JP6717843B2 - 呼吸パラメータの領域的フィッティングによる呼吸パラメータの同時推定 - Google Patents

呼吸パラメータの領域的フィッティングによる呼吸パラメータの同時推定 Download PDF

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JP6717843B2
JP6717843B2 JP2017542069A JP2017542069A JP6717843B2 JP 6717843 B2 JP6717843 B2 JP 6717843B2 JP 2017542069 A JP2017542069 A JP 2017542069A JP 2017542069 A JP2017542069 A JP 2017542069A JP 6717843 B2 JP6717843 B2 JP 6717843B2
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fitting
respiratory
mus
pressure
region
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JP2018506354A5 (enExample
JP2018506354A (ja
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アルバネーゼ,アントニオ
ヴィカリオ,フランチェスコ
ワン,ドン
カラモレグコス,ニコラオス
ワディ チュバット,ニコラス
ワディ チュバット,ニコラス
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Koninklijke Philips NV
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/085Measuring impedance of respiratory organs or lung elasticity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/087Measuring breath flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0051Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes with alarm devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057Pumps therefor
    • A61M16/0063Compressors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • A61M16/026Control 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0036Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • A61M2230/46Resistance or compliance of the lungs
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
JP2017542069A 2015-02-12 2016-01-12 呼吸パラメータの領域的フィッティングによる呼吸パラメータの同時推定 Expired - Fee Related JP6717843B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562115182P 2015-02-12 2015-02-12
US62/115,182 2015-02-12
PCT/IB2016/050115 WO2016128846A1 (en) 2015-02-12 2016-01-12 Simultaneous estimation of respiratory parameters by regional fitting of respiratory parameters

Publications (3)

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JP2018506354A JP2018506354A (ja) 2018-03-08
JP2018506354A5 JP2018506354A5 (enExample) 2019-06-27
JP6717843B2 true JP6717843B2 (ja) 2020-07-08

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US (1) US10828444B2 (enExample)
EP (1) EP3256197B1 (enExample)
JP (1) JP6717843B2 (enExample)
CN (1) CN107205694B (enExample)
RU (1) RU2712040C2 (enExample)
WO (1) WO2016128846A1 (enExample)

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WO2017077417A1 (en) 2015-11-02 2017-05-11 Koninklijke Philips N.V. Breath by breath reassessment of patient lung parameters to improve estimation performance
US11224379B2 (en) 2016-02-18 2022-01-18 Koninklljke Philips N.V. Enhancement of respiratory parameter estimation and asynchrony detection algorithms via the use of central venous pressure manometry
US20190254566A1 (en) * 2016-10-26 2019-08-22 Koninklijke Philips N.V. Systems and methods for estimation of respiratory muscle pressure and respiratory mechanics using p0.1 maneuver
EP3558431A1 (en) 2016-12-20 2019-10-30 Koninklijke Philips N.V. Determining respiratory mechanic parameters in the presence of intrinsic positive end-expiratory pressure
CN109350063B (zh) * 2018-12-03 2021-03-30 北京航空航天大学 一种适用于慢阻肺监控的呼吸力学参数检测装置及方法
EP3928890B1 (en) 2019-02-19 2023-12-27 JFE Steel Corporation Control method for continuous casting machine, control device for continuous casting machine, and manufacturing method for casting
WO2020170563A1 (ja) * 2019-02-19 2020-08-27 Jfeスチール株式会社 連続鋳造機の制御方法、連続鋳造機の制御装置、及び鋳片の製造方法
CN110537917A (zh) * 2019-08-15 2019-12-06 郴州市第一人民医院 一种基于呼吸力学的机械通气智能监测系统及监测方法
DE102020133460A1 (de) * 2020-01-07 2021-07-08 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitungseinheit zur Ermittlung eines pneumatischen Maßes unter Verwendung eines lungenmechanischen Modells und eines Verlaufsmodells
US11420007B2 (en) 2020-08-05 2022-08-23 Effortless Oxygen, Llc Flow triggered gas delivery
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CN114220530B (zh) * 2021-11-02 2025-04-01 湖南万脉医疗科技有限公司 一种呼吸机人机适配评估方法
CN116796656B (zh) * 2023-05-17 2024-03-19 中国人民解放军总医院第一医学中心 一种可估算集总参数呼吸系统模型参数的方法
CN117323525B (zh) * 2023-12-01 2024-02-23 南京沪家医疗科技有限公司 呼吸机的压力控制方法及装置
CN118807050B (zh) * 2024-08-16 2025-09-23 深圳市科曼医疗设备有限公司 机械通气下的呼吸力学参数确定方法、装置、介质及设备
CN119026357B (zh) * 2024-08-19 2025-11-18 北京航空航天大学 一种呼吸系统的呼吸力学参数确定方法及装置

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Also Published As

Publication number Publication date
RU2712040C2 (ru) 2020-01-24
US20180001041A1 (en) 2018-01-04
CN107205694A (zh) 2017-09-26
RU2017131740A3 (enExample) 2019-06-14
US10828444B2 (en) 2020-11-10
EP3256197A1 (en) 2017-12-20
RU2017131740A (ru) 2019-03-12
JP2018506354A (ja) 2018-03-08
WO2016128846A1 (en) 2016-08-18
CN107205694B (zh) 2021-04-06
EP3256197B1 (en) 2019-07-24

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