JP6840736B2 - フローセンサのためのエラー検出器を備えた人工呼吸器 - Google Patents

フローセンサのためのエラー検出器を備えた人工呼吸器 Download PDF

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Publication number
JP6840736B2
JP6840736B2 JP2018511656A JP2018511656A JP6840736B2 JP 6840736 B2 JP6840736 B2 JP 6840736B2 JP 2018511656 A JP2018511656 A JP 2018511656A JP 2018511656 A JP2018511656 A JP 2018511656A JP 6840736 B2 JP6840736 B2 JP 6840736B2
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flow sensor
value
proximal
measurement signal
distal
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JP2018533999A5 (enExample
JP2018533999A (ja
Inventor
クリストフ・シュランツ
カロリン・フランケ
ドミニク・ノヴォトニ
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ハミルトン メディカル アーゲー
ハミルトン メディカル アーゲー
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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
    • 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
    • A61M16/0057—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
    • A61M16/0057—Pumps therefor
    • A61M16/0066—Blowers or centrifugal pumps
    • 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
    • A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
    • 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
    • A61M16/0816—Joints or connectors
    • A61M16/0841—Joints or connectors for sampling
    • A61M16/0858—Pressure sampling ports
    • 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
    • A61M16/10—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
    • 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
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A61M16/203—Proportional
    • A61M16/204—Proportional used for inhalation control
    • 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
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A61M16/203—Proportional
    • A61M16/205—Proportional used for exhalation control
    • 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
    • A61M16/10—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
    • 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
    • A61M16/10—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
    • A61M16/162—Water-reservoir filling system, e.g. automatic
    • 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
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • 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
    • A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • 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
    • A61M2205/18—General characteristics of the apparatus with alarm

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring Volume Flow (AREA)
JP2018511656A 2015-09-03 2016-09-01 フローセンサのためのエラー検出器を備えた人工呼吸器 Active JP6840736B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102015216895.6A DE102015216895A1 (de) 2015-09-03 2015-09-03 Beatmungsvorrichtung mit Fehlererfassung für Durchflusssensoren
DE102015216895.6 2015-09-03
PCT/EP2016/070572 WO2017037152A1 (de) 2015-09-03 2016-09-01 Beatmungsvorrichtung mit fehlererfassung für durchflusssensoren

Publications (3)

Publication Number Publication Date
JP2018533999A JP2018533999A (ja) 2018-11-22
JP2018533999A5 JP2018533999A5 (enExample) 2019-10-10
JP6840736B2 true JP6840736B2 (ja) 2021-03-10

Family

ID=56851612

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018511656A Active JP6840736B2 (ja) 2015-09-03 2016-09-01 フローセンサのためのエラー検出器を備えた人工呼吸器

Country Status (6)

Country Link
US (1) US10905838B2 (enExample)
EP (1) EP3344317B1 (enExample)
JP (1) JP6840736B2 (enExample)
CN (1) CN107949412B (enExample)
DE (1) DE102015216895A1 (enExample)
WO (1) WO2017037152A1 (enExample)

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11027079B2 (en) * 2016-06-22 2021-06-08 Loewenstein Medical Technology S.A. Ventilation device and method
US12180581B2 (en) 2017-09-18 2024-12-31 Waters Technologies Corporation Use of vapor deposition coated flow paths for improved chromatography of metal interacting analytes
US11709156B2 (en) 2017-09-18 2023-07-25 Waters Technologies Corporation Use of vapor deposition coated flow paths for improved analytical analysis
US11709155B2 (en) 2017-09-18 2023-07-25 Waters Technologies Corporation Use of vapor deposition coated flow paths for improved chromatography of metal interacting analytes
US12181452B2 (en) 2017-09-18 2024-12-31 Waters Technologies Corporation Use of vapor deposition coated flow paths for improved chromatography of metal interacting analytes
DE102017217858A1 (de) * 2017-10-06 2019-04-11 Hamilton Medical Ag Beatmungsvorrichtung mit automatisierter Erfassung eines Fehlers eines Durchflusssensors unter Berücksichtigung von Spontanatmung
DE102018121080A1 (de) 2018-08-29 2020-03-05 B. Braun Avitum Ag Verfahren und Vorrichtung zur intermittierenden, pulsierenden Proportionierung einer Dialysierflüssigkeitsmischung
EP3649929A1 (en) * 2018-11-06 2020-05-13 Koninklijke Philips N.V. An apparatus for use with a wearable cuff
US11918936B2 (en) 2020-01-17 2024-03-05 Waters Technologies Corporation Performance and dynamic range for oligonucleotide bioanalysis through reduction of non specific binding
CN116391122A (zh) 2020-09-24 2023-07-04 沃特世科技公司 用于反应性分子分离的色谱硬件改进
DE102021116062A1 (de) 2021-06-22 2022-12-22 Hamilton Medical Ag Beatmungsvorrichtung mit automatisierter Korrektur proximal gemessener Atemgasflusswerte während des Beatmungsbetriebs
CN116531628B (zh) * 2023-06-13 2023-12-29 大庆油田总医院 一种智能麻醉呼吸安全监控系统及方法

Family Cites Families (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2305116A1 (en) * 1993-11-05 2011-04-06 ResMed Ltd. Control of CPAP Treatment
SE503155C2 (sv) * 1994-07-28 1996-04-01 Comasec International Sa Sätt och anordning för funktionskontroll vid andningsapparat
SE9504312L (sv) * 1995-12-01 1996-12-23 Siemens Elema Ab Sätt vid styrning av en andningsapparat samt en andningsapparat
SE0000205D0 (sv) * 2000-01-25 2000-01-25 Siemens Elema Ab Ventilator
DE10164313A1 (de) 2001-12-28 2003-07-10 Muefa Ag Beatmungsvorrichtung
US20040149282A1 (en) * 2002-12-02 2004-08-05 Scott Laboratories, Inc. Respiratory monitoring systems and methods
US7044129B1 (en) * 2003-09-03 2006-05-16 Ric Investments, Llc. Pressure support system and method
US7115097B2 (en) * 2003-10-09 2006-10-03 Johnson Joseph L Positive airway pressure notification system for treatment of breathing disorders during sleep
US20070062533A1 (en) * 2005-09-21 2007-03-22 Choncholas Gary J Apparatus and method for identifying FRC and PEEP characteristics
US8474455B2 (en) * 2006-01-10 2013-07-02 Carefusion 207, Inc. System and method for circuit compliance compensated volume assured pressure control in a patient respiratory ventilator
CN101528295A (zh) * 2006-08-30 2009-09-09 雷斯梅德有限公司 确定cpap治疗过程中的泄漏
ITMI20061755A1 (it) 2006-09-14 2008-03-15 Milano Politecnico Apparato di supporto respiratorio e rilevamento non invasivo di dereclutamento alveolare per pazienti con insufficenze respiratorie
EP2111248B1 (en) 2007-01-23 2016-04-20 Fisher & Paykel Healthcare Limited Humidification apparatus with rfid tag sensor
CN101288791B (zh) * 2007-04-18 2011-09-28 深圳迈瑞生物医疗电子股份有限公司 一种麻醉机呼吸装置及其流量传感器的标定方法
WO2009119449A1 (ja) 2008-03-26 2009-10-01 国立大学法人 九州工業大学 気管チューブ維持管理システム
EP3597251B1 (en) * 2008-06-05 2023-04-26 ResMed Pty Ltd Treatment of respiratory conditions
DE102009013396B3 (de) * 2009-03-16 2010-08-05 Dräger Medical AG & Co. KG Vorrichtung und Verfahren zur Steuerung der Sauerstoffdosierung eines Beatmungsgerätes
JP5046057B2 (ja) * 2009-08-06 2012-10-10 高圧ガス保安協会 ガス遮断装置
CH701755B1 (de) 2009-09-07 2014-03-14 Hamilton Medical Ag Durchflussmessfühler.
EP2383008B1 (en) * 2010-04-30 2013-11-06 General Electric Company Arrangement for maintaining volume of breathing gas in a desired level
US9259545B2 (en) * 2011-11-05 2016-02-16 Drägerwerk AG & Co. KGaA Process for checking the function of a respiration system
DE102012010525A1 (de) * 2011-07-02 2013-01-03 Dräger Medical GmbH Verfahren zur Funktionskontrolle eines Beatmungssystems
US9999742B2 (en) * 2012-04-10 2018-06-19 Fisher & Paykel Healthcare Limited Combination CPAP and resuscitation systems and methods
EP3030302B1 (en) * 2013-09-04 2023-02-22 Fisher&Paykel Healthcare Limited Improvements to flow therapy
US11491291B2 (en) * 2015-03-31 2022-11-08 Fisher & Paykel Healthcare Limited Methods and apparatus for oxygenation and/or CO2 removal

Also Published As

Publication number Publication date
DE102015216895A1 (de) 2017-03-09
WO2017037152A1 (de) 2017-03-09
US10905838B2 (en) 2021-02-02
EP3344317A1 (de) 2018-07-11
US20190192796A1 (en) 2019-06-27
CN107949412B (zh) 2020-12-18
CN107949412A (zh) 2018-04-20
EP3344317B1 (de) 2020-10-28
JP2018533999A (ja) 2018-11-22

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