JP4700894B2 - 医療用人工呼吸器の始動及び周期動作法及びその装置 - Google Patents
医療用人工呼吸器の始動及び周期動作法及びその装置 Download PDFInfo
- Publication number
- JP4700894B2 JP4700894B2 JP2002532284A JP2002532284A JP4700894B2 JP 4700894 B2 JP4700894 B2 JP 4700894B2 JP 2002532284 A JP2002532284 A JP 2002532284A JP 2002532284 A JP2002532284 A JP 2002532284A JP 4700894 B2 JP4700894 B2 JP 4700894B2
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- JP
- Japan
- Prior art keywords
- patient
- flow
- pressure
- gas
- flow rate
- 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
Links
- 230000000737 periodic effect Effects 0.000 title claims description 47
- 238000000034 method Methods 0.000 title description 80
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 108
- 230000033001 locomotion Effects 0.000 claims description 81
- 230000000241 respiratory effect Effects 0.000 claims description 61
- 230000003434 inspiratory effect Effects 0.000 claims description 58
- 230000004087 circulation Effects 0.000 claims description 33
- 230000004044 response Effects 0.000 claims description 22
- 230000001351 cycling effect Effects 0.000 claims description 10
- 230000003111 delayed effect Effects 0.000 claims description 10
- 230000000977 initiatory effect Effects 0.000 claims description 4
- 230000001934 delay Effects 0.000 claims description 3
- 229920000742 Cotton Polymers 0.000 claims 1
- 230000017531 blood circulation Effects 0.000 claims 1
- 239000007789 gas Substances 0.000 description 106
- 239000007858 starting material Substances 0.000 description 35
- 230000008569 process Effects 0.000 description 33
- 238000012545 processing Methods 0.000 description 29
- 238000009423 ventilation Methods 0.000 description 25
- 230000035945 sensitivity Effects 0.000 description 11
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 10
- 230000007246 mechanism Effects 0.000 description 10
- 239000001301 oxygen Substances 0.000 description 10
- 229910052760 oxygen Inorganic materials 0.000 description 10
- 230000002269 spontaneous effect Effects 0.000 description 10
- 125000004122 cyclic group Chemical group 0.000 description 9
- 230000004913 activation Effects 0.000 description 8
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- 230000007423 decrease Effects 0.000 description 6
- 239000012530 fluid Substances 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- 210000004072 lung Anatomy 0.000 description 5
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- 230000003213 activating effect Effects 0.000 description 2
- 238000013459 approach Methods 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 244000144985 peep Species 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 230000003584 silencer Effects 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 208000006545 Chronic Obstructive Pulmonary Disease Diseases 0.000 description 1
- 239000012080 ambient air Substances 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 238000013528 artificial neural network Methods 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
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- 238000005457 optimization Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000003909 pattern recognition Methods 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
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- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
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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
-
- 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
- A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes with alarm devices
-
- 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
- A61M16/0057—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. 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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/12—Preparation of respiratory gases or vapours by mixing different gases
- A61M16/122—Preparation of respiratory gases or vapours by mixing different gases with dilution
- A61M16/125—Diluting primary gas with ambient 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
- A61M16/205—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
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0833—T- or Y-type connectors, e.g. Y-piece
-
- 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
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0841—Joints or connectors for sampling
- A61M16/0858—Pressure sampling ports
-
- 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
- A61M2016/0021—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with a proportional output signal, e.g. from a thermistor
-
- 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
- A61M2016/0039—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
- 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
- A61M2205/15—Detection of leaks
Landscapes
- 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)
- Percussion Or Vibration Massage (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US23838700P | 2000-10-06 | 2000-10-06 | |
| US60/238,387 | 2000-10-06 | ||
| US09/970,383 US6626175B2 (en) | 2000-10-06 | 2001-10-02 | Medical ventilator triggering and cycling method and mechanism |
| US09/970,383 | 2001-10-02 | ||
| PCT/US2001/031262 WO2002028460A1 (en) | 2000-10-06 | 2001-10-05 | Medical ventilator triggering and cycling method and mechanism |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008130323A Division JP2008194504A (ja) | 2000-10-06 | 2008-05-19 | 患者に気体を供給する気体流供給装置 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2004512065A JP2004512065A (ja) | 2004-04-22 |
| JP2004512065A5 JP2004512065A5 (https=) | 2005-12-22 |
| JP4700894B2 true JP4700894B2 (ja) | 2011-06-15 |
Family
ID=26931623
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2002532284A Expired - Lifetime JP4700894B2 (ja) | 2000-10-06 | 2001-10-05 | 医療用人工呼吸器の始動及び周期動作法及びその装置 |
| JP2008130323A Pending JP2008194504A (ja) | 2000-10-06 | 2008-05-19 | 患者に気体を供給する気体流供給装置 |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008130323A Pending JP2008194504A (ja) | 2000-10-06 | 2008-05-19 | 患者に気体を供給する気体流供給装置 |
Country Status (7)
| Country | Link |
|---|---|
| US (3) | US6626175B2 (https=) |
| EP (1) | EP1322365B1 (https=) |
| JP (2) | JP4700894B2 (https=) |
| AU (3) | AU1146802A (https=) |
| BR (1) | BRPI0114361B8 (https=) |
| CA (1) | CA2425113C (https=) |
| WO (1) | WO2002028460A1 (https=) |
Families Citing this family (304)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6866040B1 (en) * | 1994-09-12 | 2005-03-15 | Nellcor Puritan Bennett France Developpement | Pressure-controlled breathing aid |
| US6910480B1 (en) * | 1999-09-15 | 2005-06-28 | Resmed Ltd. | Patient-ventilator synchronization using dual phase sensors |
| AU778469B2 (en) * | 1999-09-15 | 2004-12-09 | Resmed Limited | Patient-ventilator synchronization using dual phase sensors |
| CA2421808C (en) | 2000-09-28 | 2009-12-15 | Invacare Corporation | Carbon dioxide-based bi-level cpap control |
| US6626175B2 (en) * | 2000-10-06 | 2003-09-30 | Respironics, Inc. | Medical ventilator triggering and cycling method and mechanism |
| US20110301569A1 (en) | 2001-01-20 | 2011-12-08 | Gordon Wayne Dyer | Methods and apparatus for the CVCS |
| US7168429B2 (en) * | 2001-10-12 | 2007-01-30 | Ric Investments, Llc | Auto-titration pressure support system and method of using same |
| US7938114B2 (en) * | 2001-10-12 | 2011-05-10 | Ric Investments Llc | Auto-titration bi-level pressure support system and method of using same |
| US7484508B2 (en) * | 2002-06-27 | 2009-02-03 | Yrt Limited | Method and device for monitoring and improving patient-ventilator interaction |
| US8881723B2 (en) * | 2002-10-16 | 2014-11-11 | Resmed Limited | Breathable gas supply apparatus |
| US7497215B1 (en) * | 2002-12-20 | 2009-03-03 | Koninklijke Philips Electronics N.V. | Medical ventilator with compressor heated exhalation filter |
| FR2850284B1 (fr) * | 2003-01-27 | 2012-11-30 | Saime Sarl | Dispositif d'aide a la respiration, et procede de regulation |
| US20060048777A1 (en) * | 2003-03-21 | 2006-03-09 | Interspiro, Inc. | Apparatus and method for providing breathable air and bodily protection in a contaminated environment |
| US20040182394A1 (en) * | 2003-03-21 | 2004-09-23 | Alvey Jeffrey Arthur | Powered air purifying respirator system and self contained breathing apparatus |
| JP4591443B2 (ja) * | 2003-03-24 | 2010-12-01 | レスメ・パリ | 呼吸補助装置 |
| EP1620154A1 (en) * | 2003-04-22 | 2006-02-01 | Medi-Physics, Inc. | Mri/nmr-compatible, tidal volume control and measurement systems, methods, and devices for respiratory and hyperpolarized gas delivery |
| US7565906B2 (en) * | 2003-04-28 | 2009-07-28 | Ric Investments, Inc. | Pressure/flow control valve and system using same |
| US7588033B2 (en) | 2003-06-18 | 2009-09-15 | Breathe Technologies, Inc. | Methods, systems and devices for improving ventilation in a lung area |
| DE10337138A1 (de) | 2003-08-11 | 2005-03-17 | Freitag, Lutz, Dr. | Verfahren und Anordnung zur Atmungsunterstützung eines Patienten sowie Luftröhrenprothese und Katheter |
| US7152598B2 (en) | 2003-06-23 | 2006-12-26 | Invacare Corporation | System and method for providing a breathing gas |
| US7621270B2 (en) | 2003-06-23 | 2009-11-24 | Invacare Corp. | System and method for providing a breathing gas |
| US7118536B2 (en) * | 2003-07-25 | 2006-10-10 | Ric Investments, Llc. | Apnea/hypopnea detection system and method |
| FR2858236B1 (fr) * | 2003-07-29 | 2006-04-28 | Airox | Dispositif et procede de fourniture de gaz respiratoire en pression ou en volume |
| AU2004263115B2 (en) | 2003-08-04 | 2010-06-10 | Carefusion 203, Inc. | Portable ventilator system |
| US7527053B2 (en) | 2003-08-04 | 2009-05-05 | Cardinal Health 203, Inc. | Method and apparatus for attenuating compressor noise |
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| US7607437B2 (en) | 2003-08-04 | 2009-10-27 | Cardinal Health 203, Inc. | Compressor control system and method for a portable ventilator |
| AU2004266693B2 (en) | 2003-08-18 | 2011-03-10 | Breathe Technologies, Inc | Method and device for non-invasive ventilation with nasal interface |
| US7044129B1 (en) * | 2003-09-03 | 2006-05-16 | Ric Investments, Llc. | Pressure support system and method |
| DE102004014538A1 (de) * | 2004-03-23 | 2005-10-13 | Seleon Gmbh | Verfahren zur Steuerung eines BiLevel-Geräts sowie BiLevel-Gerät |
| DE102004018029A1 (de) * | 2004-04-14 | 2005-11-03 | Weinmann Geräte für Medizin GmbH + Co. KG | Vorrichtung zur Beatmung sowie Verfahren zur Steuerung eines Beatmungsgerätes |
| SE0401208D0 (sv) * | 2004-05-10 | 2004-05-10 | Breas Medical Ab | Multilevel ventilator |
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| US8603006B2 (en) * | 2004-10-20 | 2013-12-10 | Resmed Limited | Method and apparatus for detecting ineffective inspiratory efforts and improving patient-ventilator interaction |
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| US20060225737A1 (en) * | 2005-04-12 | 2006-10-12 | Mr. Mario Iobbi | Device and method for automatically regulating supplemental oxygen flow-rate |
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| US11458270B2 (en) | 2005-09-12 | 2022-10-04 | ResMed Pty Ltd | High flow therapy device utilizing a non-sealing respiratory interface and related methods |
| US11717174B2 (en) | 2005-09-12 | 2023-08-08 | ResMed Pty Ltd | High flow therapy device utilizing a non-sealing respiratory interface and related methods |
| US8522782B2 (en) * | 2005-09-12 | 2013-09-03 | Mergenet Medical, Inc. | High flow therapy device utilizing a non-sealing respiratory interface and related methods |
| US11833301B2 (en) | 2005-09-12 | 2023-12-05 | ResMed Pty Ltd | High flow therapy device utilizing a non-sealing respiratory interface and related methods |
| US11696992B2 (en) | 2005-09-12 | 2023-07-11 | ResMed Pty Ltd | High flow therapy device utilizing a non-sealing respiratory interface and related methods |
| US11497407B2 (en) | 2005-09-12 | 2022-11-15 | ResMed Pty Ltd | High flow therapy device utilizing a non-sealing respiratory interface and related methods |
| WO2008060295A2 (en) * | 2005-12-14 | 2008-05-22 | Mergenet Medical Inc. | High flow therapy device |
| CA2623756A1 (en) | 2005-09-20 | 2007-03-29 | Lutz Freitag | Systems, methods and apparatus for respiratory support of a patient |
| DE102005045127B3 (de) * | 2005-09-22 | 2006-10-19 | Dräger Medical AG & Co. KG | Vorrichtung und Verfahren zur atemunterstützenden Beatmung |
| US8025052B2 (en) * | 2005-11-21 | 2011-09-27 | Ric Investments, Llc | System and method of monitoring respiratory events |
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| CA2425113A1 (en) | 2002-04-11 |
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