JP6165632B2 - 被検体に強制吸気−呼気を提供するシステム及び方法 - Google Patents

被検体に強制吸気−呼気を提供するシステム及び方法 Download PDF

Info

Publication number
JP6165632B2
JP6165632B2 JP2013545582A JP2013545582A JP6165632B2 JP 6165632 B2 JP6165632 B2 JP 6165632B2 JP 2013545582 A JP2013545582 A JP 2013545582A JP 2013545582 A JP2013545582 A JP 2013545582A JP 6165632 B2 JP6165632 B2 JP 6165632B2
Authority
JP
Japan
Prior art keywords
forced
flow
pressure
parameters
metric
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.)
Active
Application number
JP2013545582A
Other languages
English (en)
Japanese (ja)
Other versions
JP2014506163A (ja
JP2014506163A5 (enExample
Inventor
ノーバート ハンス バルコ
ノーバート ハンス バルコ
スンヒュン リー
スンヒュン リー
ピーター ダグラス ヒル
ピーター ダグラス ヒル
クリストファー ウェイン マクダニエル
クリストファー ウェイン マクダニエル
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.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
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 Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of JP2014506163A publication Critical patent/JP2014506163A/ja
Publication of JP2014506163A5 publication Critical patent/JP2014506163A5/ja
Application granted granted Critical
Publication of JP6165632B2 publication Critical patent/JP6165632B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • A61M16/0057—Pumps therefor
    • 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
    • A61M16/0006—Accessories therefor, e.g. sensors, vibrators, negative pressure with means for creating vibrations in patients' airways
    • 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
    • A61M16/0009—Accessories therefor, e.g. sensors, vibrators, negative pressure with sub-atmospheric pressure, e.g. during expiration
    • 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
    • A61M16/021—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
    • 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
    • A61M16/04—Tracheal tubes
    • A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • 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
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0666—Nasal cannulas or tubing
    • 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
    • A61M16/0875—Connecting 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
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
JP2013545582A 2010-12-21 2011-12-16 被検体に強制吸気−呼気を提供するシステム及び方法 Active JP6165632B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201061425392P 2010-12-21 2010-12-21
US61/425,392 2010-12-21
PCT/IB2011/055726 WO2012085787A2 (en) 2010-12-21 2011-12-16 System and method for inexsufflating a subject

Publications (3)

Publication Number Publication Date
JP2014506163A JP2014506163A (ja) 2014-03-13
JP2014506163A5 JP2014506163A5 (enExample) 2017-02-16
JP6165632B2 true JP6165632B2 (ja) 2017-07-19

Family

ID=45524893

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2013545582A Active JP6165632B2 (ja) 2010-12-21 2011-12-16 被検体に強制吸気−呼気を提供するシステム及び方法

Country Status (8)

Country Link
US (1) US9320863B2 (enExample)
EP (1) EP2654867B1 (enExample)
JP (1) JP6165632B2 (enExample)
CN (1) CN103282072B (enExample)
AU (1) AU2011346629B2 (enExample)
BR (1) BR112013015386B1 (enExample)
RU (1) RU2606663C2 (enExample)
WO (1) WO2012085787A2 (enExample)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10485941B2 (en) 2012-11-19 2019-11-26 Koninklijke Philips N.V. System for enhancing secretion removal from an airway of a subject
DE102013011983B4 (de) 2013-07-18 2023-12-07 Drägerwerk AG & Co. KGaA Medizinische Messvorrichtung, Beatmungsvorrichtung und Verfahren zum Betrieb einer medizinischen Messvorrichtung oder zum Betrieb einer Beatmungsvorrichtung
WO2015040520A1 (en) * 2013-09-19 2015-03-26 Koninklijke Philips N.V. System and method for controlling exsufflation pressure during in-exsufflation
US9950129B2 (en) 2014-10-27 2018-04-24 Covidien Lp Ventilation triggering using change-point detection
US20170333653A1 (en) * 2014-10-29 2017-11-23 Koninklijke Philips N.V. Controlling insufflation volume during in-exsufflation
WO2016178111A1 (en) * 2015-05-05 2016-11-10 Koninklijke Philips N.V. Systems and methods for improved cough segmentation
WO2017032882A1 (en) * 2015-08-26 2017-03-02 Koninklijke Philips N.V. Mechanical in-exsufflation
DE102016109528A1 (de) * 2016-03-01 2017-09-07 Ventinova Technologies B.V. Verfahren und Vorrichtung zur Beatmung eines Patienten
EP3793656A1 (en) 2018-05-14 2021-03-24 Covidien LP Systems and methods for respiratory effort detection utilizing signal distortion
US11752287B2 (en) 2018-10-03 2023-09-12 Covidien Lp Systems and methods for automatic cycling or cycling detection
JP7031554B2 (ja) * 2018-10-18 2022-03-08 株式会社デンソー 心身状態誘導装置及び制御プログラム
CN110038199B (zh) * 2019-05-07 2021-09-24 濡新（北京）科技发展有限公司 一种在线同步咳痰方法和系统
EP4400137A3 (en) * 2020-08-17 2024-09-04 Koninklijke Philips N.V. Systems for adaptive cough detection and adaptive mechanical insufflation-exsufflation (mi e) therapy
FR3125969B1 (fr) * 2021-08-04 2023-07-21 Eove Appareil à toux avec affichage des volumes de gaz insufflé et cible

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4122069A1 (de) * 1991-07-04 1993-01-07 Draegerwerk Ag Verfahren zur erkennung der atemphasen eines patienten bei assistierenden beatmungsverfahren
US7387123B2 (en) * 2001-11-30 2008-06-17 Viasys Manufacturing, Inc. Gas identification system and volumetrically correct gas delivery system
US6929007B2 (en) 2003-09-08 2005-08-16 J.H. Emerson Company Insufflation-exsufflation system with percussive assist for removal of broncho-pulmonary secretions
JP5138936B2 (ja) * 2003-11-26 2013-02-06 レスメド・リミテッド 呼吸不全の存在下での換気サポートの全身制御のための方法及び装置
WO2006012205A2 (en) * 2004-06-24 2006-02-02 Convergent Engineering, Inc. METHOD AND APPARATUS FOR NON-INVASIVE PREDICTION OF INTRINSIC POSITIVE END-EXPIRATORY PRESSURE (PEEPi) IN PATIENTS RECEIVING VENTILATOR SUPPORT
WO2007054829A2 (en) 2005-09-26 2007-05-18 Innovent Medical Solutions, Inc. Combined ventilator inexsufflator
US20070199566A1 (en) * 2006-02-02 2007-08-30 Be Eri Eliezer Respiratory apparatus
US7594508B2 (en) * 2006-07-13 2009-09-29 Ric Investments, Llc. Ventilation system employing synchronized delivery of positive and negative pressure ventilation
US7997272B2 (en) * 2006-09-11 2011-08-16 Ric Investments, Llc. Ventilating apparatus and method enabling a patient to talk with or without a trachostomy tube check valve
FR2917979B1 (fr) * 2007-06-28 2010-03-19 Bear Medical Procede et appareil d'aide a l'expectoration
JP2011522621A (ja) * 2008-06-06 2011-08-04 ネルコー ピューリタン ベネット エルエルシー 患者の努力に比例した換気のためのシステムおよび方法
WO2010028150A1 (en) * 2008-09-04 2010-03-11 Nellcor Puritan Bennett Llc Ventilator with controlled purge function
US8616208B2 (en) * 2008-10-29 2013-12-31 Industrial Technology Research Institute Oral appliance with auto negative pressure control and method thereof
BRPI0916039A2 (pt) * 2008-11-19 2015-11-10 Konink Philips Elecronics N V "sistema para extrair secreções das vias aéreas de um indivíduo"
RU2556966C2 (ru) * 2009-05-19 2015-07-20 Конинклейке Филипс Электроникс, Н.В. Система и способ для выдачи субъекту указаний на изменение одного или более параметров дыхания
US8714154B2 (en) * 2011-03-30 2014-05-06 Covidien Lp Systems and methods for automatic adjustment of ventilator settings
RU125852U1 (ru) * 2012-11-13 2013-03-20 Открытое акционерное общество "Уральский приборостроительный завод" Аппарат искусственной вентиляции легких для новорожденных

Also Published As

Publication number Publication date
CN103282072B (zh) 2016-04-13
JP2014506163A (ja) 2014-03-13
US9320863B2 (en) 2016-04-26
BR112013015386B1 (pt) 2020-12-01
WO2012085787A3 (en) 2012-08-23
EP2654867B1 (en) 2020-06-24
AU2011346629B2 (en) 2016-06-09
RU2013133454A (ru) 2015-01-27
EP2654867A2 (en) 2013-10-30
US20130269698A1 (en) 2013-10-17
RU2606663C2 (ru) 2017-01-10
CN103282072A (zh) 2013-09-04
WO2012085787A2 (en) 2012-06-28

Similar Documents

Publication Publication Date Title
JP6165632B2 (ja) 被検体に強制吸気−呼気を提供するシステム及び方法
JP2014506163A5 (enExample)
JP5873021B2 (ja) 人工呼吸器装着者の気道から分泌物除去するための吸引システム
JP6200425B2 (ja) 非侵襲的換気のための自動患者同調調整
EP2401016B1 (en) Patient-ventilator dyssynchrony detection
JP6173320B2 (ja) 非侵襲換気測定
JP5665869B2 (ja) 自己換気をする被験者における肺コンプライアンスを定量化するシステム及び方法
CN103221086B (zh) 肥胖通气不足综合症处置系统
CN103260682B (zh) 取决于呼吸速率的呼吸辅助
AU2011346629A1 (en) System and method for inexsufflating a subject
CN104203320B (zh) 用于在吹排气期间控制吹气压力的系统与方法
JP6486821B2 (ja) 換気中の吸入酸素濃度を決定する換気装置、システム及びその作動方法
JP2013526327A (ja) 呼吸きっかけへの応答に基づき対象体の睡眠開始を検出するためのシステム及び方法
JP2013543769A5 (enExample)
JP2016523586A (ja) 呼吸蓄積療法に対する圧力支持システム
JP2016523586A5 (enExample)
CN106029142B (zh) 针对呼吸障碍诊断的逆双正气道压力挑战
JP2015519119A5 (enExample)
US20140326242A1 (en) Sysems and methods for using partial co2 rebreathing integrated in a ventilator and measurements thereof to determine noninvasive cardiac output
JP2020520762A (ja) 圧力摂動を使用する呼気流量制限の検出
JP6384965B2 (ja) 呼気流を増加させるための方法及び装置
JP6050765B2 (ja) 中枢性無呼吸症の診断のためのシステム及び方法
US11291786B2 (en) Reducing hypercapnic respiratory failure during mechanical ventilation

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20141208

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20141208

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20151110

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20151113

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20160128

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20160422

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20160929

A524 Written submission of copy of amendment under article 19 pct

Free format text: JAPANESE INTERMEDIATE CODE: A524

Effective date: 20161220

RD04 Notification of resignation of power of attorney

Free format text: JAPANESE INTERMEDIATE CODE: A7424

Effective date: 20170214

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20170530

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20170621

R150 Certificate of patent or registration of utility model

Ref document number: 6165632

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250