RU2737295C2 - Аппарат для механической искусственной вентиляции легких и мониторинга дыхания - Google Patents

Аппарат для механической искусственной вентиляции легких и мониторинга дыхания Download PDF

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RU2737295C2
RU2737295C2 RU2018132930A RU2018132930A RU2737295C2 RU 2737295 C2 RU2737295 C2 RU 2737295C2 RU 2018132930 A RU2018132930 A RU 2018132930A RU 2018132930 A RU2018132930 A RU 2018132930A RU 2737295 C2 RU2737295 C2 RU 2737295C2
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Prior art keywords
signal
patient
respiratory
pressure
cvp
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RU2018132930A
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Russian (ru)
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RU2018132930A (ru
RU2018132930A3 (https=
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Франческо ВИКАРИО
Николаос КАРАМОЛЕГКОС
Антонио АЛЬБАНЕЗ
Николас Вадих ХБАТ
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Конинклейке Филипс Н.В.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/087—Measuring breath flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61M16/021—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
    • A61M16/0003—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
    • 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
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • 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
    • A61M2230/04—Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • 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
    • A61M2230/30—Blood pressure
    • 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
    • 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
    • A61M2230/60—Muscle strain, i.e. measured on the user

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
RU2018132930A 2016-02-18 2017-02-01 Аппарат для механической искусственной вентиляции легких и мониторинга дыхания RU2737295C2 (ru)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662296666P 2016-02-18 2016-02-18
US62/296,666 2016-02-18
PCT/EP2017/052140 WO2017140500A1 (en) 2016-02-18 2017-02-01 Enhancement of respiratory parameter estimation and asynchrony detection algorithms via the use of central venous pressure manometry

Publications (3)

Publication Number Publication Date
RU2018132930A RU2018132930A (ru) 2020-03-18
RU2018132930A3 RU2018132930A3 (https=) 2020-06-04
RU2737295C2 true RU2737295C2 (ru) 2020-11-26

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RU2018132930A RU2737295C2 (ru) 2016-02-18 2017-02-01 Аппарат для механической искусственной вентиляции легких и мониторинга дыхания

Country Status (6)

Country Link
US (1) US11224379B2 (https=)
EP (1) EP3416543A1 (https=)
JP (1) JP6960929B2 (https=)
CN (1) CN109069030B (https=)
RU (1) RU2737295C2 (https=)
WO (1) WO2017140500A1 (https=)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019094736A1 (en) 2017-11-09 2019-05-16 Autonomous Healthcare, Inc. Clinical decision support system for patient-ventilator asynchrony detection and management
US11457872B2 (en) * 2017-12-01 2022-10-04 Samsung Electronics Co., Ltd. Bio-signal quality assessment apparatus and bio-signal quality assessment method
KR102588906B1 (ko) 2017-12-01 2023-10-13 삼성전자주식회사 생체 신호 품질 평가 장치 및 방법
US20210093824A1 (en) * 2018-04-06 2021-04-01 ResMed Pty Ltd Methods and apparatus for treating a respiratory disorder
DE102019005601A1 (de) * 2018-08-13 2020-02-13 Löwenstein Medical Technology S.A. Verfahren zur sicheren Kommunikation in einem Beatmungssystem
CN112368042B (zh) * 2018-08-21 2024-02-06 深圳迈瑞生物医疗电子股份有限公司 一种通气检测方法及装置、通气设备、存储介质
EP3834871B1 (en) * 2018-08-21 2025-04-16 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Computer program for ventilation trigger detection, ventilation trigger detection apparatus, and ventilation device
US11752287B2 (en) * 2018-10-03 2023-09-12 Covidien Lp Systems and methods for automatic cycling or cycling detection
DE102019120307A1 (de) * 2019-07-26 2021-01-28 Forschungszentrum Borstel, Leibniz Lungenzentrum Vorrichtung zur unterstützenden Beatmung eines Lebewesens und Computerprogramm
DE102019006480A1 (de) 2019-09-16 2021-03-18 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitung zum Ermitteln der Atmungsaktivität eines Patienten
DE102019006866A1 (de) * 2019-10-02 2021-04-08 Drägerwerk AG & Co. KGaA Verfahren und Vorrichtung zum Ermitteln eines respiratorischen oder eines kardiogenen Signals
DE102019007717B3 (de) * 2019-11-07 2021-01-07 Drägerwerk AG & Co. KGaA Verfahren und Signalverarbeitungseinheit zum Ermitteln der Atmungsaktivität eines Patienten
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
US20210322691A1 (en) * 2020-04-17 2021-10-21 Covidien Lp Systems and methods for detecting respiratory mechanics
US12268811B2 (en) 2020-09-04 2025-04-08 Koninklijke Philips N.V. Estimation of cardiogenic artefacts on ventilator airway pressure and flow for the automated detection and resolution of patient ventilator asynchronies
CN112258432B (zh) * 2020-10-23 2021-09-21 成都大学 基于复合型结构元素数学形态学的中子-伽马甄别方法
CN115702787B (zh) * 2021-08-11 2025-08-01 深圳市美好创亿医疗科技股份有限公司 脉冲振荡呼吸阻抗检测方法及检测系统
US12420045B2 (en) * 2022-03-15 2025-09-23 GE Precision Healthcare LLC System and method for patient-ventilator synchronization/onset detection utilizing time-frequency analysis of EMG signals
CN114931371B (zh) * 2022-05-24 2025-01-21 北京清雷科技有限公司 肺功能指标的测量方法及其装置、电子设备及存储介质
CN114913752B (zh) * 2022-05-26 2024-03-26 中国人民解放军陆军军医大学 一种基于集总参数的人体呼吸系统模型
CN114983469B (zh) * 2022-06-21 2023-04-18 四川大学华西医院 利用超声进行呼吸驱动评估的方法及装置
EP4385547A1 (en) * 2022-12-16 2024-06-19 Koninklijke Philips N.V. Detecting, identifying and alleviating causes for pressure burden using positive airway pressure devices
WO2025117420A1 (en) * 2023-11-27 2025-06-05 Zoll Medical Corporation Patient ventilator asynchrony management system, including asynchrony mitigation messaging and adjustments
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
RU2203618C2 (ru) * 1996-10-25 2003-05-10 Гэвин Джозеф Брайан РОБИНСОН Способ и устройство для измерения легочного кровотока с помощью обмена кислородом и инертным газом между легкими и кровью
US6723055B2 (en) * 1999-04-23 2004-04-20 Trustees Of Tufts College System for measuring respiratory function
EP1485017A2 (en) * 2002-03-15 2004-12-15 University Of Pittsburgh Of The Commonwealth System Of Higher Education Use of aortic pulse pressure and flow in bedside hemodynamic management
DE102006002551A1 (de) * 2005-01-19 2006-07-20 General Electric Co. Automatische Kalibrierung von Blutvolumenstatusindikatoren
JP3955011B2 (ja) * 1996-12-19 2007-08-08 リック インベストメンツ エルエルシー 心拍出量を非侵襲的に測定する装置及び方法

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1024161C (zh) * 1987-09-05 1994-04-13 哈尔滨工业大学 检测和处理阻抗血流图的方法及装置
GB9525994D0 (en) * 1995-12-20 1996-02-21 Univ Manitoba Improvements in delivery of assist modes of mechanical ventilation
US20030225339A1 (en) 2002-05-06 2003-12-04 Respironics Novametrix Methods for inducing temporary changes in ventilation for estimation of hemodynamic performance
US7862513B2 (en) * 2002-05-14 2011-01-04 Pacesetter, Inc. Apparatus for minimally invasive calibration of implanted pressure transducers
EP1601281A2 (en) * 2003-02-19 2005-12-07 Fisher, Joseph Method of measuring cardiac related parameters non-invasively via the lung during spontaneous and controlled ventilation
AU2005291858B2 (en) 2004-10-06 2011-07-28 Resmed Limited Method and apparatus for non-invasive monitoring of respiratory parameters in sleep disordered breathing
US7785262B2 (en) 2005-04-25 2010-08-31 University Of Florida Research Foundation, Inc. Method and apparatus for diagnosing respiratory disorders and determining the degree of exacerbations
US7691067B2 (en) 2006-06-14 2010-04-06 Advanced Brain Monitoring, Inc. Method for measuring central venous pressure or respiratory effort
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
US8646447B2 (en) * 2006-11-13 2014-02-11 Resmed Limited Systems, methods, and/or apparatuses for non-invasive monitoring of respiratory parameters in sleep disordered breathing
WO2009042973A1 (en) * 2007-09-26 2009-04-02 Breathe Technologies, Inc. Methods and devices for treating sleep apnea
US20100071696A1 (en) 2008-09-25 2010-03-25 Nellcor Puritan Bennett Llc Model-predictive online identification of patient respiratory effort dynamics in medical ventilators
JP5608675B2 (ja) * 2008-12-10 2014-10-15 コーニンクレッカ フィリップス エヌ ヴェ エラスタンスおよび抵抗の決定
JP5181291B2 (ja) * 2008-12-22 2013-04-10 日本光電工業株式会社 呼吸機能測定装置
MX2013001557A (es) * 2010-08-13 2013-06-28 Respiratory Motion Inc Dispositivos y metodos para el control de la variacion respiratoria mediante la medicion de volumenes, movimiento y variabilidad respiratoria.
WO2012085741A1 (en) * 2010-12-21 2012-06-28 Koninklijke Philips Electronics N.V. Sleep-conducive ventilation therapy controller
WO2013068933A1 (en) * 2011-11-07 2013-05-16 Koninklijke Philips Electronics N.V. Automatic patient synchrony adjustment for non invasive ventilation
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
WO2013188965A1 (en) * 2012-06-21 2013-12-27 Simon Fraser University Transvascular diaphragm pacing systems and methods of use
BR112015032083A2 (pt) 2013-06-28 2020-07-21 Koninklijke Philips N.V. método, e aparelho de determinação de parâmetro fisiológico
US20160325061A1 (en) 2014-01-09 2016-11-10 Koninklijke Philips N.V. Patient ventilator asynchrony detection
RU2712040C2 (ru) 2015-02-12 2020-01-24 Конинклейке Филипс Н.В. Одновременная оценка параметров дыхания путем областной аппроксимации параметров дыхания
CN108135536B (zh) 2015-09-29 2021-07-20 皇家飞利浦有限公司 经由参数优化的对呼吸动力学和患者努力的同时估计
CN105251088A (zh) * 2015-10-19 2016-01-20 广州弘凯物联网服务有限公司 一种呼吸机治疗质量管理方法及其系统

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2203618C2 (ru) * 1996-10-25 2003-05-10 Гэвин Джозеф Брайан РОБИНСОН Способ и устройство для измерения легочного кровотока с помощью обмена кислородом и инертным газом между легкими и кровью
JP3955011B2 (ja) * 1996-12-19 2007-08-08 リック インベストメンツ エルエルシー 心拍出量を非侵襲的に測定する装置及び方法
US6723055B2 (en) * 1999-04-23 2004-04-20 Trustees Of Tufts College System for measuring respiratory function
EP1485017A2 (en) * 2002-03-15 2004-12-15 University Of Pittsburgh Of The Commonwealth System Of Higher Education Use of aortic pulse pressure and flow in bedside hemodynamic management
DE102006002551A1 (de) * 2005-01-19 2006-07-20 General Electric Co. Automatische Kalibrierung von Blutvolumenstatusindikatoren

Also Published As

Publication number Publication date
CN109069030A (zh) 2018-12-21
JP2019509791A (ja) 2019-04-11
WO2017140500A1 (en) 2017-08-24
JP6960929B2 (ja) 2021-11-05
EP3416543A1 (en) 2018-12-26
RU2018132930A (ru) 2020-03-18
US11224379B2 (en) 2022-01-18
US20210205558A1 (en) 2021-07-08
CN109069030B (zh) 2021-10-19
RU2018132930A3 (https=) 2020-06-04

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