JP6820656B2 - 咳介助及び測定システム並びに方法 - Google Patents

咳介助及び測定システム並びに方法 Download PDF

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Publication number
JP6820656B2
JP6820656B2 JP2015513311A JP2015513311A JP6820656B2 JP 6820656 B2 JP6820656 B2 JP 6820656B2 JP 2015513311 A JP2015513311 A JP 2015513311A JP 2015513311 A JP2015513311 A JP 2015513311A JP 6820656 B2 JP6820656 B2 JP 6820656B2
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subject
gas
parameters
flow
information
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JP2015520648A5 (enExample
JP2015520648A (ja
Inventor
マイケル ハワード キッセル
マイケル ハワード キッセル
エイプリル スチュワート ネイサン
エイプリル スチュワート ネイサン
ウィンスロー ケビン ダフ
ウィンスロー ケビン ダフ
バーナード エフ. ヘテ
バーナード エフ. ヘテ
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Koninklijke Philips NV
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Koninklijke Philips NV
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Classifications

    • 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
    • A61B5/0823Detecting or evaluating cough events
    • 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
    • A61B5/0871Peak expiratory flowmeters
    • 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
    • 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
    • A61M16/0009Accessories therefor, e.g. sensors, vibrators, negative pressure with sub-atmospheric pressure, e.g. during expiration
    • 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
    • A61M16/0066Blowers or centrifugal pumps
    • A61M16/0069Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
    • 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
    • A61M16/06Respiratory or anaesthetic masks
    • 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
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0883Circuit type
    • 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
    • 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
    • A61M2205/3303Using a biosensor
    • 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
    • A61M2205/3327Measuring
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • 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
    • A61M2205/52General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • 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
    • A61M2230/43Composition of exhalation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pulmonology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Physiology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
JP2015513311A 2012-05-22 2013-05-14 咳介助及び測定システム並びに方法 Active JP6820656B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261650079P 2012-05-22 2012-05-22
US61/650,079 2012-05-22
PCT/IB2013/053919 WO2013175345A1 (en) 2012-05-22 2013-05-14 Cough assistance and measurement system and method cross-reference to related applications

Publications (3)

Publication Number Publication Date
JP2015520648A JP2015520648A (ja) 2015-07-23
JP2015520648A5 JP2015520648A5 (enExample) 2017-12-07
JP6820656B2 true JP6820656B2 (ja) 2021-01-27

Family

ID=48700655

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2015513311A Active JP6820656B2 (ja) 2012-05-22 2013-05-14 咳介助及び測定システム並びに方法

Country Status (5)

Country Link
US (1) US11202875B2 (enExample)
EP (1) EP2852321B1 (enExample)
JP (1) JP6820656B2 (enExample)
CN (1) CN104334080B (enExample)
WO (1) WO2013175345A1 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10905836B2 (en) 2015-04-02 2021-02-02 Hill-Rom Services Pte. Ltd. Manifold for respiratory device
CN107567342B (zh) * 2015-05-05 2021-04-06 皇家飞利浦有限公司 用于改进的咳嗽分割的系统和方法
CN107949411B (zh) * 2015-08-26 2021-05-28 皇家飞利浦有限公司 机械吸气-呼气
CN109803704B (zh) * 2016-08-02 2022-06-03 阿德尔·布加特福 用于向患者气道提供冲击式通气治疗的设备
DE102016013740A1 (de) * 2016-11-17 2018-05-17 Drägerwerk AG & Co. KGaA System zum Beatmen von Patienten
KR102519584B1 (ko) 2017-12-29 2023-04-10 삼성전자주식회사 사용자 호흡에 대한 운동 상태 정보를 획득하기 위한 전자 장치 및 이의 제어 방법
CN108543182B (zh) * 2018-05-02 2020-08-21 北京雅果科技有限公司 无创呼吸机用辅助排痰方法及无创呼吸机
CN111544000B (zh) * 2019-10-01 2024-08-20 华中科技大学同济医学院附属协和医院 咳嗽能力评估仪

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5884622A (en) * 1996-12-20 1999-03-23 University Of Manitoba Automatic determination of passive elastic and resistive properties of the respiratory system during assisted mechanical ventilation
US6920875B1 (en) * 1999-06-15 2005-07-26 Respironics, Inc. Average volume ventilation
IL145461A (en) * 2001-09-16 2006-09-05 Alyn Woldenberg Family Hospita Breathing and coughing device
US20070157931A1 (en) * 2005-07-11 2007-07-12 Richard Parker System and method for optimized delivery of an aerosol to the respiratory tract
US20070199566A1 (en) * 2006-02-02 2007-08-30 Be Eri Eliezer Respiratory apparatus
DE112007002265T5 (de) * 2006-09-29 2009-10-08 Draeger Medical Systems, Inc., Andover System zum Verarbeiten, Herleiten und Anzeigen von Beziehungen zwischen medizinischen Patientenparametern
WO2008148134A1 (en) 2007-06-01 2008-12-04 Intensive Care On-Line Network, Inc. Ventilator apparatus and system for ventilation
EP2367586B1 (en) * 2008-11-19 2016-07-20 Koninklijke Philips N.V. Insufflating-exsufflating system
WO2011010279A1 (en) * 2009-07-24 2011-01-27 Koninklijke Philips Electronics N.V. Device and method for assisting a cough
EP2488240B1 (en) * 2009-10-16 2018-05-30 Koninklijke Philips N.V. System for suctioning for secretion removal from the airway of a mechanically ventilated subject
US20110138311A1 (en) * 2009-12-04 2011-06-09 Nellcor Puritan Bennett Llc Display Of Respiratory Data On A Ventilator Graphical User Interface
WO2011147438A1 (en) * 2010-05-22 2011-12-01 Maquet Critical Care Ab Breathing system with flow estimation
JP5872554B2 (ja) * 2010-08-13 2016-03-01 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 確率的変動を用いて被験者の気道に呼吸可能なガスの加圧流を供給するシステム及び方法
US9855395B2 (en) * 2011-09-13 2018-01-02 Koninklijke Philips N.V. Pressure based gas leak testing
US10500356B2 (en) * 2012-03-21 2019-12-10 Koninklijke Philips N.V. System and method for controlling insufflation pressure during inexsufflation

Also Published As

Publication number Publication date
WO2013175345A8 (en) 2014-12-31
EP2852321A1 (en) 2015-04-01
US20150136134A1 (en) 2015-05-21
EP2852321B1 (en) 2022-03-09
US11202875B2 (en) 2021-12-21
CN104334080B (zh) 2017-05-31
WO2013175345A1 (en) 2013-11-28
CN104334080A (zh) 2015-02-04
JP2015520648A (ja) 2015-07-23

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