WO2000064345A1 - Respiratory ventilator with automatic flow calibration - Google Patents
Respiratory ventilator with automatic flow calibration Download PDFInfo
- Publication number
- WO2000064345A1 WO2000064345A1 PCT/US2000/010531 US0010531W WO0064345A1 WO 2000064345 A1 WO2000064345 A1 WO 2000064345A1 US 0010531 W US0010531 W US 0010531W WO 0064345 A1 WO0064345 A1 WO 0064345A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- flow
- gas
- consecutive
- values
- composite
- Prior art date
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
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
-
- 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
-
- 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
- A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
-
- 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
- A61M2205/70—General characteristics of the apparatus with testing or calibration facilities
- A61M2205/702—General characteristics of the apparatus with testing or calibration facilities automatically during use
Definitions
- This invention relates in general to respiratory ventilators, and in particular to a respiratory ventilator having automatic flow calibration of respiratory gas delivered in accord with immediately preceding breath data.
- Certain respiratory diseases not only require patient special care with respect to physical activity and attendant exertion levels, but also require specialized mechanical augmentation to permit the patient to simply accomplish the act of breathing.
- lung disfunction, lung tissue degradation, autonomic nervous system disability, etc. can significantly interfere with proper inhalation and exhalation action and thereby deprive an individual of adequate oxygenation and attendant carbon dioxide removal
- employment of a ventilator for positive respiratory regulation can result in a highly beneficial contribution toward life quality.
- such ventilator therapy can be administered in association with physical activity-monitoring to thereby provide a treatment program to the patient that achieves improved comfort in day-to-day functions along with medically acceptable respiratory levels .
- Ventilators presently in service generally operate under constant parameters that are pre-set such that inhalation and expiration of air or oxygen-enriched air does not automatically vary, but, instead, can be changed manually if a health care provider in charge of a treatment program determines such modification is desired. Therefore, volume, pressure, and delivery duration of inspiratory air or oxygen-enriched air are quantitatively estimated in accord with standard expectations usually present under a majority of circumstances in similarly- situated patients. While these parameters may adequately serve most patients most of the time, any patients whose needs do not fit expectations must endure at least partially ineffective ventilation until manual readjustment of the ventilator can be completed.
- Another object of the present invention is to provide a ventilator whose respiratory sensor member comparatively monitors incremental exhalation flow parameters during a single exhalation and automatically calibrates ventilator output to maintain or change such output in accord with such exhalation parameters.
- Yet another object of the present invention is to provide a ventilator whose calibrateable parameters include volume, pressure, and delivery-duration of air or oxygen- enriched air as administered to a patient.
- the present invention is a respiratory ventilator for monitoring breath flow and automatically regulating and calibrating respiration gas flow delivery in accord with such monitored breath flow.
- the ventilator first comprises a respiratory gas delivery member having a calibrateable gas flow adjuster and a calibrateable gas pressure adjuster that regulate delivery of respiratory gas.
- the ventilator comprises a gas flow calibration member m communication with the gas flow adjuster and gas pressure adjuster for calibrating these adjusters to thereby regulate delivery of respiratory gas.
- the gas flow calibration member first comprises a reader component for recording mspiratory gas volume, exhalation gas volume, and exhalation time, and for measuring a plurality of incremental exhalation gas flow values m a plurality of incremental time periods during a single exhalation and averaging as a set of consecutive flow values a pre- selected number of these flow values.
- the gas flow calibration member comprises a composite calculator component for determining an average composite flow value of a plurality of consecutive sets of flow values and thereafter determining an average aggregate flow value of a plurality of consecutive composite flow values.
- the composite calculator component additionally determines a volume flow calibration value as the difference between inspired and exhaled gas volume divided by exhalation time.
- the gas flow calibration member comprises a scanner calculator component for scanning in reverse order the plurality of consecutive composite flow values and calculating a new flow calibration value where a preselected number of consecutive composite flow values fall within a pre-selected flow rate. Thereafter, the gas flow adjuster and gas pressure adjuster are calibrated in accord with the determined new flow calibration value.
- the scanner calculator component calculates a new flow calibration value where 60 consecutive composite flow values fall within a flow rate of ⁇ 2.5 liters per minute per millisecond, or where less than 60 consecutive composite flow values fall within a flow rate of ⁇ 2.5 liters per minute per millisecond.
- certain criteria must be met, and include (1) an existing flow calibration value that is greater than an existing bias flow plus 2.5 liters per minute, (n) a volume flow calibration value that is less than the bias flow plus 2.5 liters per minute, and (m) the existing flow calibration value minus the volume flow calibration value must be greater than 3.1 liters per minute.
- the gas flow adjuster and gas pressure adjuster are calibrated to a flow calibration value equal to the volume flow calibration value minus 1.0 liter per minute.
- the present invention additionally includes methodology as exemplified m the operation of the ventilator for sensing untoward respiratory activity and thereafter responding to such activity.
- the present ventilator and methodology comparatively monitors incremental exhalation flow parameters during consecutive single exhalations and automatically calibrates ventilator output to maintain or change such output in accord with these exhalation parameters and the thereby reflected needs of a patient.
- Figure 1 is a flow chart defining ventilator operation and respiratory gas flow calibration methodology.
- a respiratory ventilator 10 is conventionally equipped with a respiratory gas delivery member 12 and a gas flow calibration member 14.
- Gas delivery from the delivery member 12 to a patient is regulated by a standard calibrateable gas flow adjuster and a standard calibrateable gas pressure adjuster to thereby maintain a desired flow, defined throughout this application as the volume of gas per unit of time, of air, oxygen enriched air, or the like, to a patient.
- the gas flow calibration member 14 has a reader component 16, a composite calculator component 18, and a scanner calculator component 20 all conventionally cooperatively networked such that data is shared among all three components 16, 18, 20.
- the reader component 16 measures a plurality of incremental exhalation gas flow values in a plurality of two millisecond timer periods during breath exhalation, and thereafter averaging a series of three consecutive flow values to produce at least 15 consecutive sets.
- the composite calculator component 18 receives the 15 consecutive sets of flow values to first average these values to thereby determine an average composite flow value and to second determine an average aggregate flow value derived from the averaging a plurality of average composite flow values.
- the composite calculator component 18 additionally determines a volume flow calibration value calculated as the difference between inspired and exhaled gas volume divided by exhalation time.
- Data from the composite calculator component 18 is conventionally transmitted to the scanner calculator component 20 where initial scanning is performed in reverse order on the plurality of composite flow values to calculate a new flow calibration value on data under "Option One" 22 where 60 consecutive composite flow values fall within a flow rate of ⁇ 2.5 liters per minute per millisecond.
- Such calibration value is transmitted to the gas flow calibration member 14 for subsequent appropriate calibration of the gas flow and/or gas pressure adjuster (s) of the gas delivery member 12 and ultimate calibrated output from the ventilator 10.
- a flow calibration value equal to the volume flow calibration value minus 1.0 liter per minute is transmitted to the gas flow calibration member 14 for subsequent appropriate calibration of the gas flow and/or gas pressure adjuster (s) of the gas delivery member 12 and ultimate calibrated output from the ventilator 10 m the same manner as earlier related.
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU42507/00A AU4250700A (en) | 1999-04-26 | 2000-04-19 | Respiratory ventilator with automatic flow calibration |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/299,780 | 1999-04-26 | ||
US09/299,780 US6135967A (en) | 1999-04-26 | 1999-04-26 | Respiratory ventilator with automatic flow calibration |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2000064345A1 true WO2000064345A1 (en) | 2000-11-02 |
Family
ID=23156279
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2000/010531 WO2000064345A1 (en) | 1999-04-26 | 2000-04-19 | Respiratory ventilator with automatic flow calibration |
Country Status (3)
Country | Link |
---|---|
US (1) | US6135967A (en) |
AU (1) | AU4250700A (en) |
WO (1) | WO2000064345A1 (en) |
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FR2858236B1 (en) | 2003-07-29 | 2006-04-28 | Airox | DEVICE AND METHOD FOR SUPPLYING RESPIRATORY GAS IN PRESSURE OR VOLUME |
US8457706B2 (en) | 2008-05-16 | 2013-06-04 | Covidien Lp | Estimation of a physiological parameter using a neural network |
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US8439036B2 (en) | 2009-12-01 | 2013-05-14 | Covidien Lp | Exhalation valve assembly with integral flow sensor |
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US8469030B2 (en) | 2009-12-01 | 2013-06-25 | Covidien Lp | Exhalation valve assembly with selectable contagious/non-contagious latch |
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CN111504387A (en) * | 2020-05-19 | 2020-08-07 | 南京舒普医疗科技有限公司 | Breathing machine calibration equipment and breathing machine calibration system |
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US6135967A (en) | 2000-10-24 |
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