ES2181781T3 - Sistema para mejorar al maximo la presion positiva continua de las vias respiratorias para el tratamiento de la apnea obstructiva del sueño. - Google Patents

Sistema para mejorar al maximo la presion positiva continua de las vias respiratorias para el tratamiento de la apnea obstructiva del sueño.

Info

Publication number
ES2181781T3
ES2181781T3 ES95920447T ES95920447T ES2181781T3 ES 2181781 T3 ES2181781 T3 ES 2181781T3 ES 95920447 T ES95920447 T ES 95920447T ES 95920447 T ES95920447 T ES 95920447T ES 2181781 T3 ES2181781 T3 ES 2181781T3
Authority
ES
Spain
Prior art keywords
flow
pressure
patient
limitation
treatment
Prior art date
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 - Lifetime
Application number
ES95920447T
Other languages
English (en)
Inventor
David M Rapoport
Robert G Norman
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.)
Puritan Bennett Corp
New York University NYU
Original Assignee
Puritan Bennett Corp
New York University NYU
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Puritan Bennett Corp, New York University NYU filed Critical Puritan Bennett Corp
Application granted granted Critical
Publication of ES2181781T3 publication Critical patent/ES2181781T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4806—Sleep evaluation
    • A61B5/4818—Sleep apnoea
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/6803—Head-worn items, e.g. helmets, masks, headphones or goggles
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0066—Blowers or centrifugal pumps
    • A61M16/0069—Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0666—Nasal cannulas or tubing
    • A61M16/0672—Nasal cannula assemblies for oxygen therapy
    • A61M16/0677—Gas-saving devices therefor
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7239—Details of waveform analysis using differentiation including higher order derivatives
    • 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. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; 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
    • A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/04—Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • 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
    • A61M2230/08—Other bio-electrical signals
    • 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
    • A61M2230/20—Blood composition characteristics
    • A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)
    • 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
    • A61M2230/62—Posture
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/227—Valves actuated by a secondary fluid, e.g. hydraulically or pneumatically actuated valves
    • A61M39/228—Valves actuated by a secondary fluid, e.g. hydraulically or pneumatically actuated valves with a tubular diaphragm constrictable by radial fluid force

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Hematology (AREA)
  • Epidemiology (AREA)
  • Otolaryngology (AREA)
  • Primary Health Care (AREA)
  • Databases & Information Systems (AREA)
  • Data Mining & Analysis (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Urology & Nephrology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

SE MUESTRA UN METODO Y APARATO (70) PARA EL TRATAMIENTO DE LA APNEA DEL SUEÑO OBSTRUCTIVA QUE PERMITEN OPTIMIZAR LA PRESION POSITIVA CONTROLADA Y PARA MINIMIZAR EL FLUJO DE AIRE DESDE UN GENERADOR DE FLUJO (86) MIENTRAS QUE SE ASEGURA QUE NO SE PRODUCE LA LIMITACION DEL FLUJO EN LA VIA AEREA DEL PACIENTE. EN PARTICULAR, LA INVENCION SE REFIERE A UN DISPOSITIVO DE RESPIRACION (70) Y A UN METODO DE USO PARA AJUSTAR UNA PRESION POSITIVA CONTROLADA EN LA VIA AEREA DEL PACIENTE MEDIANTE LA DETECCION DE LA LIMITACION DE FLUJO A PARTIR DEL ANALISIS DE UNA ONDULACION DEL FLUJO INSPIRATORIO. UNA VEZ QUE SE HA ANALIZADO LA EXISTENCIA DE LIMITACIONES DE FLUJO EL SISTEMA DETERMINA LA ACCION A SEGUIR PARA AJUSTAR LA PRESION POSITIVA DE CONTROL. LA CONFIGURACION DE LA PRESION PUEDE ELEVARSE, REBAJARSE O MANTENERSE DEPENDIENDO DE LA POSIBLE DETECCION DE LIMITACION DE FLUJO Y DE LAS ACCIONES PREVIAS LLEVADAS A CABO POR EL SISTEMA. EL APARATO DE RESPIRACION PREFERIDO (70) INCLUYE UN GENERADOR DE FLUJO (86),UN SENSOR DE FLUJO (72), UN CONVERSOR ANALOGICODIGITAL (78), UN MICROPROCESADOR (80), Y UN CONTROLADOR DE PRESION (82,84), UN MANGUITO DE SUMINISTRO AL PACIENTE (74), UN ADAPTADOR NASAL, Y, OPCIONALMENTE, UN TRANSDUCTOR DE PRESION (90). UTILIZANDO EL METODO DE LA PRESENTE INVENCION, EL MICROPROCESADOR (80) AJUSTA LA PRESION AEREA EN EL MANGUITO DE SUMINISTRO AL PACIENTE (74) CUANDO SE DETECTA LA LIMITACION DE FLUJO EN LA VIA AEREA DEL PACIENTE.
ES95920447T 1994-05-20 1995-05-16 Sistema para mejorar al maximo la presion positiva continua de las vias respiratorias para el tratamiento de la apnea obstructiva del sueño. Expired - Lifetime ES2181781T3 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US08/246,964 US5490502A (en) 1992-05-07 1994-05-20 Method and apparatus for optimizing the continuous positive airway pressure for treating obstructive sleep apnea

Publications (1)

Publication Number Publication Date
ES2181781T3 true ES2181781T3 (es) 2003-03-01

Family

ID=22932950

Family Applications (2)

Application Number Title Priority Date Filing Date
ES01126195T Expired - Lifetime ES2231374T3 (es) 1994-05-20 1995-05-16 Sistema para optimizar la presion positiva continua en las vias respiratorias para el tratamiento de la apnea obstructiva del sueño.
ES95920447T Expired - Lifetime ES2181781T3 (es) 1994-05-20 1995-05-16 Sistema para mejorar al maximo la presion positiva continua de las vias respiratorias para el tratamiento de la apnea obstructiva del sueño.

Family Applications Before (1)

Application Number Title Priority Date Filing Date
ES01126195T Expired - Lifetime ES2231374T3 (es) 1994-05-20 1995-05-16 Sistema para optimizar la presion positiva continua en las vias respiratorias para el tratamiento de la apnea obstructiva del sueño.

Country Status (8)

Country Link
US (8) US5490502A (es)
EP (2) EP1172123B1 (es)
JP (2) JP4215819B2 (es)
AU (1) AU705270B2 (es)
CA (1) CA2190488C (es)
DE (2) DE69533708T2 (es)
ES (2) ES2231374T3 (es)
WO (1) WO1995032016A1 (es)

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US6431172B1 (en) 2000-10-20 2002-08-13 Mallinckrodt Inc. Nasal cannula with inflatable plenum chamber
FR2832770B1 (fr) 2001-11-27 2004-01-02 Mallinckrodt Dev France Turbine centrifuge pour dispositifs d'assistance respiratoire

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DE69533708T2 (de) 2006-02-09
DE69533708D1 (de) 2004-12-02
US20070016093A1 (en) 2007-01-18
US5535739A (en) 1996-07-16
EP1172123B1 (en) 2004-10-27
JPH10503943A (ja) 1998-04-14
EP1172123A3 (en) 2002-01-30
US6488634B1 (en) 2002-12-03
JP2005103311A (ja) 2005-04-21
US20030055346A1 (en) 2003-03-20
US5546933A (en) 1996-08-20
DE69527783D1 (de) 2002-09-19
CA2190488C (en) 2007-04-24
ES2231374T3 (es) 2005-05-16
AU705270B2 (en) 1999-05-20
JP4215819B2 (ja) 2009-01-28
AU2589595A (en) 1995-12-18
US7901361B2 (en) 2011-03-08
WO1995032016A1 (en) 1995-11-30
CA2190488A1 (en) 1995-11-30
US6299581B1 (en) 2001-10-09
EP1172123A2 (en) 2002-01-16
US20050016536A1 (en) 2005-01-27
US5490502A (en) 1996-02-13
DE69527783T2 (de) 2003-05-15
EP0759791A1 (en) 1997-03-05
US6793629B2 (en) 2004-09-21
EP0759791B1 (en) 2002-08-14

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