JP5519510B2 - 換気装置 - Google Patents
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- JP5519510B2 JP5519510B2 JP2010527225A JP2010527225A JP5519510B2 JP 5519510 B2 JP5519510 B2 JP 5519510B2 JP 2010527225 A JP2010527225 A JP 2010527225A JP 2010527225 A JP2010527225 A JP 2010527225A JP 5519510 B2 JP5519510 B2 JP 5519510B2
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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
- A61M16/04—Tracheal tubes
- A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
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- A61M16/0096—High frequency jet ventilation
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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
- A61M16/04—Tracheal tubes
- A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
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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
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
- A61M16/202—Controlled valves electrically actuated
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
- A61M16/206—Capsule valves, e.g. mushroom, membrane valves
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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
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
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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
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
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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
- A61M16/0003—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
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- A—HUMAN NECESSITIES
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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
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
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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. 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
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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
- A61M2230/00—Measuring parameters of the user
- A61M2230/08—Other bio-electrical signals
- A61M2230/10—Electroencephalographic signals
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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
- A61M2230/00—Measuring parameters of the user
- A61M2230/20—Blood composition characteristics
- A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)
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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
- A61M2230/00—Measuring parameters of the user
- A61M2230/40—Respiratory characteristics
- A61M2230/43—Composition of exhalation
- A61M2230/432—Composition of exhalation partial CO2 pressure (P-CO2)
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- A—HUMAN NECESSITIES
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- A61M2230/00—Measuring parameters of the user
- A61M2230/50—Temperature
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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
- A61M2230/00—Measuring parameters of the user
- A61M2230/60—Muscle strain, i.e. measured on the user
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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
- A61M2230/00—Measuring parameters of the user
- A61M2230/65—Impedance, e.g. conductivity, capacity
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Description
本発明は、特に、患者が正常な上気道換気経路を通じて適切に吸気又は呼気を行うことを防ぐはずの閉塞が発生した場合に、換気チューブを通じて呼気及び吸気を行うための手段を提供することに関する。
本出願は、2007年9月26日に出願された米国仮特許出願第60/960,370号の利益を主張するものであり、該特許出願はその全体が引用により本明細書に組み入れられる。
P 患者 T 気管
IL 吸息肢 EL 呼息肢
ETT 気管内チューブ UA 上気道
TT 気管チューブ又は気管切開チューブ
I 吸気流 E 呼気流
IP 吸気圧 EP 呼気圧
t 時間軸
2 双肢呼吸回路 4 気管チューブカフ
5 気管チューブフランジ/コネクタ 8 吸気逃がし弁
10 呼気逃がし弁 12 単肢呼吸回路
14 NIVマスクポート 16 NIVマスク
19 単肢換気ガス送達回路 20 小口径換気ガス送達回路
22 呼気弁 30 UA閉塞/制限
32 OA閉塞/制限 36 呼吸回路周囲流ポート
38 周囲呼気逃がし弁 40 周囲吸気逃がし弁
42 周囲吸気/呼気逃がし弁 46 周囲流ポート
46A 周囲流ポート 46B 周囲流ポート
46C 周囲流ポート 46D 周囲流ポート
46E 周囲流ポート 46F 周囲流ポート
48 呼気逃がしダイヤフラム 49 吸気逃がし弁
50 呼気逃がし弁 51 吸気/呼気逃がし弁
52 カテーテルコネクタ 53 カテーテルコネクタ
54 吸気逃がしダイヤフラム 56 二次周囲流ポート
60 経気管換気カテーテル 61 カテーテルコネクタ
62 呼気ダイヤフラムシート 64 吸気ダイヤフラムシート
72 シート 73 シート
80 膨張可能弁要素 82 弁膨張/収縮チャネル
84 弁座 86 膨張可能/収縮可能弁
88 膨張可能/収縮可能弁 90 圧力トランスデューサ
92 膨張/収縮機構 94 ガス送達機構
98 ピストン機構 99 ピストン
100 逃がし弁 102 真空源
103 シールコネクタ 104 シールコネクタ
105 シールコネクタ 106 カテーテルコネクタ
107 カテーテルコネクタ 110 感知チャネル
114 パージ流 120 正常な自発的呼吸圧
122 自発的呼吸圧の低下 124 自発的呼気圧の上昇
126 自発的吸気真空の上昇 130 弁アクチュエータ
132 摺動弁ダイヤフラム 134 能動的吸気及び呼気逃がし弁
136 弁座 140 回旋状ダイヤフラム
142 パイロット圧信号線 143 気道圧信号線
147 弁チャンバ 152 カフ膨張線
153 膨張線プラグ 154 カフ真空線
160 伸縮バネ 161 ピストンフランジ
162 ピストン止め具 163 シリンダチャンバ
164 円筒ハウジング 170 プロセッサ
180 小孔ステント 181 小孔ガイド
182 気管壁 184 頸部
200 気管内呼吸センサ 210 円板弁
212 ダイヤフラム弁 214 回旋状ダイヤフラム
216 ポペット弁 218 ダックビルド弁
220 バネ 222 バネ弁
224 傘状ダイヤフラム弁 226 リーフレット弁ヒンジ
228 弁リーフレット 230 リーフレット弁シール
500 閉塞の発生時間 502 バックアップ速度開始時間
504 能動的逃がし弁が開く時間 506 受動的逃がし弁が開く時間
508 カテーテルセンタリング部材
Claims (5)
- 換気装置であって、
(a)ベンチレータと、
(b)前記ベンチレータに動作可能に接続されたガス送達回路と、
(c)前記ガス送達回路に動作可能に接続され、前記換気装置を使用する患者が自身の上気道を通じて自由に呼吸できるように配置された経気管プロテーゼと、
(d)前記患者による吸気中に前記経気管プロテーゼを通じて前記患者にガスのパルスを提供するように構成されたベンチレータと、
(e)患者の呼吸数、肺圧、気道圧、又はこれらの組み合わせを測定して、前記患者がいつ息を吸うかを判定するようにされた1又はそれ以上の呼吸センサと、
(f)前記患者の近位に位置するとともに、前記換気装置を使用する患者が前記経気管プロテーゼを通じて周囲に息を吐き出すこと、周囲から息を吸うこと、又はこれらの両方を可能にするように構成された呼吸緩和装置と、
を備え、
前記患者の気道内の過剰圧又は過小圧状態から前記患者の肺を保護するために前記気道圧を測定する圧力トランスデューサをさらに備え、
前記呼吸緩和装置は、前記圧力トランスデューサの測定値に基づいて閉鎖又は解放される能動弁を含む
ことを特徴とする換気装置。 - (g)前記呼吸緩和装置の前記能動弁が開いた状態及び閉じた状態を有し、
(h)前記1又はそれ以上の呼吸センサが、前記患者の正常な呼吸数、前記患者の正常な肺圧、前記患者の正常な気道圧、又はこれらの組み合わせを計算するようにされ、
(i)前記呼吸緩和装置の前記能動弁が、前記患者が前記正常な呼吸数、正常な肺圧、正常な気道圧、又はこれらの組み合わせで呼吸していることを前記1又はそれ以上の呼吸センサが検出している間は閉じた状態で提供されるようにされ、
(j)前記1又はそれ以上の呼吸センサが、前記正常な呼吸数からの前記患者の呼吸数の変動、前記正常な肺圧からの前記患者の肺圧の変動、前記正常な気道圧からの前記患者の気道圧の変動、又はこれらの組み合わせを検出するようにされ、
(k)前記呼吸緩和装置の前記能動弁が、前記変動の検出に応じて開くように又は開かれるようにされた、
ことを特徴とする請求項1に記載の換気装置。 - 前記呼吸緩和装置がシート及びダイヤフラムを含み、前記能動弁が、前記肺から又は前記ベンチレータからパイロット圧信号を受け取り、前記パイロット圧信号により、前記シートに対する前記ダイヤフラムの位置を調整する、
ことを特徴とする請求項1に記載の換気装置。 - (a)ベンチレータであって、(i) 患者による吸気中に、第1の体積を有するガスのパルスを前記患者に提供し、(ii)前記患者の呼吸停止又は呼吸量の減少の検出後に、各々が第2の体積を有する複数のガスのパルスを前記患者に提供する、ようにされたベンチレータを備え、
(1)前記パルスが正常な呼吸数の1〜5倍の速度で提供され、(2)前記第2の体積が前記第1の体積よりも25〜500%大きく、又は(3)前記パルスが前記正常な呼吸数の1〜5倍の速度で提供され、かつ前記第2の体積が前記第1の体積よりも25〜500%大きく;
(b)前記ベンチレータに動作可能に接続されたガス送達回路と;
(c)前記患者がいつ息を吸うかを判定し、前記患者の正常な呼吸量を計算し、前記患者の呼吸停止又は呼吸量の減少を検出するようにされた1又はそれ以上の呼吸センサと; (d)前記患者が大気に息を吐き出すこと、大気から息を吸うこと、又はこれらの両方を可能にするように構成された呼吸緩和装置と
をさらに備え、
前記患者の気道内の過剰圧又は過小圧状態から前記患者の肺を保護するために前記患者の気道圧を測定する圧力トランスデューサをさらに備え、
前記呼吸緩和装置は、前記圧力トランスデューサの測定値に基づいて閉鎖又は解放される能動弁を含む
ことを特徴とする換気装置。 - 前記呼吸緩和装置がシート及びダイヤフラムを含み、前記能動弁が、前記肺から又は前記ベンチレータからパイロット圧信号を受け取り、前記パイロット圧信号により、前記シートに対する前記ダイヤフラムの位置を調整する、
ことを特徴とする請求項4に記載の換気装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US96037007P | 2007-09-26 | 2007-09-26 | |
US60/960,370 | 2007-09-26 | ||
PCT/US2008/078033 WO2009042974A1 (en) | 2007-09-26 | 2008-09-26 | Methods and devices for providing inspiratory and expiratory flow relief during ventilation therapy |
Publications (2)
Publication Number | Publication Date |
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JP2010540119A JP2010540119A (ja) | 2010-12-24 |
JP5519510B2 true JP5519510B2 (ja) | 2014-06-11 |
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JP2010527225A Active JP5519510B2 (ja) | 2007-09-26 | 2008-09-26 | 換気装置 |
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US (1) | US8567399B2 (ja) |
EP (1) | EP2200686A4 (ja) |
JP (1) | JP5519510B2 (ja) |
CN (1) | CN101873875B (ja) |
CA (1) | CA2700878C (ja) |
WO (1) | WO2009042974A1 (ja) |
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JP2009508645A (ja) | 2005-09-20 | 2009-03-05 | ルッツ フレイテッグ, | 患者の呼吸を補助するためのシステム、方法、および装置 |
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WO2008144589A1 (en) | 2007-05-18 | 2008-11-27 | Breathe Technologies, Inc. | Methods and devices for sensing respiration and providing ventilation therapy |
CA2700878C (en) | 2007-09-26 | 2018-07-24 | Breathe Technologies, Inc. | Methods and devices for providing inspiratory and expiratory flow relief during ventilation therapy |
WO2009151791A2 (en) | 2008-04-18 | 2009-12-17 | Breathe Technologies, Inc. | Methods and devices for sensing respiration and controlling ventilator functions |
EP2274036A4 (en) | 2008-04-18 | 2014-08-13 | Breathe Technologies Inc | METHODS AND DEVICES FOR DETECTING BREATHING AND CONTROLLING INSUFFLATOR FUNCTIONS |
EP2326376B1 (en) | 2008-08-22 | 2019-07-24 | Breathe Technologies, Inc. | Devices for providing mechanical ventilation with an open airway interface |
WO2010039989A1 (en) | 2008-10-01 | 2010-04-08 | Breathe Technologies, Inc. | Ventilator with biofeedback monitoring and control for improving patient activity and health |
EP2334359B1 (en) * | 2008-10-17 | 2020-07-22 | Koninklijke Philips N.V. | Volume control in a medical ventilator |
US9132250B2 (en) | 2009-09-03 | 2015-09-15 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive ventilation including a non-sealing ventilation interface with an entrainment port and/or pressure feature |
EP2414019B1 (en) | 2009-04-02 | 2017-12-06 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive open ventilation with gas delivery nozzles in free space |
US9962512B2 (en) | 2009-04-02 | 2018-05-08 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive ventilation including a non-sealing ventilation interface with a free space nozzle feature |
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2008
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- 2008-09-26 CN CN200880117611.7A patent/CN101873875B/zh not_active Expired - Fee Related
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CN101873875A (zh) | 2010-10-27 |
JP2010540119A (ja) | 2010-12-24 |
WO2009042974A1 (en) | 2009-04-02 |
US20090151724A1 (en) | 2009-06-18 |
CA2700878A1 (en) | 2009-04-02 |
EP2200686A1 (en) | 2010-06-30 |
CA2700878C (en) | 2018-07-24 |
CN101873875B (zh) | 2014-11-12 |
EP2200686A4 (en) | 2017-11-01 |
US8567399B2 (en) | 2013-10-29 |
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