JP2019518555A - 加湿器バイパスを伴う排痰補助システム - Google Patents
加湿器バイパスを伴う排痰補助システム Download PDFInfo
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- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
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- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- 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
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; 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
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/105—Filters
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
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- A—HUMAN NECESSITIES
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- A61M2202/00—Special media to be introduced, removed or treated
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- A—HUMAN NECESSITIES
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- 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
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/02—Gases
- A61M2202/0208—Oxygen
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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
- 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
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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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/82—Internal energy supply devices
- A61M2205/8206—Internal energy supply devices battery-operated
Abstract
Description
本願は、2016年6月21日に出願された米国特許出願第15/188,722号の優先権の利益を主張するものであり、該出願は、全体が参照により本明細書中に援用される。
付加的実施例
1.システムであって、
送気ガスを患者回路に提供するように構成される第1相と、排気ガスを患者回路から引き出すように構成される第2相とを有する、排痰補助デバイスと、
排痰補助デバイスと患者回路の遠位端との間の加湿器であって、加湿器は、チャンバを備え、チャンバは、加熱された水を含有し、排痰補助デバイスおよび患者回路に流体的に結合されるように構成される、加湿器と、
排気ガスがチャンバをバイパスするように、排気ガスを患者回路から人工呼吸器に送出するように構成される、バイパスと
を備える、システム。
2.排痰補助デバイスは、第1のモードにおける呼吸補助および第2のモードにおける排痰補助を提供するように構成される、人工呼吸器を備える、実施例1に記載のシステム。
3.バイパスはさらに、送気ガスがチャンバ内で加湿されるように、送気ガスを人工呼吸器から患者回路を通して指向するように構成される、実施例1−2のうちの任意の1つに記載のシステム。
4.バイパスは、
(a)排痰補助デバイスからの送気ガスがチャンバを通して通過するように、送気ガスの存在下では開放することと、(b)排気ガスがチャンバから退出することを防止するように、排気ガスの存在下では閉鎖することとを行う構成される、第1の弁と、
(a)排気ガスが、チャンバを通して通過せずに、人工呼吸器に通過するように、患者回路からの排気ガスの存在下では開放することと、(b)送気ガスの存在下では閉鎖することとを行うように構成される、第2の弁と
を備える、実施例3に記載のシステム。
5.バイパスは、
チャンバから離れるように延在し、人工呼吸器をチャンバに流体的に結合する、第1の導管と、
チャンバから離れるように延在し、チャンバを患者回路の遠位端に流体的に結合する、第2の導管と、
第1の導管および第2の導管に接続し、それらの間に延在する、ブリッジであって、ブリッジは、チャンバから離間される、ブリッジと、
チャンバとブリッジとの間の位置において第1の導管内に配置される第1の弁と、
第1の導管と第2の導管との間の位置においてブリッジ内に配置される第2の弁と
を備える、実施例3に記載のシステム。
6.第1の弁は、送気ガスの存在下ではチャンバに向かって開放するように構成される一方向弁であり、第2の弁は、排気ガスの存在下では第1の導管に向かって開放するように構成される一方向弁である、実施例5に記載のシステム。
7.システムであって、
送気ガス流を患者回路に提供するように構成される送気モジュールと、排気ガス流を患者回路から引き出すように構成される排気モジュールとを有する、排痰補助デバイスと、
排痰補助デバイスおよび患者回路に流体的に結合される加湿器であって、加湿器は、加熱された水を含有するように構成されるチャンバを有する、加湿器と、
バイパスであって、バイパスは、排痰補助デバイスとチャンバとの間の第1の流路と、チャンバと患者回路との間の第2の流路と、第1の流路および第2の流路と弁システムとの間の第3の流路とを有し、弁システムは、
(a)送気ガス流が、第1および第2の流路を介して、チャンバを通して通過するように、送気の間、第3の流路を遮断することと、
(b)排気ガス流が、第3の流路を通して通過し、チャンバをバイパスするように、排気の間、第3の流路を開放し、第1の流路を遮断することと
を行うように構成される、バイパスと、
を備える、システム。
8.弁システムは、
チャンバと第1の流路と第3の流路との間の交差部との間の第1の流路内の第1の受動弁と、
第3の流路内の第2の受動弁と、
を備える、実施例7に記載のシステム。
9.第1の受動弁は、送気の間、チャンバに向かって開放するように構成される第1の逆止弁を備え、第2の受動弁は、排気の間、第1の流路に向かって開放するように構成される第2の逆止弁を備える、実施例8に記載のシステム。
10.弁システムは、第1の流路と第3の流路との間の交差部において第1の流路内に配置される弁を備え、弁は、
(a)送気ガス流が、第1の流路を介して、チャンバの中に通過するように、送気の間、第3の流路を遮断することと、
(b)排気ガス流が、第3の流路を通して通過し、チャンバをバイパスするように、排気の間、第3の流路を開放し、第1の流路を遮断することと
を行うように構成される、実施例7−9のうちの任意の1つに記載のシステム。
11.加湿器アセンブリであって、
液体をその中に保持するように構成されるチャンバと、
熱をチャンバ内の液体に送達するように構成される加熱器と、
送気ガスを排痰補助デバイスから受容し、送気ガスをチャンバを通して患者回路に指向するように構成される送気流路と、
排気ガスを患者回路から受容し、チャンバを通して通過せずに、排気ガスを排痰補助デバイスに指向するように構成される、排気流路と
を備える、加湿器アセンブリ。
12.チャンバから離れるように延在し、排痰補助デバイスをチャンバに流体的に結合するように構成される、第1の導管と、
チャンバから離れるように延在し、チャンバを患者回路に流体的に結合するように構成される、第2の導管と、
第1の導管および第2の導管に接続し、それらの間に延在する、ブリッジであって、ブリッジは、チャンバから離間される、ブリッジと
をさらに備える、実施例11に記載の加湿器アセンブリ。
13.チャンバとブリッジとの間の位置において第1の導管内に配置される第1の弁をさらに備え、
送気流路は、第1の弁を通して通過する、実施例12に記載の加湿器アセンブリ。
14.排気流路は、第1の弁を通して通過しない、実施例13に記載の加湿器アセンブリ。
15.第1の導管と第2の導管との間の位置においてブリッジ内に配置される第2の弁をさらに備え、
排気流路は、第2の弁を通して通過する、実施例12−14のうちの任意の1つに記載の加湿器アセンブリ。
16.送気流路は、第2の弁を通して通過しない、実施例15に記載の加湿器アセンブリ。
17.排痰補助を患者に提供するための方法であって、方法は、
送気ガスを排痰補助デバイスから患者に患者回路を介して送達することと、
排気ガスを患者から患者回路を介して引き出すことであって、排気ガスは、排痰補助デバイスに到達する前に、加湿器をバイパスすることと、
を含む、方法。
18.排気ガスを引き出すことは、−30〜70cmH2Oの圧力を患者回路内に提供することを含む、実施例17に記載の方法。
19.送気ガスを送達することは、送気ガスを加湿器内のチャンバを通して通過させ、それによって、患者に到達する前に、送気ガスを加湿することを含む、実施例17−18のいずれか1項に記載の方法。
20.排気ガスを引き出すことは、排気ガスを加湿器に結合されるバイパスを通して通過させることを含む、実施例17−19のいずれか1項に記載の方法。
21.バイパスは、
(a)排痰補助デバイスからの送気ガスが加湿器内のチャンバを通して通過するように、送気ガスを送達する間、開放することと、(b)排気ガスの存在下では、チャンバからの排気ガスが退出することを防止するように閉鎖することとを行うように構成される、第1の弁と、
(a)排気ガスが、チャンバを通して通過せずに、人工呼吸器を通過するように、排気ガスを患者回路から引き出す間、開放することと、(b)送気ガスの存在下では閉鎖することとを行うように構成される、第2の弁と、
を備える、実施例20に記載の方法。
Claims (21)
- システムであって、
送気ガスを患者回路に提供するように構成される第1相と、排気ガスを前記患者回路から引き出すように構成される第2相とを有する、排痰補助デバイスと、
前記排痰補助デバイスと前記患者回路の遠位端との間の加湿器であって、前記加湿器は、チャンバを備え、前記チャンバは、加熱された水を含有し、前記排痰補助デバイスおよび前記患者回路に流体的に結合されるように構成される、加湿器と、
前記排気ガスが前記チャンバをバイパスするように、排気ガスを前記患者回路から前記人工呼吸器に送出するように構成される、バイパスと
を備える、システム。 - 前記排痰補助デバイスは、第1のモードにおける呼吸補助および第2のモードにおける排痰補助を提供するように構成される、人工呼吸器を備える、請求項1に記載のシステム。
- 前記バイパスはさらに、送気ガスが前記チャンバ内で加湿されるように、送気ガスを前記人工呼吸器から前記患者回路を通して指向するように構成される、請求項1に記載のシステム。
- 前記バイパスは、
(a)前記排痰補助デバイスからの送気ガスが前記チャンバを通して通過するように、送気ガスの存在下では開放することと、(b)排気ガスが前記チャンバから退出することを防止するように、排気ガスの存在下では閉鎖することとを行うように構成される、第1の弁と、
(a)前記排気ガスが、前記チャンバを通して通過せずに、前記人工呼吸器に通過するように、前記患者回路からの排気ガスの存在下では開放することと、(b)送気ガスの存在下では閉鎖することとを行うように構成される、第2の弁と
を備える、請求項3に記載のシステム。 - 前記バイパスは、
前記チャンバから離れるように延在し、前記人工呼吸器を前記チャンバに流体的に結合する、第1の導管と、
前記チャンバから離れるように延在し、前記チャンバを前記患者回路の遠位端に流体的に結合する、第2の導管と、
前記第1の導管および前記第2の導管に接続し、それらの間に延在する、ブリッジであって、前記ブリッジは、前記チャンバから離間される、ブリッジと、
前記チャンバと前記ブリッジとの間の位置において前記第1の導管内に配置される第1の弁と、
前記第1の導管と前記第2の導管との間の位置において前記ブリッジ内に配置される第2の弁と
を備える、請求項3に記載のシステム。 - 前記第1の弁は、送気ガスの存在下では前記チャンバに向かって開放するように構成される一方向弁であり、前記第2の弁は、排気ガスの存在下では前記第1の導管に向かって開放するように構成される一方向弁である、請求項5に記載のシステム。
- システムであって、
送気ガス流を患者回路に提供するように構成される送気モジュールと、排気ガス流を前記患者回路から引き出すように構成される排気モジュールとを有する、排痰補助デバイスと、
前記排痰補助デバイスおよび前記患者回路に流体的に結合される加湿器であって、前記加湿器は、加熱された水を含有するように構成されるチャンバを有する、加湿器と、
バイパスであって、前記バイパスは、前記排痰補助デバイスと前記チャンバとの間の第1の流路と、前記チャンバと前記患者回路との間の第2の流路と、前記第1の流路および第2の流路と弁システムとの間の第3の流路とを有し、前記弁システムは、
(a)前記送気ガス流が、前記第1および第2の流路を介して、前記チャンバを通して通過するように、送気の間、前記第3の流路を遮断することと、
(b)前記排気ガス流が、前記第3の流路を通して通過し、前記チャンバをバイパスするように、排気の間、前記第3の流路を開放し、前記第1の流路を遮断することと
を行うように構成される、バイパスと
を備える、システム。 - 前記弁システムは、
前記チャンバと前記第1の流路と前記第3の流路との間の交差部との間の前記第1の流路内の第1の受動弁と、
前記第3の流路内の第2の受動弁と
を備える、請求項7に記載のシステム。 - 前記第1の受動弁は、送気の間、前記チャンバに向かって開放するように構成される第1の逆止弁を備え、前記第2の受動弁は、排気の間、前記第1の流路に向かって開放するように構成される第2の逆止弁を備える、請求項8に記載のシステム。
- 前記弁システムは、前記第1の流路と前記第3の流路との間の交差部において前記第1の流路内に配置される弁を備え、前記弁は、
(a)前記送気ガス流が、前記第1の流路を介して、前記チャンバの中に通過するように、送気の間、前記第3の流路を遮断することと、
(b)前記排気ガス流が、前記第3の流路を通して通過し、前記チャンバをバイパスするように、排気の間、前記第3の流路を開放し、前記第1の流路を遮断することと
を行うように構成される、請求項7に記載のシステム。 - 加湿器アセンブリであって、
液体をその中に保持するように構成されるチャンバと、
熱を前記チャンバ内の液体に送達するように構成される加熱器と、
送気ガスを排痰補助デバイスから受容し、前記送気ガスを前記チャンバを通して患者回路に指向するように構成される送気流路と、
排気ガスを患者回路から受容し、前記チャンバを通して通過せずに、前記排気ガスを前記排痰補助デバイスに指向するように構成される、排気流路と
を備える、加湿器アセンブリ。 - 前記チャンバから離れるように延在し、前記排痰補助デバイスを前記チャンバに流体的に結合するように構成される、第1の導管と、
前記チャンバから離れるように延在し、前記チャンバを前記患者回路に流体的に結合するように構成される、第2の導管と、
前記第1の導管および前記第2の導管に接続し、それらの間に延在する、ブリッジであって、前記ブリッジは、前記チャンバから離間される、ブリッジと
をさらに備える、請求項11に記載の加湿器アセンブリ。 - 前記チャンバと前記ブリッジとの間の位置において前記第1の導管内に配置される第1の弁をさらに備え、
前記送気流路は、前記第1の弁を通して通過する、請求項12に記載の加湿器アセンブリ。 - 前記排気流路は、前記第1の弁を通して通過しない、請求項13に記載の加湿器アセンブリ。
- 前記第1の導管と前記第2の導管との間の位置において前記ブリッジ内に配置される、第2の弁をさらに備え、
前記排気流路は、前記第2の弁を通して通過する、請求項12に記載の加湿器アセンブリ。 - 前記送気流路は、前記第2の弁を通して通過しない、請求項15に記載の加湿器アセンブリ。
- 排痰補助を患者に提供するための方法であって、前記方法は、
送気ガスを排痰補助デバイスから患者に患者回路を介して送達することと、
排気ガスを前記患者から前記患者回路を介して引き出すことであって、前記排気ガスは、前記排痰補助デバイスに到達する前に、加湿器をバイパスすることと
を含む、方法。 - 前記排気ガスを引き出すことは、−30〜70cmH2Oの圧力を前記患者回路内に提供することを含む、請求項17に記載の方法。
- 前記送気ガスを送達することは、前記送気ガスを前記加湿器内のチャンバを通して通過させ、それによって、前記患者に到達する前に、前記送気ガスを加湿することを含む、請求項17に記載の方法。
- 前記排気ガスを引き出すことは、前記排気ガスを前記加湿器に結合されるバイパスを通して通過させることを含む、請求項17に記載の方法。
- 前記バイパスは、
(a)前記排痰補助デバイスからの送気ガスが前記加湿器内のチャンバを通して通過するように、前記送気ガスを送達する間、開放することと、(b)排気ガスの存在下では、前記チャンバからの排気ガスが退出することを防止するように閉鎖することとを行うように構成される、第1の弁と、
(a)前記排気ガスが、前記チャンバを通して通過せずに、前記人工呼吸器を通過するように、前記排気ガスを前記患者回路から引き出す間、開放することと、(b)送気ガスの存在下では閉鎖することとを行うように構成される、第2の弁と
を備える、請求項20に記載の方法。
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US20170361058A1 (en) | 2017-12-21 |
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WO2017222913A1 (en) | 2017-12-28 |
CN115253001A (zh) | 2022-11-01 |
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