JP6782163B2 - 呼吸障害診断のためのリバース二層式気道陽圧チャレンジ - Google Patents
呼吸障害診断のためのリバース二層式気道陽圧チャレンジ Download PDFInfo
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- JP6782163B2 JP6782163B2 JP2016551226A JP2016551226A JP6782163B2 JP 6782163 B2 JP6782163 B2 JP 6782163B2 JP 2016551226 A JP2016551226 A JP 2016551226A JP 2016551226 A JP2016551226 A JP 2016551226A JP 6782163 B2 JP6782163 B2 JP 6782163B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/0816—Measuring devices for examining respiratory frequency
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/087—Measuring breath flow
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B5/48—Other medical applications
- A61B5/4806—Sleep evaluation
- A61B5/4818—Sleep apnoea
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- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
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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
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- A61M16/022—Control means therefor
- A61M16/024—Control means therefor including calculation means, e.g. using a processor
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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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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1075—Preparation of respiratory gases or vapours by influencing the 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
- 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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- A61M16/16—Devices to humidify the respiration air
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- A—HUMAN NECESSITIES
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- A61B5/082—Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
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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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
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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
- A61M16/10—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
- A61M16/16—Devices to humidify the respiration air
- A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
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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
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
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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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3358—Measuring barometric pressure, e.g. for compensation
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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
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3375—Acoustical, e.g. ultrasonic, measuring means
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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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
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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
- 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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- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
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- A—HUMAN NECESSITIES
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/581—Means for facilitating use, e.g. by people with impaired vision by audible feedback
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- A—HUMAN NECESSITIES
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- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M2230/00—Measuring parameters of the user
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- A61M2230/00—Measuring parameters of the user
- A61M2230/63—Motion, e.g. physical activity
Description
Claims (1)
- 被験者の呼吸障害を分類するように構成されるシステムであり、
前記被験者の気道に加圧した呼吸可能なガス流をある圧力レベルで供給するように構成される圧力発生器、
前記被験者の呼吸に関する情報を搬送する出力信号を生成するように構成される1つ以上のセンサ、
推奨される吸気気道陽圧(IPAP)レベル及び推奨される呼気気道陽圧(EPAP)レベルを含む、前記被験者の推奨される呼吸療法レジメンを得るように構成される治療構成要素、
前記生成された出力信号に基づいて、前記被験者の呼吸に関する1つ以上のタイミングパラメタを決定するように構成される、タイミング構成要素、並びに
吸気中は、前記加圧した呼吸可能なガス流の圧力レベルは前記推奨されるIPAPレベルに対応する及び呼気中は、前記加圧した呼吸可能なガス流の圧力レベルは前記推奨されるEPAPレベルに対応するように、前記推奨される呼吸療法レジメンに従って、前記加圧した呼吸可能なガス流を制御するように構成される1つ以上の物理的な処理器であり、当該制御は前記1つ以上のタイミングパラメタに基づいている、前記1つ以上の物理的な処理器
を有するシステムにおいて、
前記1つ以上の物理的な処理器はさらに、1つ以上の呼吸周期の吸気中、前記加圧した呼吸可能なガス流の圧力レベルを前記推奨されるIPAPレベルに対して低下させるように構成され、前記吸気中の前記低下した圧力レベルは、前記推奨される及び/又は実際に供給される呼気中の圧力レベルよりも低い、並びに
前記システムはさらに、前記1つ以上の呼吸周期中に生成した前記出力信号に基づいて、前記被験者の1つ以上の呼吸パラメタを決定するように構成される呼吸パラメタ構成要素、及び前記吸気中の圧力レベルが低下している前記1つ以上の呼吸周期中に前記決定した1つ以上の呼吸パラメタに基づいて、前記被験者の呼吸障害の分類を決定するように構成される分類構成要素を有する、ことを特徴とするシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201461941631P | 2014-02-19 | 2014-02-19 | |
US61/941,631 | 2014-02-19 | ||
PCT/IB2015/050632 WO2015125037A1 (en) | 2014-02-19 | 2015-01-28 | Reverse dual positive airway pressure challenges for breathing disorder diagnostics |
Publications (3)
Publication Number | Publication Date |
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JP2017506103A JP2017506103A (ja) | 2017-03-02 |
JP2017506103A5 JP2017506103A5 (ja) | 2018-10-04 |
JP6782163B2 true JP6782163B2 (ja) | 2020-11-11 |
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JP2016551226A Active JP6782163B2 (ja) | 2014-02-19 | 2015-01-28 | 呼吸障害診断のためのリバース二層式気道陽圧チャレンジ |
Country Status (5)
Country | Link |
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US (2) | US10194857B2 (ja) |
EP (1) | EP3107608B1 (ja) |
JP (1) | JP6782163B2 (ja) |
CN (1) | CN106029142B (ja) |
WO (1) | WO2015125037A1 (ja) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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JP6273466B2 (ja) | 2016-08-03 | 2018-02-07 | 株式会社メトラン | 呼吸補助プログラム、呼吸補助装置 |
CN109224224B (zh) * | 2018-06-29 | 2021-07-20 | 湖南明康中锦医疗科技发展有限公司 | 一种自适应调整输出压力的呼吸支持设备及其控制方法 |
WO2023059797A1 (en) * | 2021-10-06 | 2023-04-13 | Sleepres, Llc | Positive airway pressure systems and methods for delivering air to a patient |
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US5490502A (en) * | 1992-05-07 | 1996-02-13 | New York University | Method and apparatus for optimizing the continuous positive airway pressure for treating obstructive sleep apnea |
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US6105575A (en) * | 1994-06-03 | 2000-08-22 | Respironics, Inc. | Method and apparatus for providing positive airway pressure to a patient |
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US9743841B2 (en) * | 2007-09-25 | 2017-08-29 | Ric Investments, Llc | Automated sleep phenotyping |
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WO2010070497A1 (en) * | 2008-12-19 | 2010-06-24 | Koninklijke Philips Electronics, N.V. | System and method for treating lung disease using positive pressure airway support |
CN102271743A (zh) | 2008-12-30 | 2011-12-07 | 皇家飞利浦电子股份有限公司 | 用于支持受试者的气道的系统和呼吸用具 |
CN102271740B (zh) | 2008-12-30 | 2014-12-24 | 皇家飞利浦电子股份有限公司 | 用于支持受试者的气道的系统和呼吸用具 |
CN102271631B (zh) | 2008-12-30 | 2013-12-04 | 皇家飞利浦电子股份有限公司 | 用于支撑对象气道的系统和呼吸器具 |
AU2009334345B2 (en) | 2008-12-30 | 2014-10-30 | Koninklijke Philips Electronics N.V. | System and respiration appliance for supporting the airway of a subject |
WO2010097718A1 (en) * | 2009-02-25 | 2010-09-02 | Koninklijke Philips Electronics, N.V. | Automatic pressure titration |
EP2588176B1 (en) | 2010-07-02 | 2016-08-24 | Koninklijke Philips N.V. | System for performing respiratory diagnostics |
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AU2012255650B2 (en) * | 2011-05-17 | 2017-01-12 | University Health Network | Apnea and hypopnea detection using breath pattern recognition |
US9987444B2 (en) * | 2011-07-01 | 2018-06-05 | Koninklijke Philips N.V. | System and method for limited flow respiratory therapy |
CN103040468B (zh) * | 2012-10-23 | 2015-04-15 | 上海泰亿格康复医疗科技股份有限公司 | 基于言语呼吸实时视听反馈和促进技术的康复系统及方法 |
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2015
- 2015-01-28 WO PCT/IB2015/050632 patent/WO2015125037A1/en active Application Filing
- 2015-01-28 US US15/116,277 patent/US10194857B2/en active Active
- 2015-01-28 EP EP15708295.9A patent/EP3107608B1/en active Active
- 2015-01-28 CN CN201580009441.0A patent/CN106029142B/zh active Active
- 2015-01-28 JP JP2016551226A patent/JP6782163B2/ja active Active
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- 2019-02-04 US US16/266,654 patent/US11179099B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US20170007174A1 (en) | 2017-01-12 |
EP3107608A1 (en) | 2016-12-28 |
JP2017506103A (ja) | 2017-03-02 |
WO2015125037A1 (en) | 2015-08-27 |
CN106029142B (zh) | 2019-06-18 |
EP3107608B1 (en) | 2018-12-19 |
US20190183417A1 (en) | 2019-06-20 |
US10194857B2 (en) | 2019-02-05 |
US11179099B2 (en) | 2021-11-23 |
CN106029142A (zh) | 2016-10-12 |
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