WO2009115076A1 - Dispositif de commande pour l'application de gaz anesthésiants volatils - Google Patents

Dispositif de commande pour l'application de gaz anesthésiants volatils Download PDF

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Publication number
WO2009115076A1
WO2009115076A1 PCT/DE2009/000341 DE2009000341W WO2009115076A1 WO 2009115076 A1 WO2009115076 A1 WO 2009115076A1 DE 2009000341 W DE2009000341 W DE 2009000341W WO 2009115076 A1 WO2009115076 A1 WO 2009115076A1
Authority
WO
WIPO (PCT)
Prior art keywords
inspiration
control device
evaluation device
application
beginning
Prior art date
Application number
PCT/DE2009/000341
Other languages
German (de)
English (en)
Inventor
Karl Cornelius-Lorenz
Kirsten Klein
Thomas Kriesmer
Original Assignee
Technologie Institut Medizin Gmbh
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 Technologie Institut Medizin Gmbh filed Critical Technologie Institut Medizin Gmbh
Priority to DE112009001180T priority Critical patent/DE112009001180A5/de
Publication of WO2009115076A1 publication Critical patent/WO2009115076A1/fr

Links

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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/104—Preparation of respiratory gases or vapours specially adapted for anaesthetics
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/01—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
    • 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. mouth-to-mouth respiration; 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
    • A61M16/18—Vaporising devices for anaesthetic preparations
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/12—Preparation of respiratory gases or vapours by mixing different gases
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
    • A61M2016/0021—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with a proportional output signal, e.g. from a thermistor
    • 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. mouth-to-mouth respiration; 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

Definitions

  • the dosing unit is a controlled evaporator. This achieves timely and precise dosing of the anesthetic gas.
  • a constant volume of anesthetic gas can be applied during the inspiration phase.
  • the further applied volume of anesthetic gas during the inspiration phase can be adapted to the current flow of the respiratory gas.
  • the evaluation device can in case of apnea of the patient or disconnection of the respiratory system or missing or faulty respiratory parameters the dosing unit can be switched off and an alarm signal can be generated.
  • FIG. 2 shows a ventilation and anesthesia system with an evaluation device of respiratory parameters of a patient-near sensor
  • FIG. 3 shows a time diagram for the representation of a time-synchronous application of anesthetic gas, as the ventilation and anesthesia system shown in FIG. 1 permits
  • FIG. 4 shows a time diagram for the representation of a flow synchronous application of anesthetic gas, as shown in FIG Ventilation and anesthesia system allows.
  • a constant volume of anesthetic gas is applied during the inspiration phase.
  • the application is stopped.
  • the volume of anesthetic gas to be applied is injected according to the dimension of the inspired flow. The area under the curve is a measure of the inspired volume. Synchronization of the anesthetic application with the flow pattern increases the effectiveness of the application because the anesthetic gas is distributed and absorbed in proportionate amount to the respiratory gas in the lungs.
  • the application is stopped.
  • the application is time-synchronized, flow-synchronous or time-synchronized and flow-synchronous to the inspiration and is completely stopped if no respiratory information is detected by the evaluation device, eg. B. when there is an assumption of apnea or the patient ventilator is no longer connected to the patient.

Landscapes

  • Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Pulmonology (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)

Abstract

Un dispositif d'évaluation (20) reçoit des paramètres de respiration d'un capteur (28) proche d'un patient, ou d'un appareil de ventilation (10), et donne des informations concernant le début et la fin des phases de ventilation. A l'aide d'une unité de dosage (22), on assure la commande d'un apport des gaz anesthésiants à un dispositif de ventilation (24) du patient entre le début et la fin de la phase de ventilation.
PCT/DE2009/000341 2008-03-17 2009-03-17 Dispositif de commande pour l'application de gaz anesthésiants volatils WO2009115076A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE112009001180T DE112009001180A5 (de) 2008-03-17 2009-03-17 Steuervorrichtung zur Applikation von volatilen Anästhesiegasen

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102008014395.2 2008-03-17
DE102008014395 2008-03-17

Publications (1)

Publication Number Publication Date
WO2009115076A1 true WO2009115076A1 (fr) 2009-09-24

Family

ID=40786583

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2009/000341 WO2009115076A1 (fr) 2008-03-17 2009-03-17 Dispositif de commande pour l'application de gaz anesthésiants volatils

Country Status (2)

Country Link
DE (1) DE112009001180A5 (fr)
WO (1) WO2009115076A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014101543A1 (fr) * 2012-12-26 2014-07-03 北京谊安医疗系统股份有限公司 Procédé de modulation de largeur d'impulsion pour commander la concentration en oxygène dans une machine anesthésique ou un ventilateur
EP2805737A1 (fr) 2013-05-22 2014-11-26 Pall Corporation Raccord pour être utilisé dans un vaporisateur éléctronique

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2252913A (en) * 1991-02-20 1992-08-26 Draegerwerk Ag Anaesthetic dosing device
EP0761249A1 (fr) * 1995-09-12 1997-03-12 Siemens-Elema AB Appareil d'anesthésie
EP0806216A1 (fr) * 1996-05-06 1997-11-12 Siemens-Elema AB Dispositif de dosage pour l'addition d'un gas ou d'un liquide au gas respiratoire, dans un appareil anesthésique ou respirateur
WO1998031282A1 (fr) * 1997-01-17 1998-07-23 Messer Griesheim Austria Ges.Mbh Systeme d'alimentation en gaz commande
WO2001043806A2 (fr) * 1999-12-18 2001-06-21 Ino Therapeutics Gmbh Dosage de gaz en fonction du volume inspire
US20050172966A1 (en) * 1997-04-04 2005-08-11 Gilbert Blaise Injection system for delivery of a gaseous substance

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2252913A (en) * 1991-02-20 1992-08-26 Draegerwerk Ag Anaesthetic dosing device
EP0761249A1 (fr) * 1995-09-12 1997-03-12 Siemens-Elema AB Appareil d'anesthésie
EP0806216A1 (fr) * 1996-05-06 1997-11-12 Siemens-Elema AB Dispositif de dosage pour l'addition d'un gas ou d'un liquide au gas respiratoire, dans un appareil anesthésique ou respirateur
WO1998031282A1 (fr) * 1997-01-17 1998-07-23 Messer Griesheim Austria Ges.Mbh Systeme d'alimentation en gaz commande
US20050172966A1 (en) * 1997-04-04 2005-08-11 Gilbert Blaise Injection system for delivery of a gaseous substance
WO2001043806A2 (fr) * 1999-12-18 2001-06-21 Ino Therapeutics Gmbh Dosage de gaz en fonction du volume inspire

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014101543A1 (fr) * 2012-12-26 2014-07-03 北京谊安医疗系统股份有限公司 Procédé de modulation de largeur d'impulsion pour commander la concentration en oxygène dans une machine anesthésique ou un ventilateur
EA025935B1 (ru) * 2012-12-26 2017-02-28 Бейджин Аеонмед Ко., Лтд. Способ широтно-импульсной модуляции для регулирования концентрации кислорода в аппаратах ингаляционной анестезии или искусственной вентиляции легких
EP2805737A1 (fr) 2013-05-22 2014-11-26 Pall Corporation Raccord pour être utilisé dans un vaporisateur éléctronique
US9320867B2 (en) 2013-05-22 2016-04-26 Pall Corporation Connection system

Also Published As

Publication number Publication date
DE112009001180A5 (de) 2011-02-17

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