公开(公告)号：US20070144522A1

公开(公告)日：2007-06-28

申请号：US11554905

申请日：2006-10-31

申请人： Marcus EGER ,  Dieter WEISMANN

发明人： Marcus EGER ,  Dieter WEISMANN

IPC分类号： A61M16/00 ,  A62B7/00 ,  A62B7/04

CPC分类号： A61M16/205 ,  A61M16/026 ,  A61M16/204 ,  A61M2016/0027 ,  A61M2016/0036 ,  A61M2205/15

摘要： A method, system and device are provided for the determination of leaks in a respirator. An inspiration pressure pinsp is recorded during an inspiration time Tinsp with a measuring device. The inspiration pressure pinsp is varied during consecutive breaths I. Leaks are determined as to leak volumes VLi from the product of pinspi and Tinspi in accordance with the equation VLi=A×pinspiB×Tinspi while the parameters A and B are determined in an analyzing unit by a regression model with pinsp as the regressor.

摘要翻译： 提供了一种用于确定呼吸器泄漏的方法，系统和装置。 在使用测量装置的吸气时间T 期间记录灵感压力。 在连续呼吸期间，吸气压力p 变化。泄漏确定为来自p＆lt; SUB＆gt;和T的产物的泄漏体积V 根据公式<？in-line-formula description =“In-line Formulas”end =“lead”？> V Li = pi pi pi pi pi pi pi pi pi pi pi pi pi pi pi pi pi pi pi ＆lt; / SUB＆gt;＆lt;＆lt;＆lt;＆lt;＆lt;＆lt;＆lt;＆lt;＆lt;线内公式描述=“内联公式”end =“tail”？> 通过回归模型在分析单元中确定具有作为回归的p _{insp 。}

公开(公告)号：US20090020119A1

公开(公告)日：2009-01-22

申请号：US12112485

申请日：2008-04-30

申请人： Marcus EGER ,  Dieter WEISMANN

发明人： Marcus EGER ,  Dieter WEISMANN

IPC分类号： A61M16/00

CPC分类号： A61M16/026 ,  A61M2016/0027

摘要： Operating a respirator with an inspiration pressure-vs.-time curve (1), which has an airway target pressure (paw—target) and a PEEP (3), in which the inspiration pressure-vs.-time curve (1) reaches the airway target pressure (paw—target) on a ramp-like curve (17) starting from a starting airway pressure (paw—Start), which is greater than the PEEP (3).

摘要翻译： 操作具有气道压力 - 时间曲线（1）的呼吸器，其具有气道目标压力（爪 - 目标）和PEEP（3），其中吸气压力vs。 时间曲线（1）从起始气道压力（爪子起始）开始的斜坡曲线（17）上达到气道目标压力（爪 - 目标） ，大于PEEP（3）。

公开(公告)号：US20120152250A1

公开(公告)日：2012-06-21

申请号：US13194052

申请日：2011-07-29

申请人： Marcus EGER ,  Hans-Ullrich HANSMANN ,  Tobias GLAW ,  Frank SATTLER

发明人： Marcus EGER ,  Hans-Ullrich HANSMANN ,  Tobias GLAW ,  Frank SATTLER

IPC分类号： A61M16/00

CPC分类号： A61M16/0051 ,  A61B5/0488 ,  A61B5/087 ,  A61B5/091 ,  A61M16/026 ,  A61M2230/005 ,  A61M2230/08 ,  A61M2230/60

摘要： A process is provided for the automatic control of a respirator for changing over (triggering) between consecutive phases of respiration (inspiration and expiration phases), wherein a pneumatic breathing activity signal upneu(t) and a non-pneumatic breathing activity signal unon-pneu(t) of a patient are picked up. The intervals Δpneu(t) and Δnon-pneu(t) to the associated threshold variables are respectively determined starting from a preset reference point in time since the beginning of the present phase of respiration. The intervals are standardized to one another at δpneu(t) and δnon-pneu(t), such that the intervals have equal interval values at a preset reference point in time. The standardized intervals δpneu(t) and δnon-pneu(t) are averaged to a mean interval indicator and a changeover is made into the next phase of respiration when the combined interval indicator is 0.

摘要翻译： 提供了一种用于自动控制呼吸器以在连续的呼吸阶段（吸气和呼气阶段）之间切换（触发）的过程，其中气动呼吸活动信号upneu（t）和非气动呼吸活动信号unon-pneu （t）。 距离相关阈值变量的间隔＆Dgr; pneu（t）和＆Dgr;非pneu（t）分别从呼吸现在阶段开始以来的预设参考点开始确定。 间隔在δpneu（t）和δnon-pneu（t）处彼此标准化，使得间隔在预设参考点处具有相等的间隔值。 将标准化间隔δpneu（t）和δnon-pneu（t）平均为平均间隔指示器，并且当组合间隔指示符为0时，转换成下一个呼吸阶段。

公开(公告)号：US20100307499A1

公开(公告)日：2010-12-09

申请号：US12754055

申请日：2010-04-05

申请人： Marcus EGER ,  Thomas HANDZSUJ ,  Zhanqi ZHAO ,  Knut MÖLLER

发明人： Marcus EGER ,  Thomas HANDZSUJ ,  Zhanqi ZHAO ,  Knut MÖLLER

IPC分类号： A61M16/00

CPC分类号： A61B5/085 ,  A61M16/026 ,  A61M2230/46

摘要： A respirator with an adjustable pressure or volume flow curve has a control and analyzing unit, which is set up to determine the resistance R and the alveolar pressure Palv(t). The control and analyzing unit checks the functional dependence of Palv(t) and of the tidal volume Vol(t) for time intervals in which an indicator of the quality of a linear functional dependence of Palv(t) and Vol(t) meets a preset threshold criterion and to determine the elastance E or compliance C from the rise of the alveolar pressure Palv(t) as a function of the volume Vol(t) only in the time intervals thus determined.

摘要翻译： 具有可调压力或体积流量曲线的呼吸器具有控制和分析单元，其被设置以确定电阻R和肺泡压力Palv（t）。 控制和分析单元检查Palv（t）和潮气量Vol（t）对于Palv（t）和Vol（t）的线性函数依赖性的质量指标符合一个时间间隔的时间间隔的函数依赖性 并且根据如此确定的时间间隔从作为体积Vol（t）的函数的肺泡压力Palv（t）的上升来确定弹性E或柔顺度C。

公开(公告)号：US20090114224A1

公开(公告)日：2009-05-07

申请号：US12264980

申请日：2008-11-05

申请人： Thomas HANDZSUJ ,  Ernst SCHUBERT ,  Frank RALFS ,  Marcus EGER

发明人： Thomas HANDZSUJ ,  Ernst SCHUBERT ,  Frank RALFS ,  Marcus EGER

IPC分类号： A61M16/00

CPC分类号： A61M16/0051 ,  A61B5/091 ,  A61M16/0069 ,  A61M16/024 ,  A61M2016/0027 ,  A61M2016/0036 ,  A61M2205/502 ,  A61M2230/42 ,  A61M2230/432 ,  A61M2230/46

摘要： A method is provided for automatically controlling a ventilation or breathing system with a ventilation unit (7), which is controlled by a control unit (5), in order to deliver an assist pressure preset by the control unit, wherein the current values of the tidal volume flow Flow(t) and those of the volume V(t) are detected in the control unit. The control unit (5) may carry out a proportionally assisting ventilation method (PAV: Proportional Assist Ventilation) by a factor for a degree of compensation (PPSp) being selected by the control unit and by the parameters for the volume assist (VA) and the flow assist (FA) being determined by: VA=PPSp·ΔE FA=PPSp·ΔR, wherein ΔE is the deviation of a measured or assumed elastance (Emeasured) of the patient from an ideal elastance (Eideal) and ΔR is the deviation of a measured or assumed resistance (Rmeasured) of the patient from an ideal resistance (Rideal). The assist pressure PS(t)=VA·V(t)+FA·Flow(t) is determined from this by the control unit with the flow delivery device (ventilation unit (7)) being set such as to deliver this assist pressure.

摘要翻译： 提供一种用于通过由控制单元（5）控制的通风单元（7）来自动控制通气或呼吸系统的方法，以便传递由控制单元预设的辅助压力，其中， 流量（t）和体积V（t）的流量在控制单元中被检测到。 控制单元（5）可以通过由控制单元选择的补偿程度（PPSp）和体积辅助（VA）的参数的因子来执行比例辅助通气方法（PAV：比例辅助通气） 流量辅助（FA）由以下确定：<？in-line-formula description =“In-line Formulas”end =“lead”？> VA = PPSp.DeltaE <？in-line-formula description =“In-line 公式“end =”tail“？> <？in-line-formula description =”In-line Formulas“end =”lead“？> FA = PPSp.DeltaR，<？in-line-formula description =”In-line 公式“end =”tail“？>其中DeltaE是患者与理想弹性（Eideal）的测量或假定弹性（Emeasured）的偏差，DeltaR是患者的测量或假定电阻（Rmeasured）的偏差 从理想的抵抗（Rideal）。 辅助压力PS（t）= VA.V（t）+ FA.Flow（t）由具有流量输送装置（换气单元（7））的控制单元由此确定，以便传递该辅助压力 。

公开(公告)号：US20120152251A1

公开(公告)日：2012-06-21

申请号：US13194200

申请日：2011-07-29

申请人： Marcus EGER ,  Hans-Ullrich HANSMANN ,  Tobias GLAW ,  Frank SATTLER ,  Thomas HANDZSUJ

发明人： Marcus EGER ,  Hans-Ullrich HANSMANN ,  Tobias GLAW ,  Frank SATTLER ,  Thomas HANDZSUJ

IPC分类号： A61M16/00

CPC分类号： A61M16/0051 ,  A61M16/00 ,  A61M16/0003 ,  A61M16/024 ,  A61M2016/0015 ,  A61M2205/33 ,  A61M2205/50 ,  A61M2230/40 ,  A61M2230/005

摘要： A process for automatic control of a respirator changes between two phases of respiration by checking a detected respiratory breathing activity signal for a threshold criterion. If the threshold criterion is met, a changeover is made. A dynamic threshold curve, used for changing over into an inspiration phase, is held, after the beginning of the present expiration phase, at high values until the end of a selected inspiratory refractory period, and is then lowered monotonically, dropping to an inspiratory threshold target value at the expected point in time of the phase duration maximum of the present expiration phase. A dynamic threshold curve, which is held at low values, after the beginning of the present inspiration phase, until the end of a selected expiratory refractory period, is raised monotonically, increasing to an expiratory threshold target value at the expected point in time of the phase duration maximum of the present inspiration phase and is then changed over into the expiration phase when the breathing activity signal drops below the threshold curve for the expiration. The phase duration of the inspiration and expiration phases or breath duration (inspiration and expiration phases) is stored in each case, and the expected points in time of the phase duration maxima are derived from the distributions of the phase durations in relation to the beginning of the respective phase of respiration or from the distribution of the breath durations in relation to the beginning of the previous phase of respiration.

摘要翻译： 通过检查检测到的呼吸呼吸活动信号作为阈值标准，呼吸器的自动控制过程在两个呼吸阶段之间改变。 如果满足阈值标准，则进行切换。 用于切换到吸气阶段的动态阈值曲线在当前期满阶段开始后保持高值，直到所选吸气不应期结束，然后单调下降，降至吸气阈值 目标值在当前期满阶段的相位持续时间最大值的预期时间点。 在目前的吸气阶段开始后直到选定的呼气不应期结束时，保持低值的动态阈值曲线单调增加，增加到预期的时间点内的呼气阈值目标值 当吸气相的相位持续时间最大值，然后当呼吸活动信号下降到用于呼气的阈值曲线以下时，切换到呼气阶段。 在每种情况下存储吸气和呼气持续时间（吸气和呼气阶段）的相位持续时间，并且相位持续时间最大值的预期时间点从相对于开始时间的相位持续时间的分布导出 呼吸的相应阶段或呼吸持续时间相对于呼吸前期开始的分布。

公开(公告)号：US20080269587A1

公开(公告)日：2008-10-30

申请号：US12036374

申请日：2008-02-25

申请人： Marcus EGER

发明人： Marcus EGER

IPC分类号： A61B5/00 ,  A41D1/00 ,  A61F7/00

CPC分类号： A62B17/003 ,  A41D13/0025 ,  A61B5/091 ,  A61B5/4266 ,  A61B5/4283 ,  A61B5/4869

摘要： A process and a device are provided for monitoring the status of the body fluids of a person. The device includes a piece of clothing with ventilating ducts, a first temperature sensor (6) and a first moisture sensor (11) for measuring the inlet flow (7) into the piece of clothing and a second temperature sensor (17) and a second moisture sensor (12) for measuring the outlet flow (10) from the piece of clothing. A pressure sensor (13) is provided sensing pressure in the inlet flow. A fan (5) or a compressed-air source is provided for transporting the cooling air into the piece of clothing. A measuring and analyzing unit (13) is connected to the sensors and the fan (5) or the compressed-air source.

摘要翻译： 提供了一种用于监测人体液状态的过程和装置。 该装置包括具有通风管的衣服，第一温度传感器（6）和用于测量进入衣服的入口流（7）的第一湿度传感器（11），以及第二温度传感器（17）和第二温度传感器 水分传感器（12），用于测量来自衣服的出口流（10）。 设置有压力传感器（13），用于检测入口流中的压力。 设置风扇（5）或压缩空气源，用于将冷却空气输送到衣服中。 测量和分析单元（13）连接到传感器和风扇（5）或压缩空气源。

公开(公告)号：US20110240021A1

公开(公告)日：2011-10-06

申请号：US13043054

申请日：2011-03-08

申请人： Marcus EGER ,  Tobias GLAW ,  Thomas Krüger ,  Hans-Ullrich HANSMANN

发明人： Marcus EGER ,  Tobias GLAW ,  Thomas Krüger ,  Hans-Ullrich HANSMANN

IPC分类号： A61M16/01 ,  A61M16/00

CPC分类号： A61M16/01 ,  A61M16/122 ,  A61M16/18 ,  A61M16/22 ,  A61M2205/3561 ,  A61M2205/8206 ,  A61M2230/60 ,  A61M2230/63 ,  H02J7/0013 ,  H02J7/0068

摘要： A respirator or anesthesia system for respirating a patient (20) includes a gas delivery device (3); at least one gas line (4) for forming a breathing air line system, especially a breathing air circulation system; at least one EMG sensor for detecting the electromyographic muscle activity of the respiratory muscles of a patient (20) being respirated; and a control (9) for controlling and/or regulating the output of the gas delivery device (3) as a function of the detected muscle activity of the respiratory muscles. An adaptation of the part of respiration to the performance capacity of the respiratory muscles of the patient (20) being respirated is made possible without invasive measurement of the electromyographic activity of the respiratory muscles by the at least one EMG sensor being an sEMG sensor (6).

摘要翻译： 用于呼吸患者（20）的呼吸器或麻醉系统包括气体输送装置（3）; 用于形成呼吸空气管线系统的至少一个气体管线（4），特别是呼吸空气循环系统; 用于检测呼吸的患者（20）的呼吸肌的肌电图肌肉活动的至少一个EMG传感器; 以及用于根据检测到的呼吸肌的肌肉活动的函数来控制和/或调节气体输送装置（3）的输出的对照（9）。 通过由至少一个EMG传感器作为sEMG传感器（6）来呼吸呼吸肌的肌电图活动的侵入性测量可以使呼吸部分的适应性与呼吸的患者（20）的呼吸肌的运动能力相适应 ）。

公开(公告)号：US20120152249A1

公开(公告)日：2012-06-21

申请号：US13187787

申请日：2011-07-21

申请人： Marcus EGER ,  Hans-Ullrich HANSMANN ,  Tobias GLAW ,  Frank SATTLER

发明人： Marcus EGER ,  Hans-Ullrich HANSMANN ,  Tobias GLAW ,  Frank SATTLER

IPC分类号： A61M16/00

CPC分类号： A61M16/024 ,  A61M2016/0015 ,  A61M2230/005 ,  A61M2230/10 ,  A61M2230/40

摘要： A process for the automatic control of a respirator with a changeover between phases of respiration (inspiration and expiration), by a control unit checking a breathing activity signal for a threshold criterion. If the threshold criterion is met, a changeover is made and the control unit controls the fan of the respirator such that a pneumatic respiration variable (airway pressure, flow) is brought from an actual value to a preset target value for the new phase of respiration. The control unit further divides the change in the respiration variable, from the actual value to the target value, into a plurality of partial steps and checks the current breathing activity signal for the threshold criterion after each partial step. If this threshold criterion is no longer met, the state of operation of the respirator returns to the state before the last changeover, and otherwise, continues with the next partial step.

摘要翻译： 一种用于通过控制单元检查呼吸活动信号以进行阈值标准来自动控制具有呼吸阶段（呼吸和呼气）之间切换的呼吸器的过程。 如果满足阈值标准，则进行切换，并且控制单元控制呼吸器的风扇，使得气动呼吸变量（气道压力，流量）从实际值提供给新呼吸阶段的预设目标值 。 控制单元进一步将呼吸变量的变化与实际值分解为多个部分步骤，并且在每个部分步骤之后检查当前呼吸活动信号的阈值标准。 如果不再满足该阈值标准，呼吸器的运行状态返回到最后一次切换前的状态，否则继续下一个部分步骤。

公开(公告)号：US20110028819A1

公开(公告)日：2011-02-03

申请号：US12841454

申请日：2010-07-22

申请人： Marcus EGER ,  Thomas HANDZSUJ ,  Hans-Ullrich HANSMANN

发明人： Marcus EGER ,  Thomas HANDZSUJ ,  Hans-Ullrich HANSMANN

IPC分类号： A61B5/04

CPC分类号： A61B5/0492 ,  A61B5/0803 ,  A61B2562/0219 ,  A61B2562/0247

摘要： Electromyographic and mechanomyographic parameters of a patient are detected accurately with few artifacts in a medical sensor device (11) for a patient. The medical sensor device (11) includes an electrode (12) for detecting an electric voltage on a body surface of the patient, a holding element (10) with preferably at least one transmission means for transmitting or conducting signals or electric currents, at least one mechanical connection means (14) for the detachable mechanical connection of electrode (12) with holding element (10), and at least one electric connection means (15) for the detachable electric connection of electrode (12) with holding element (10). the holding element (10) comprising at least one sensor for detecting at least one medical parameter of the patient.

摘要翻译： 在用于患者的医疗传感器装置（11）中准确地检测患者的肌电图和肌肉动力学参数，几乎没有伪像。 医疗传感器装置（11）包括用于检测患者身体表面上的电压的电极（12），具有优选至少一个传输装置的保持元件（10），用于至少传输或传导信号或电流 一种用于电极（12）与保持元件（10）的可拆卸机械连接的机械连接装置（14），以及用于将电极（12）与保持元件（10）可拆卸地电连接的至少一个电连接装置（15） 。 保持元件（10）包括用于检测患者的至少一个医学参数的至少一个传感器。