh) * 2023-04-10 2023-08-01 北京谊安和顺科技有限公司 流速控制方法、流速控制装置及呼吸机
DE102025115018A1 (de) * 2024-04-25 2025-10-30 Löwenstein Medical Technology S.A. Beatmungsgerät mit Display

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EP0521314A1 (de) 1991-07-04 1993-01-07 Drägerwerk Aktiengesellschaft Verfahren zur Erkennung der Atemphasen eines Patienten bei assistierenden Beatmungsverfahren
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DE4432219C1 (de) 1994-09-10 1996-04-11 Draegerwerk Ag Beatmungssystem zur Versorgung eines Patienten mit Atemgas
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102017008791A1 (de) * 2017-09-20 2019-03-21 Drägerwerk AG & Co. KGaA Verfahren zum Betrieb eines Beatmungsgeräts und nach dem Verfahren arbeitendes Beatmungsgerät
US11679216B2 (en) 2017-09-20 2023-06-20 Drägerwerk AG & Co. KGaA Process for operating a ventilator and ventilator operating according to the process
DE102017008791B4 (de) * 2017-09-20 2025-10-02 Drägerwerk AG & Co. KGaA Beatmungsgerät mit einer Steuerungseinheit

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JP2019511301A (ja) 2019-04-25
CN109069780A (zh) 2018-12-21
AU2017251164A1 (en) 2018-09-13
US20190134331A1 (en) 2019-05-09
US20200215283A9 (en) 2020-07-09
EP3247437B1 (de) 2018-10-31
WO2017178440A1 (de) 2017-10-19
EP3247437A1 (de) 2017-11-29

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