JPWO2021079202A5 - - Google Patents

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Publication number
JPWO2021079202A5
JPWO2021079202A5 JP2022522604A JP2022522604A JPWO2021079202A5 JP WO2021079202 A5 JPWO2021079202 A5 JP WO2021079202A5 JP 2022522604 A JP2022522604 A JP 2022522604A JP 2022522604 A JP2022522604 A JP 2022522604A JP WO2021079202 A5 JPWO2021079202 A5 JP WO2021079202A5
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JP
Japan
Prior art keywords
oxygen concentration
blood oxygen
alarm threshold
patient
target
Prior art date
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Pending
Application number
JP2022522604A
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Japanese (ja)
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JP2022553659A (en
Publication date
Application filed filed Critical
Priority claimed from PCT/IB2020/056237 external-priority patent/WO2021079202A1/en
Publication of JP2022553659A publication Critical patent/JP2022553659A/en
Publication of JPWO2021079202A5 publication Critical patent/JPWO2021079202A5/ja
Pending legal-status Critical Current

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Claims (15)

呼吸補助装置であって、
呼吸ガスを患者に提供するように構成された流れ発生器であって、前記呼吸ガスは、酸素源から提供される補足酸素を含む、流れ発生器、
前記呼吸ガスの酸素濃度を制御するように構成されたコントローラ、
少なくとも1つのセンサーであって、者の血中酸素濃度を示す測定値を前記コントローラに提供するように構成された少なくとも1つのセンサー
を含み、
前記コントローラは、前記呼吸ガスの目標酸素濃度を特定するように構成され、
前記コントローラは、前記患者の血中酸素濃度の推定将来値を、
前記呼吸ガスの初期酸素濃度と、前記呼吸ガスの前記目標酸素濃度との間の差と、
前記患者の血中酸素濃度を示す前記測定値と
に基づいて計算するように構成される、呼吸補助装置。
A respiratory aid,
a flow generator configured to provide respiratory gas to a patient, said respiratory gas comprising supplemental oxygen provided from an oxygen source;
a controller configured to control the oxygen concentration of said breathing gas;
at least one sensor configured to provide a measurement indicative of a patient 's blood oxygen level to the controller;
the controller is configured to identify a target oxygen concentration of the breathing gas;
The controller estimates an estimated future value of the patient's blood oxygen level by:
a difference between the initial oxygen concentration of the breathing gas and the target oxygen concentration of the breathing gas;
and said measurements indicative of the blood oxygen level of said patient.
前記コントローラは、前記呼吸ガスの前記酸素濃度を前記目標酸素濃度に基づいて制御するように構成される、請求項1に記載の呼吸補助装置。 2. A respiratory assistance apparatus according to claim 1, wherein the controller is configured to control the oxygen concentration of the breathing gas based on the target oxygen concentration. 前記患者の血中酸素濃度の前記推定将来値は、前記コントローラが前記呼吸ガスの前記酸素濃度を前記目標酸素濃度に制御するときからの時間にさらに基づく、請求項1又は2に記載の呼吸補助装置。 3. The respiratory assistance of claim 1 or 2, wherein the estimated future value of the patient's blood oxygen concentration is further based on a time from when the controller controls the oxygen concentration of the breathing gas to the target oxygen concentration. Device. 前記コントローラは、入力を受信し、且つ前記入力に基づいて前記呼吸ガスの前記目標酸素濃度を特定するように構成される、請求項1~3のいずれか一項に記載の呼吸補助装置。 A respiratory assistance apparatus according to any preceding claim, wherein the controller is configured to receive input and to identify the target oxygen concentration of the respiratory gas based on the input. 前記入力は、目標酸素濃度上限及び目標酸素濃度下限を含む目標酸素濃度範囲を含む、請求項4に記載の呼吸補助装置。 5. The respiratory assistance apparatus of claim 4, wherein the input includes a target oxygen concentration range including an upper target oxygen concentration limit and a lower target oxygen concentration limit. 前記コントローラは、前記患者の血中酸素濃度の前記推定将来値を中酸素濃度アラーム範囲と比較し、且つ前記患者の血中酸素濃度の前記推定将来値が前記血中酸素濃度アラーム範囲内にない場合、アラーム出力を生成するように構成され、
前記血中酸素濃度アラーム範囲は、血中酸素濃度アラーム閾値上限及び血中酸素濃度アラーム閾値下限を含む、請求項1~5のいずれか一項に記載の呼吸補助装置。
The controller compares the estimated future value of the patient's blood oxygen level to a blood oxygen level alarm range, and compares the estimated future value of the patient's blood oxygen level within the blood oxygen level alarm range. configured to generate an alarm output if not
A respiratory assistance apparatus according to any preceding claim, wherein the blood oxygen concentration alarm range includes an upper blood oxygen concentration alarm threshold limit and a lower blood oxygen concentration alarm threshold limit.
前記コントローラは、前記患者の血中酸素濃度の前記推定将来値及び血中酸素濃度アラーム閾値との比較に基づいてアラーム出力を生成するように構成され、 the controller is configured to generate an alarm output based on the estimated future value of the patient's blood oxygen level and a comparison to a blood oxygen level alarm threshold;
前記コントローラは、前記患者の血中酸素濃度の前記推定将来値が血中酸素濃度アラーム閾値上限を上回る又は血中酸素濃度アラーム閾値下限を下回る場合、前記アラーム出力を生成するように構成される、請求項1~6のいずれか一項に記載の呼吸補助装置。 wherein the controller is configured to generate the alarm output if the estimated future value of the patient's blood oxygen level is above an upper blood oxygen level alarm threshold or below a lower blood oxygen level alarm threshold. A respiratory assistance device according to any one of claims 1-6.
前記血中酸素濃度アラーム閾値上限及び/又は前記血中酸素濃度アラーム閾値下限は、前記コントローラが前記呼吸ガスの前記酸素濃度を前記目標酸素濃度に制御するときからの間に基づいて特定される、請求項6又は7に記載の呼吸補助装置。 The upper blood oxygen level alarm threshold and/or the lower blood oxygen level alarm threshold are identified based on a time from when the controller controls the oxygen concentration of the respiratory gas to the target oxygen concentration. 8. A breathing aid device according to claim 6 or 7. 前記血中酸素濃度アラーム閾値上限及び/又は前記血中酸素濃度アラーム閾値下限は、目標酸素濃度の変化量に基づいて特定され、請求項6~8のいずれか一項に記載の呼吸補助装置。 The respiratory assistance device according to any one of claims 6 to 8 , wherein the upper blood oxygen concentration alarm threshold and/or the lower blood oxygen concentration alarm threshold are specified based on the amount of change in the target oxygen concentration. . 前記血中酸素濃度アラーム閾値上限及び/又は前記血中酸素濃度アラーム閾値下限は、前記目標酸素濃度に基づいて特定される、請求項6~のいずれか一項に記載の呼吸補助装置。 The respiratory assistance apparatus according to any one of claims 6 to 8 , wherein the upper blood oxygen concentration alarm threshold and/or the lower blood oxygen concentration alarm threshold are determined based on the target oxygen concentration. 前記血中酸素濃度アラーム閾値上限及び/又は前記血中酸素濃度アラーム閾値下限は、ガスの現在の酸素濃度に基づいて特定される、請求項6~10のいずれか一項に記載の呼吸補助装置。 A respiratory assistance device according to any one of claims 6 to 10 , wherein the upper blood oxygen level alarm threshold and/or the lower blood oxygen level alarm threshold are determined based on the current oxygen level of the gas. . 前記血中酸素濃度アラーム閾値上限及び/又は前記血中酸素濃度アラーム閾値下限は、前記目標酸素濃度に基づく、請求項6~11のいずれか一項に記載の呼吸補助装置。 A respiratory assistance apparatus according to any one of claims 6 to 11, wherein said upper blood oxygen concentration alarm threshold and/or said lower blood oxygen concentration alarm threshold are based on said target oxygen concentration. 前記血中酸素濃度アラーム閾値上限は、前記目標酸素濃度と標酸素濃度上限との間の差に基づく、請求項6~12のいずれか一項に記載の呼吸補助装置。 A respiratory assistance apparatus according to any one of claims 6 to 12 , wherein the upper blood oxygen concentration alarm threshold is based on a difference between the target oxygen concentration and an upper target oxygen concentration. 前記患者の血中酸素濃度の前記推定将来値は、前記患者の酸素効率及び/又はヘモグロビン飽和関数に基づく、請求項1~13のいずれか一項に記載の呼吸補助装置。 A respiratory assistance apparatus according to any preceding claim, wherein said estimated future value of said patient's blood oxygen concentration is based on said patient's oxygen efficiency and/or a hemoglobin saturation function. 前記患者の前記酸素効率は、前記呼吸ガスの測定された酸素濃度で割った患者の血中酸素濃度を示す前記測定値に基づく、及び/又は入力として受信される、請求項14に記載の呼吸補助装置。 15. Breathing according to claim 14, wherein the oxygen efficiency of the patient is based on and/or received as input the measurement indicative of the patient's blood oxygen concentration divided by the measured oxygen concentration of the breathing gas. Auxiliary device.
JP2022522604A 2019-10-25 2020-07-02 Alarm for respiratory therapy system Pending JP2022553659A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962925973P 2019-10-25 2019-10-25
US62/925,973 2019-10-25
PCT/IB2020/056237 WO2021079202A1 (en) 2019-10-25 2020-07-02 Alarm for respiratory therapy system

Publications (2)

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JP2022553659A JP2022553659A (en) 2022-12-26
JPWO2021079202A5 true JPWO2021079202A5 (en) 2023-07-10

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US (1) US20230022107A1 (en)
EP (1) EP4048356A4 (en)
JP (1) JP2022553659A (en)
KR (1) KR20220103960A (en)
CN (1) CN114728142A (en)
AU (1) AU2020371276A1 (en)
WO (1) WO2021079202A1 (en)

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Publication number Priority date Publication date Assignee Title
USD894369S1 (en) * 2016-12-22 2020-08-25 Fisher & Paykel Healthcare Limited Breathing assistance apparatus

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US5365922A (en) * 1991-03-19 1994-11-22 Brigham And Women's Hospital, Inc. Closed-loop non-invasive oxygen saturation control system
ATE401038T1 (en) * 1999-02-03 2008-08-15 Mermaid Care As AUTOMATIC LUNG PARAMETERS ESTIMATION
WO2011150260A1 (en) * 2010-05-26 2011-12-01 The Curators Of The University Of Missouri Closed loop respiratory support device with dynamic adaptability
US20160022952A1 (en) * 2014-07-22 2016-01-28 NAB Medical, Inc. Apparatus and Method for Adaptive Closed-loop Control of Oxygen-Hemoglobin Saturation Levels
AU2016354671B2 (en) * 2015-11-10 2022-01-06 University Of Tasmania Method, apparatus and system for automatically controlling inspired oxygen delivery
AU2018346088A1 (en) * 2017-10-06 2020-04-16 Fisher & Paykel Healthcare Limited Closed loop oxygen control

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