JP7004748B2 - 機械的人工換気のための自動的なｐｅｅｐの選択 - Google Patents

機械的人工換気のための自動的なｐｅｅｐの選択 Download PDF

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Publication number
JP7004748B2
JP7004748B2 JP2019565983A JP2019565983A JP7004748B2 JP 7004748 B2 JP7004748 B2 JP 7004748B2 JP 2019565983 A JP2019565983 A JP 2019565983A JP 2019565983 A JP2019565983 A JP 2019565983A JP 7004748 B2 JP7004748 B2 JP 7004748B2
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Prior art keywords
lung
pressure
subject
peep
pressure difference
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Expired - Fee Related
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JP2019565983A
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Japanese (ja)
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JP2020508194A5 (enExample
JP2020508194A (ja
Inventor
フランチェスコ ヴィカリオ
ロベルト ブイッザ
ウィリアム アンソニー トルシェル
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Koninklijke Philips NV
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Koninklijke Philips NV
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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. 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
    • A61M16/10—Preparation of respiratory gases or vapours
    • 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
    • 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
    • A61M2205/3334—Measuring or controlling the flow rate
    • 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
    • A61M2205/3344—Measuring or controlling pressure at the body treatment site
    • 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A61M2230/46—Resistance or compliance of the lungs

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (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)
JP2019565983A 2017-02-22 2018-02-22 機械的人工換気のための自動的なｐｅｅｐの選択 Expired - Fee Related JP7004748B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762461825P 2017-02-22 2017-02-22
US62/461,825 2017-02-22
PCT/EP2018/054352 WO2018153964A1 (en) 2017-02-22 2018-02-22 Automatic peep selection for mechanical ventilation

Publications (3)

Publication Number Publication Date
JP2020508194A JP2020508194A (ja) 2020-03-19
JP2020508194A5 JP2020508194A5 (enExample) 2021-04-08
JP7004748B2 true JP7004748B2 (ja) 2022-02-04

Family

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JP2019565983A Expired - Fee Related JP7004748B2 (ja) 2017-02-22 2018-02-22 機械的人工換気のための自動的なｐｅｅｐの選択

Country Status (5)

Country Link
US (1) US11351320B2 (enExample)
EP (1) EP3585465B1 (enExample)
JP (1) JP7004748B2 (enExample)
CN (1) CN110545872B (enExample)
WO (1) WO2018153964A1 (enExample)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE538864C2 (sv) * 2015-05-25 2017-01-10 The Lung Barometry Sweden AB Method System and Software for Protective Ventilation
US12239784B2 (en) 2018-10-17 2025-03-04 Maquet Critical Care Ab Lung recruitment in mechanical ventilation
EP3773838B1 (en) 2018-10-17 2021-11-10 Maquet Critical Care AB Lung recruitment in mechanical ventilation
CN112188909B (zh) * 2018-10-17 2023-09-22 马奎特紧急护理公司 机械通气中的肺复张
EP3884981B1 (en) * 2018-11-23 2024-07-10 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Positive end expiratory pressure determining apparatus
WO2021109001A1 (zh) * 2019-12-03 2021-06-10 深圳迈瑞生物医疗电子股份有限公司 一种患者通气监测装置及其通气监测方法
WO2021189197A1 (zh) * 2020-03-23 2021-09-30 深圳迈瑞生物医疗电子股份有限公司 一种呼吸监测装置及方法
DE102020120900A1 (de) * 2020-08-07 2022-02-10 Drägerwerk AG & Co. KGaA Vorrichtung und Verfahren zur Messung der Lungen-Compliance
CN112535471B (zh) * 2020-11-06 2022-05-03 北京航空航天大学 一种基于肺的静态吸气压强-容积曲线估计肺复张特性的方法
WO2022105555A1 (zh) * 2020-11-17 2022-05-27 深圳迈瑞生物医疗电子股份有限公司 呼吸支持设备、监护设备、医疗设备系统及参数处理方法
WO2022104808A1 (zh) * 2020-11-23 2022-05-27 深圳迈瑞生物医疗电子股份有限公司 呼吸支持设备及其通气控制方法和计算机可读存储介质
CN113490523B (zh) * 2020-12-29 2022-04-05 东南大学附属中大医院 呼吸支持设备及其控制方法和存储介质
EP4406574A4 (en) * 2021-09-24 2025-01-01 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Medical device and method for measuring positive end-expiratory pressure
WO2023097553A1 (zh) * 2021-12-01 2023-06-08 深圳迈瑞生物医疗电子股份有限公司 一种通气设备及其扩展模块、压力监测方法
CN114146282B (zh) * 2021-12-08 2022-12-09 山东大学 一种用于便携式呼吸机的呼气末正压阀及其控制方法
US12447296B1 (en) * 2022-02-28 2025-10-21 Breas Medical Ab Systems and methods of determining therapeutic expiratory pressure automatically
WO2024251630A1 (en) * 2023-06-08 2024-12-12 The Lung Barometry Sweden AB Rapid determination of transpulmonary pressure in a patient connected to a breathing apparatus

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009523505A (ja) 2006-01-19 2009-06-25 マケット・クリティカル・ケア・アーベー 機械的な呼吸補助を受ける自発呼吸患者の呼吸特性を動的に決定する方法およびシステム
JP2016104186A (ja) 2010-06-19 2016-06-09 ザ ラング バロメトリ スウェーデン アクチエボラグ 患者の経肺圧を決定可能な呼吸装置

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE9400487L (sv) 1994-02-14 1995-03-13 Siemens Elema Ab Ventilator/Respirator
SE9504312L (sv) * 1995-12-01 1996-12-23 Siemens Elema Ab Sätt vid styrning av en andningsapparat samt en andningsapparat
US5937854A (en) * 1998-01-06 1999-08-17 Sensormedics Corporation Ventilator pressure optimization method and apparatus
US6610043B1 (en) * 1999-08-23 2003-08-26 Bistech, Inc. Tissue volume reduction
SE0103182D0 (sv) 2001-09-25 2001-09-25 Siemens Elema Ab Förfarande för lungmekanisk undersökning och andningsapparatsystem
US7802571B2 (en) 2003-11-21 2010-09-28 Tehrani Fleur T Method and apparatus for controlling a ventilator
US20070062533A1 (en) 2005-09-21 2007-03-22 Choncholas Gary J Apparatus and method for identifying FRC and PEEP characteristics
FR2903314B1 (fr) 2006-07-10 2018-01-12 Universite Pierre Et Marie Curie Dispositif de detection d'un reglage inapproprie d'une machine d'assistance ventilatoire utilisee sur un mammifere.
ATE487419T1 (de) 2006-11-16 2010-11-15 Hamilton Medical Ag Verfahren und vorrichtung zur bestimmung des peep bei der beatmung eines patienten
WO2009120639A2 (en) 2008-03-27 2009-10-01 Nellcor Puritan Bennett Llc Breathing assistance systems with lung recruitment maneuvers
WO2010108552A1 (en) * 2009-03-27 2010-09-30 Maquet Critical Care Ab Peep regulation for a breathing apparatus
US8408203B2 (en) 2009-04-30 2013-04-02 General Electric Company System and methods for ventilating a patient
EP2473106B1 (en) * 2009-09-01 2014-12-17 Koninklijke Philips N.V. System and method for quantifying lung compliance in a self-ventilating subject
EP2747643B1 (en) * 2011-12-30 2024-05-15 Koninklijke Philips N.V. Airway impedance measurement integrated with respiratory treatment devices
DE102012215662A1 (de) 2012-09-04 2014-03-06 Hamilton Medical Ag System zur automatisierten Einstellung eines durch eine Beatmungseinrichtung vorgegebenen Drucks
DE102013203177A1 (de) 2013-02-26 2014-08-28 Hamilton Medical Ag System zur automatisierten Einstellung eines durch eine Beatmungseinrichtung vorgegebenen Drucks
SE538864C2 (sv) * 2015-05-25 2017-01-10 The Lung Barometry Sweden AB Method System and Software for Protective Ventilation
CN107847699A (zh) * 2015-06-30 2018-03-27 皇家飞利浦有限公司 用于可变阻力气道正压设备管路补偿的气压传感器

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009523505A (ja) 2006-01-19 2009-06-25 マケット・クリティカル・ケア・アーベー 機械的な呼吸補助を受ける自発呼吸患者の呼吸特性を動的に決定する方法およびシステム
JP2016104186A (ja) 2010-06-19 2016-06-09 ザ ラング バロメトリ スウェーデン アクチエボラグ 患者の経肺圧を決定可能な呼吸装置

Also Published As

Publication number Publication date
CN110545872A (zh) 2019-12-06
EP3585465A1 (en) 2020-01-01
US20190374733A1 (en) 2019-12-12
US11351320B2 (en) 2022-06-07
EP3585465B1 (en) 2023-07-05
WO2018153964A1 (en) 2018-08-30
CN110545872B (zh) 2022-11-08
JP2020508194A (ja) 2020-03-19

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