WO2004019766A3 - Method and apparatus for predicting work of breathing - Google Patents

Method and apparatus for predicting work of breathing Download PDF

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Publication number
WO2004019766A3
WO2004019766A3 PCT/US2003/027297 US0327297W WO2004019766A3 WO 2004019766 A3 WO2004019766 A3 WO 2004019766A3 US 0327297 W US0327297 W US 0327297W WO 2004019766 A3 WO2004019766 A3 WO 2004019766A3
Authority
WO
WIPO (PCT)
Prior art keywords
breathing
pressure
patient
linear
patient effort
Prior art date
Application number
PCT/US2003/027297
Other languages
French (fr)
Other versions
WO2004019766A2 (en
Inventor
Neil R Euliano
Victor L Brennan
Paul B Blanch
Michael J Banner
Original Assignee
Univ Florida
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 Univ Florida filed Critical Univ Florida
Priority to CA2492528A priority Critical patent/CA2492528C/en
Priority to EP03749281.6A priority patent/EP1534131B1/en
Priority to AU2003268324A priority patent/AU2003268324B2/en
Priority to BR0313823-2A priority patent/BR0313823A/en
Priority to JP2004532011A priority patent/JP4836453B2/en
Priority to BRPI0313823A priority patent/BRPI0313823B8/en
Priority to EP11173288.9A priority patent/EP2377463B1/en
Publication of WO2004019766A2 publication Critical patent/WO2004019766A2/en
Publication of WO2004019766A3 publication Critical patent/WO2004019766A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/082Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • A61B5/036Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A61B5/037Measuring oesophageal pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/083Measuring rate of metabolism by using breath test, e.g. measuring rate of oxygen consumption
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording 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
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/087Measuring breath 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; 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

Abstract

A method of creating a non-invasive predictor of both physiologic and imposed patient effort from airway pressure and flow sensors attached to the patient using an adaptive mathematical model. The patient effort is commonly measured via work of breathing, power of breathing, or pressure-time product of esophageal pressure and is important for properly adjusting ventilatory support for spontaneously breathing patients. The method of calculating this non-invasive predictor is based on linear or non-linear calculations using multiple parameters derived from the above-mentioned sensors.
PCT/US2003/027297 2002-08-30 2003-08-29 Method and apparatus for predicting work of breathing WO2004019766A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CA2492528A CA2492528C (en) 2002-08-30 2003-08-29 Method and apparatus for predicting work of breathing
EP03749281.6A EP1534131B1 (en) 2002-08-30 2003-08-29 Method and apparatus for predicting work of breathing
AU2003268324A AU2003268324B2 (en) 2002-08-30 2003-08-29 Method and apparatus for predicting work of breathing
BR0313823-2A BR0313823A (en) 2002-08-30 2003-08-29 Method and apparatus for predicting breath work
JP2004532011A JP4836453B2 (en) 2002-08-30 2003-08-29 Method and apparatus for predicting respiratory work
BRPI0313823A BRPI0313823B8 (en) 2002-08-30 2003-08-29 method and apparatus for predicting the work of breathing
EP11173288.9A EP2377463B1 (en) 2002-08-30 2003-08-29 Method and apparatus for predicting work of breathing

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US40709902P 2002-08-30 2002-08-30
US60/407,099 2002-08-30

Publications (2)

Publication Number Publication Date
WO2004019766A2 WO2004019766A2 (en) 2004-03-11
WO2004019766A3 true WO2004019766A3 (en) 2004-06-24

Family

ID=31978419

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/027297 WO2004019766A2 (en) 2002-08-30 2003-08-29 Method and apparatus for predicting work of breathing

Country Status (7)

Country Link
US (3) US7425201B2 (en)
EP (2) EP1534131B1 (en)
JP (1) JP4836453B2 (en)
AU (1) AU2003268324B2 (en)
BR (2) BR0313823A (en)
CA (1) CA2492528C (en)
WO (1) WO2004019766A2 (en)

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US20070232951A1 (en) 2007-10-04
BRPI0313823B8 (en) 2021-06-22
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AU2003268324B2 (en) 2008-05-29
EP2377463A1 (en) 2011-10-19
EP1534131B1 (en) 2016-10-26
US20040040560A1 (en) 2004-03-04
CA2492528C (en) 2014-03-18
US7425201B2 (en) 2008-09-16
CA2492528A1 (en) 2004-03-11
US7588543B2 (en) 2009-09-15
EP1534131A2 (en) 2005-06-01
JP2005537068A (en) 2005-12-08
JP4836453B2 (en) 2011-12-14
US8617083B2 (en) 2013-12-31
US20090272382A1 (en) 2009-11-05
BR0313823A (en) 2005-07-05

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