JP2019511301A - 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 - Google Patents

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 Download PDF

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JP2019511301A
JP2019511301A JP2018550597A JP2018550597A JP2019511301A JP 2019511301 A JP2019511301 A JP 2019511301A JP 2018550597 A JP2018550597 A JP 2018550597A JP 2018550597 A JP2018550597 A JP 2018550597A JP 2019511301 A JP2019511301 A JP 2019511301A
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ventilator
exhalation
time constant
flow signal
transition
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JP2019511301A5 (enExample
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ヨハネス・ビョルン・トーマス・マイアー
ドミニク・ノヴォトニ
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ハミルトン メディカル アーゲー
ハミルトン メディカル アーゲー
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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)
JP2018550597A 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 Ceased JP2019511301A (ja)

Applications Claiming Priority (3)

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
DE102016206442.8 2016-04-15
PCT/EP2017/058577 WO2017178440A1 (de) 2016-04-15 2017-04-10 Beatmungsgerät mit verbesserter synchronität beim übergang von exspiratorischem zu inspiratorischem betrieb

Publications (2)

Publication Number Publication Date
JP2019511301A true JP2019511301A (ja) 2019-04-25
JP2019511301A5 JP2019511301A5 (enExample) 2020-05-21

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JP2018550597A Ceased 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

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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)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102017006655A1 (de) * 2017-07-13 2019-01-17 GRÜNDLER GmbH System zur Unterstützung der Atmung und Patientenset hierfür
DE102017008791B4 (de) 2017-09-20 2025-10-02 Drägerwerk AG & Co. KGaA Beatmungsgerät mit einer Steuerungseinheit
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
CN112969486B (zh) * 2019-10-10 2023-02-28 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
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
DE102025115018A1 (de) * 2024-04-25 2025-10-30 Löwenstein Medical Technology S.A. Beatmungsgerät mit Display

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JPH05184676A (ja) * 1991-07-04 1993-07-27 Draegerwerk Ag 呼吸相の識別を行う人工呼吸装置
JPH09313608A (ja) * 1996-06-03 1997-12-09 Respironics Inc ガス流の検出方法
US6439229B1 (en) * 2000-08-08 2002-08-27 Newport Medical Instruments, Inc. Pressure support ventilation control system and method
US20140053840A1 (en) * 2011-12-30 2014-02-27 Beijing Aeonmed Co., Ltd. Human-Machine Synchronization Method And Device Of Invasive Ventilator Operating In Noninvasive Ventilation Mode

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US5632269A (en) * 1989-09-22 1997-05-27 Respironics Inc. Breathing gas delivery method and apparatus
DE4432219C1 (de) 1994-09-10 1996-04-11 Draegerwerk Ag Beatmungssystem zur Versorgung eines Patienten mit Atemgas
US5551419A (en) * 1994-12-15 1996-09-03 Devilbiss Health Care, Inc. Control for CPAP apparatus
DE19528113C2 (de) * 1995-08-01 2002-09-12 Univ Ludwigs Albert Beatmungseinrichtung
DE10031079A1 (de) * 2000-06-30 2002-02-07 Map Gmbh Vorrichtung zur Erfassung der Atmungsstätigkeit einer Person sowie Vorrichtung zur Vorgabe physikalischer Parameter bei der Zufuhr eines Atemgases
DE102004014538A1 (de) * 2004-03-23 2005-10-13 Seleon Gmbh Verfahren zur Steuerung eines BiLevel-Geräts sowie BiLevel-Gerät
EP1951347B1 (en) * 2005-11-16 2017-01-11 TreyMed, Inc. Side-stream respiratory gas monitoring system
DE102007052897B4 (de) * 2007-11-07 2013-02-21 Dräger Medical GmbH Verfahren zum automatischen Steuern eines Beatmungssystems sowie zugehöriges Beatmungssystem
EP4112110A1 (en) * 2010-08-27 2023-01-04 ResMed Pty Ltd Adaptive cycling for respiratory treatment apparatus
WO2012032445A1 (en) * 2010-09-10 2012-03-15 Koninklijke Philips Electronics N.V. System and method for identifying breathing transitions
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Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH05184676A (ja) * 1991-07-04 1993-07-27 Draegerwerk Ag 呼吸相の識別を行う人工呼吸装置
JPH09313608A (ja) * 1996-06-03 1997-12-09 Respironics Inc ガス流の検出方法
US6439229B1 (en) * 2000-08-08 2002-08-27 Newport Medical Instruments, Inc. Pressure support ventilation control system and method
US20140053840A1 (en) * 2011-12-30 2014-02-27 Beijing Aeonmed Co., Ltd. Human-Machine Synchronization Method And Device Of Invasive Ventilator Operating In Noninvasive Ventilation Mode

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Publication number Publication date
WO2017178440A1 (de) 2017-10-19
US20190134331A1 (en) 2019-05-09
US20200215283A9 (en) 2020-07-09
DE102016206442A1 (de) 2017-10-19
CN109069780A (zh) 2018-12-21
AU2017251164A1 (en) 2018-09-13
EP3247437A1 (de) 2017-11-29
EP3247437B1 (de) 2018-10-31

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