Cuff pressure management device, a ventilator system and method of cuff pressure management

    公开(公告)号:US11623057B2

    公开(公告)日:2023-04-11

    申请号:US16811575

    申请日:2020-03-06

    Inventor: Seunghyun Lee

    Abstract: A cuff pressure management device (10) for a tracheal breathing tube (54) with an inflatable cuff (90), comprises a volume displacement subsystem (36), a pressure transducer (44), a compliance determination circuit (34), and a cuff pressure controller (24). The volume displacement subsystem provides (i) a measured volume of pressurized gas to and from the cuff and (ii) a cuff gas volume signal. The pressure transducer provides a cuff gas pressure signal. The compliance determination circuit is configured to calculate cuff compliance and an estimated tracheal airway compliance based on the gas volume signal and the gas pressure signal. The cuff pressure controller is in controlling communication with the volume displacement subsystem and the compliance determination circuit to maintain cuff pressure based on the calculated cuff compliance.

    Systems and methods for adaptive cough detection and adaptive mechanical insufflation-exsufflation (MI-E) therapy

    公开(公告)号:US12290633B2

    公开(公告)日:2025-05-06

    申请号:US17399249

    申请日:2021-08-11

    Abstract: A mechanical ventilation system comprises a mechanical ventilator configured to deliver ventilation to a patient. An electronic controller is programmed to control the mechanical ventilator to perform a mechanical insufflation-exsufflation (MI-E) therapy method including performing a MI-E cycle including: (i) during an insufflation cycle, delivering pressure to the patient at a positive insufflation gauge pressure; (ii) during an exsufflation cycle following step (i), delivering pressure to the patient at a negative exsufflation gauge pressure and detecting whether an upper airway collapse occurs; and (iii) reducing a magnitude of the negative exsufflation gauge pressure if an upper airway collapse is detected in step (ii).

    High frequency chest wall oscillator

    公开(公告)号:US11730669B2

    公开(公告)日:2023-08-22

    申请号:US16294051

    申请日:2019-03-06

    Inventor: Seunghyun Lee

    Abstract: The present disclosure pertains to a system configured to determine one or more parameters of chest wall oscillation therapy for a subject. The system includes a wearable garment configured to provide percussion to one or more parts of a lung of a subject. The wearable garment includes: percussion excitation elements configured to produce the percussion; and sensors configured to generate output signals conveying information related to a response of the one or more parts of the lung to the percussion. The system includes a control unit configured to determine frequency and energy density information for the sounds made by the one or more parts of the lungs caused by the percussion, the frequency and energy density information determined based on the output signals; and determine the one or more parameters of the chest wall oscillation therapy based on the frequency and energy density information.

    Mechanical in-exsufflation
    5.
    发明授权

    公开(公告)号:US11433200B2

    公开(公告)日:2022-09-06

    申请号:US15754643

    申请日:2016-08-26

    Inventor: Seunghyun Lee

    Abstract: The present disclosure pertains to a method and system configured for cough synchronization in a mechanical insufflation-exsufflation system. The system is configured to synchronize (712) the transition from an insufflation mode to an exsufflation mode to a patient initiated cough by detecting cough effort of the patient e.g. at the end of the insufflation phase. The detection of cough effort of the patient is based on one or more parameters associated with gas in the system. Upon detecting that the patient is initiating a cough, the system automatically switches the insufflation mode to the exsufflation mode to assist the patient to generate an effective cough.

    System and method for controlling exsufflation pressure during in-exsufflation

    公开(公告)号:US10335564B2

    公开(公告)日:2019-07-02

    申请号:US15022602

    申请日:2014-09-05

    Inventor: Seunghyun Lee

    Abstract: A system and method to in-exsufflate a subject is described. The system provides an effective non-invasive alternative to invasive treatments such as a tracheostomy for ALS patients. The system detects airway collapse during exsufflation and adjusts in-exsufflation therapy settings to minimize airway collapse, thus maximizing the efficacy of the in-exsufflation therapy. In some embodiments, tidal volume, tidal flow rate, and/or other parameters are monitored during in-exsufflation. Exsufflation pressure is adjusted based on the monitored parameters to maintain an open airway during exhalation of the subject. Exsufflation pressure is adjusted based on a comparison of an actual exhalation tidal volume to a target exhalation tidal volume, an actual exhalation flow rate to a target exhalation flow rate, an actual inhalation tidal volume to a target inhalation volume, and/or other comparisons.

    LUNG VOLUME RECRUITMENT (LVR) AUTOMATIC MANEUVER

    公开(公告)号:US20220152326A1

    公开(公告)日:2022-05-19

    申请号:US17406278

    申请日:2021-08-19

    Abstract: A mechanical ventilation system includes a mechanical ventilator configured to deliver ventilation to a patient. An electronic controller is programmed to control the mechanical ventilator to perform a lung volume recruitment (LVR) therapy method. The LVR therapy method includes at least one LVR cycle including: an inspiration phase in which air is delivered to an upper airway of the patient by the mechanical ventilator to ramp an airway pressure up to an LVR pressure of the LVR cycle, a hold phase in which the airway pressure is maintained by the mechanical ventilator at the LVR pressure or at a pressure above the LVR pressure for a hold time interval, and an expiration phase in which the airway pressure decreases to a positive end-expiratory pressure (PEEP) of the LVR cycle.

    SYSTEM AND METHOD FOR CONTROLLING INSUFFLATION PRESSURE DURING INEXSUFFLATION
    9.
    发明申请
    SYSTEM AND METHOD FOR CONTROLLING INSUFFLATION PRESSURE DURING INEXSUFFLATION 审中-公开
    控制消除压力的系统和方法

    公开(公告)号:US20150059753A1

    公开(公告)日:2015-03-05

    申请号:US14386462

    申请日:2013-03-19

    Abstract: The present disclosure pertains to a system and method for controlling insufflation pressure during inexsufflation of a subject. The system inexsufflates the subject such that tidal flow and/or tidal volume are monitored during insufflation, and insufflation pressure is adjusted to maintain the flow rate of the pressurized flow of breathable gas until a target tidal volume is reached for the insufflation. When the target tidal volume has substantially been reached, the system is causes gas to be evacuated from the airway of the subject. This may provide for more precise, customized therapy for the subject than is provided by conventional inexsufflation systems in which inspiratory flow may not be monitored and/or controlled. In one embodiment, the system comprises one or more of a pressure generator, a subject interface, one or more sensors, a processor, a user interface, electronic storage, and/or other components.

    Abstract translation: 本公开涉及一种用于在受试者的呼吸充气期间控制吹入压力的系统和方法。 该系统抵消了受试者,使得在吹气期间监测潮汐流和/或潮气量,并且调节吹入压力以保持加压气体的可呼吸气体的流速,直到达到目标潮气量为止。 当达到目标潮气量时,系统使得气体从被检体的气道排出。 这可以提供对于受试者的更精确的,定制的治疗,而不是由其中吸气流量可能不被监测和/或控制的常规呼吸系统提供。 在一个实施例中,系统包括压力发生器,对象接口,一个或多个传感器,处理器,用户接口,电子存储器和/或其他组件中的一个或多个。

    IN-EXSUFFLATION THERAPY AUTO-ADJUSTMENT
    10.
    发明申请
    IN-EXSUFFLATION THERAPY AUTO-ADJUSTMENT 有权
    自动解决方案自动调整

    公开(公告)号:US20150165144A1

    公开(公告)日:2015-06-18

    申请号:US14405046

    申请日:2013-05-24

    Abstract: The present disclosure pertains to a method and system configured to in-exsufflate a subject by controlling the in-exsufflation pressure waveform. In some embodiments, the system comprises a pressure generator, a subject interface, one or more sensors, one or more processors, electronic storage, a user interface, and/or other components. The system is configured to assist the subject to loosen and/or expel secretions by inducing a percussive pressure waveform delivered to the subject during inhalation and/or exhalation. The system is configured to control the in-exsufflation therapy delivered to the subject without requiring regular manual setting and/or adjustment of pressures, pressure amplitudes, a frequency range, and/or other parameters of the percussive pressure waveform.

    Abstract translation: 本公开涉及一种被配置为通过控制吹气前的压力波形来消除受试者的方法和系统。 在一些实施例中,系统包括压力发生器,对象接口,一个或多个传感器,一个或多个处理器,电子存储器,用户接口和/或其他组件。 该系统被配置为通过在吸入和/或呼气期间通过诱导递送给对象的冲击压力波形来帮助受试者松开和/或排出分泌物。 该系统被配置为控制传送到被摄体的呼气释放治疗,而不需要定期手动设置和/或调节压力波幅,压力幅度,频率范围和/或其他参数。

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