RU2712040C2 - Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания - Google Patents

Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания Download PDF

Info

Publication number
RU2712040C2
RU2712040C2 RU2017131740A RU2017131740A RU2712040C2 RU 2712040 C2 RU2712040 C2 RU 2712040C2 RU 2017131740 A RU2017131740 A RU 2017131740A RU 2017131740 A RU2017131740 A RU 2017131740A RU 2712040 C2 RU2712040 C2 RU 2712040C2
Authority
RU
Russia
Prior art keywords
approximation
pressure
respiratory
mus
region
Prior art date
Application number
RU2017131740A
Other languages
English (en)
Russian (ru)
Other versions
RU2017131740A3 (enExample
RU2017131740A (ru
Inventor
Антонио АЛЬБАНЕЗ
Франческо ВИКАРИО
Дун ВАН
Николаос КАРАМОЛЕГКОС
Николас Вадих ХБАТ
Original Assignee
Конинклейке Филипс Н.В.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Конинклейке Филипс Н.В. filed Critical Конинклейке Филипс Н.В.
Publication of RU2017131740A publication Critical patent/RU2017131740A/ru
Publication of RU2017131740A3 publication Critical patent/RU2017131740A3/ru
Application granted granted Critical
Publication of RU2712040C2 publication Critical patent/RU2712040C2/ru

Links

Images

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
    • A61B5/085Measuring impedance of respiratory organs or lung elasticity
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61M16/021Devices 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
    • A61M16/021Devices 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
    • A61M16/026Control means therefor including calculation means, e.g. using a processor specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
    • 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
    • A61M16/0063Compressors
    • 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
    • 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
    • A61M2205/3331Pressure; Flow
    • 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
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • A61M2230/46Resistance or compliance of the lungs
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
RU2017131740A 2015-02-12 2016-01-12 Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания RU2712040C2 (ru)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562115182P 2015-02-12 2015-02-12
US62/115,182 2015-02-12
PCT/IB2016/050115 WO2016128846A1 (en) 2015-02-12 2016-01-12 Simultaneous estimation of respiratory parameters by regional fitting of respiratory parameters

Publications (3)

Publication Number Publication Date
RU2017131740A RU2017131740A (ru) 2019-03-12
RU2017131740A3 RU2017131740A3 (enExample) 2019-06-14
RU2712040C2 true RU2712040C2 (ru) 2020-01-24

Family

ID=55272529

Family Applications (1)

Application Number Title Priority Date Filing Date
RU2017131740A RU2712040C2 (ru) 2015-02-12 2016-01-12 Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания

Country Status (6)

Country Link
US (1) US10828444B2 (enExample)
EP (1) EP3256197B1 (enExample)
JP (1) JP6717843B2 (enExample)
CN (1) CN107205694B (enExample)
RU (1) RU2712040C2 (enExample)
WO (1) WO2016128846A1 (enExample)

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11247009B2 (en) 2015-10-19 2022-02-15 Koninklijke Philips N.V. Anomaly detection device and method for respiratory mechanics parameter estimation
WO2017077417A1 (en) 2015-11-02 2017-05-11 Koninklijke Philips N.V. Breath by breath reassessment of patient lung parameters to improve estimation performance
US11224379B2 (en) 2016-02-18 2022-01-18 Koninklljke Philips N.V. Enhancement of respiratory parameter estimation and asynchrony detection algorithms via the use of central venous pressure manometry
US20190254566A1 (en) * 2016-10-26 2019-08-22 Koninklijke Philips N.V. Systems and methods for estimation of respiratory muscle pressure and respiratory mechanics using p0.1 maneuver
EP3558431A1 (en) 2016-12-20 2019-10-30 Koninklijke Philips N.V. Determining respiratory mechanic parameters in the presence of intrinsic positive end-expiratory pressure
CN109350063B (zh) * 2018-12-03 2021-03-30 北京航空航天大学 一种适用于慢阻肺监控的呼吸力学参数检测装置及方法
EP3928890B1 (en) 2019-02-19 2023-12-27 JFE Steel Corporation Control method for continuous casting machine, control device for continuous casting machine, and manufacturing method for casting
WO2020170563A1 (ja) * 2019-02-19 2020-08-27 Jfeスチール株式会社 連続鋳造機の制御方法、連続鋳造機の制御装置、及び鋳片の製造方法
CN110537917A (zh) * 2019-08-15 2019-12-06 郴州市第一人民医院 一种基于呼吸力学的机械通气智能监测系统及监测方法
DE102020133460A1 (de) * 2020-01-07 2021-07-08 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitungseinheit zur Ermittlung eines pneumatischen Maßes unter Verwendung eines lungenmechanischen Modells und eines Verlaufsmodells
US11420007B2 (en) 2020-08-05 2022-08-23 Effortless Oxygen, Llc Flow triggered gas delivery
US11318276B2 (en) 2020-08-05 2022-05-03 Effortless Oxygen, Llc Flow triggered gas delivery
US11247008B1 (en) 2020-08-05 2022-02-15 Effortless Oxygen, Llc Flow triggered gas delivery
CN113546260B (zh) * 2021-06-07 2023-08-22 中国人民解放军总医院第一医学中心 监测经鼻高流量使用异常的方法、装置和存储介质
CN114220530B (zh) * 2021-11-02 2025-04-01 湖南万脉医疗科技有限公司 一种呼吸机人机适配评估方法
CN116796656B (zh) * 2023-05-17 2024-03-19 中国人民解放军总医院第一医学中心 一种可估算集总参数呼吸系统模型参数的方法
CN117323525B (zh) * 2023-12-01 2024-02-23 南京沪家医疗科技有限公司 呼吸机的压力控制方法及装置
CN118807050B (zh) * 2024-08-16 2025-09-23 深圳市科曼医疗设备有限公司 机械通气下的呼吸力学参数确定方法、装置、介质及设备
CN119026357B (zh) * 2024-08-19 2025-11-18 北京航空航天大学 一种呼吸系统的呼吸力学参数确定方法及装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030010339A1 (en) * 1999-02-03 2003-01-16 University Of Florida Method and apparatus for nullifying the imposed work of breathing
JP2008000436A (ja) * 2006-06-23 2008-01-10 Air Water Safety Service Inc 肺のコンプライアンス推定装置および推定方法、推定装置を備える人工呼吸器
US20100071696A1 (en) * 2008-09-25 2010-03-25 Nellcor Puritan Bennett Llc Model-predictive online identification of patient respiratory effort dynamics in medical ventilators
US20110237970A1 (en) * 2008-12-10 2011-09-29 Koninklijke Philips Electronics N.V. Determining elastance and resistance
RU2449814C2 (ru) * 2006-10-13 2012-05-10 Спэйслэбс Хелткер, ЭлЭлСи Аппарат искусственной вентиляции легких с быстрой ответной реакцией на состояние респираторного заболевания

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5803066A (en) * 1992-05-07 1998-09-08 New York University Method and apparatus for optimizing the continuous positive airway pressure for treating obstructive sleep apnea
GB9525994D0 (en) * 1995-12-20 1996-02-21 Univ Manitoba Improvements in delivery of assist modes of mechanical ventilation
US6257234B1 (en) * 1998-08-21 2001-07-10 Respironics, Inc. Apparatus and method for determining respiratory mechanics of a patient and for controlling a ventilator based thereon
JP2000175886A (ja) * 1998-12-14 2000-06-27 Nippon Koden Corp 換気データ処理方法および装置
JP3713240B2 (ja) * 2000-04-26 2005-11-09 ユニヴァーシティ オブ マニトーバ 換気支援中の呼吸器系の抵抗を求める装置
CN1313172C (zh) * 2001-07-19 2007-05-02 雷斯姆德公司 病人压力支持通气的方法及设备
ATE439157T1 (de) 2002-06-27 2009-08-15 Yrt Ltd Vorrichtung zur überwachung und verbesserung der wechselwirkung z wischen patienten und beatmungsgerät
SE0203431D0 (sv) * 2002-11-20 2002-11-20 Siemens Elema Ab Method for assessing pulmonary stress and a breathing apparatus
JP3860803B2 (ja) * 2003-06-03 2006-12-20 エア・ウォーター防災株式会社 人工呼吸器用のガス供給サーボ機構の制御装置
JP4421319B2 (ja) 2004-02-13 2010-02-24 独立行政法人科学技術振興機構 レーザ装置及びレーザ発振方法
CN101484202B (zh) * 2006-05-12 2013-12-04 Yrt有限公司 产生反映患者在供氧支持下呼吸工作的信号的方法和装置
ATE487419T1 (de) * 2006-11-16 2010-11-15 Hamilton Medical Ag Verfahren und vorrichtung zur bestimmung des peep bei der beatmung eines patienten
EP1972274B1 (en) * 2007-03-20 2015-12-30 Drägerwerk AG & Co. KGaA Method and apparatus for determining the resistance of the respiratory system of a patient
US8585412B2 (en) * 2008-09-30 2013-11-19 Covidien Lp Configurable respiratory muscle pressure generator
US9474469B2 (en) * 2008-10-24 2016-10-25 Hospitech Respiration Ltd. Method and system for ventilation
CN102245246B (zh) * 2008-12-19 2017-03-15 皇家飞利浦电子股份有限公司 利用正压气道支持治疗肺部疾病的系统及方法
EP2473106B1 (en) * 2009-09-01 2014-12-17 Koninklijke Philips N.V. System and method for quantifying lung compliance in a self-ventilating subject
US8728002B2 (en) * 2009-12-28 2014-05-20 University Of Florida Research Foundation, Inc. System and method for assessing real time pulmonary mechanics
US10271739B2 (en) * 2010-08-13 2019-04-30 Respiratory Motion, Inc. Devices and methods for respiratory variation monitoring by measurement of respiratory volumes, motion and variability
EP4112110A1 (en) * 2010-08-27 2023-01-04 ResMed Pty Ltd Adaptive cycling for respiratory treatment apparatus
EP2747643B1 (en) * 2011-12-30 2024-05-15 Koninklijke Philips N.V. Airway impedance measurement integrated with respiratory treatment devices
US20150059754A1 (en) * 2012-03-30 2015-03-05 Koninklkke Philips N.V. System and method for power of breathing real-time assessment and closed-loop controller
US10165966B2 (en) * 2013-03-14 2019-01-01 University Of Florida Research Foundation, Incorporated Methods and systems for monitoring resistance and work of breathing for ventilator-dependent patients
TWI614044B (zh) * 2014-04-30 2018-02-11 張煥禎 呼吸器的警報方法及呼吸器警報系統

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030010339A1 (en) * 1999-02-03 2003-01-16 University Of Florida Method and apparatus for nullifying the imposed work of breathing
JP2008000436A (ja) * 2006-06-23 2008-01-10 Air Water Safety Service Inc 肺のコンプライアンス推定装置および推定方法、推定装置を備える人工呼吸器
RU2449814C2 (ru) * 2006-10-13 2012-05-10 Спэйслэбс Хелткер, ЭлЭлСи Аппарат искусственной вентиляции легких с быстрой ответной реакцией на состояние респираторного заболевания
US20100071696A1 (en) * 2008-09-25 2010-03-25 Nellcor Puritan Bennett Llc Model-predictive online identification of patient respiratory effort dynamics in medical ventilators
US20110237970A1 (en) * 2008-12-10 2011-09-29 Koninklijke Philips Electronics N.V. Determining elastance and resistance

Also Published As

Publication number Publication date
US20180001041A1 (en) 2018-01-04
CN107205694A (zh) 2017-09-26
RU2017131740A3 (enExample) 2019-06-14
US10828444B2 (en) 2020-11-10
EP3256197A1 (en) 2017-12-20
RU2017131740A (ru) 2019-03-12
JP2018506354A (ja) 2018-03-08
WO2016128846A1 (en) 2016-08-18
CN107205694B (zh) 2021-04-06
EP3256197B1 (en) 2019-07-24
JP6717843B2 (ja) 2020-07-08

Similar Documents

Publication Publication Date Title
RU2712040C2 (ru) Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания
US11027080B2 (en) System and method for determining ventilator leakage during stable periods within a breath
RU2737295C2 (ru) Аппарат для механической искусственной вентиляции легких и мониторинга дыхания
US6709405B2 (en) Breathing apparatus and method for operation thereof for examining pulmonary mechanics of a respiratory system
CN109803708B (zh) 呼吸设备和通气机设备
CA2736528C (en) Model-predictive online identification of patient respiratory effort dynamics in medical ventilators
JP4613213B2 (ja) 被験者の呼吸器官の生体力学的動作を監視し、生体力学的動作に基づいて人工呼吸器を制御する装置
US8418691B2 (en) Leak-compensated pressure regulated volume control ventilation
WO2013016608A1 (en) Methods and systems for model-based transformed proportional assist ventilation
JP6912388B2 (ja) 逐次パラメータ推定を介する患者呼吸状態をモニタリングする非侵襲的方法
JP7168560B2 (ja) P0.1操作を使用する呼吸筋圧および換気力学の推定のためのシステムおよび方法
JP6338534B2 (ja) 呼吸配送の補償
Reinders et al. Noninvasive breathing effort estimation of mechanically ventilated patients using sparse optimization
CN114599277B (zh) 用于确定患者的呼吸活动的方法和信号处理单元
WO2016132279A1 (en) Enhancement of simultaneous estimation of respiratory parameters via superimposed pressure signal