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公开(公告)号：US20120152251A1
公开(公告)日：2012-06-21
申请号：US13194200
申请日：2011-07-29
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。
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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。
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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。
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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
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 ）。
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公开(公告)号：US20110028819A1
公开(公告)日：2011-02-03
申请号：US12841454
申请日：2010-07-22
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。
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6.发明申请公开(公告)号：US20100185107A1
公开(公告)日：2010-07-22
申请号：US12688174
申请日：2010-01-15
申请人： Thomas GRASSL , Torge WALL , Thomas GALLUS , Yvo GÄRBER , Christian BULLMANN , Hans-Ullrich HANSMANN , Hartmut STARK , Frank SATTLER , Henning GERDER
发明人： Thomas GRASSL , Torge WALL , Thomas GALLUS , Yvo GÄRBER , Christian BULLMANN , Hans-Ullrich HANSMANN , Hartmut STARK , Frank SATTLER , Henning GERDER
CPC分类号： H01B7/04 , H01B7/0838 , H01B7/0861
摘要： A cable for electromedical application and especially for recording the ECG of patients of different body shapes and body sizes is provided including a textile composite (1) formed of a carrier layer (2) and a cover layer (3). At least one electric line (4) is accommodated between the carrier layer (2) and the cover layer (3). After manufacture in a cost-effective manner, the cable offers sufficient protection against short circuits in case of penetration of moisture, on the one hand, and adapts to curved and irregularly shaped structures without problems, on the other hand. The cable textile composite (1) is flexibly deformable without destruction, wherein at least one electric line (4) is electrically insulated by an insulation (5) against the carrier layer (2) and the cover layer (3).
摘要翻译： 提供了一种用于电子应用的电缆，特别是用于记录不同身体形状和身体尺寸的患者的ECG，包括由载体层（2）和覆盖层（3）形成的织物复合材料（1）。 至少一条电线（4）容纳在载体层（2）和覆盖层（3）之间。 在成本有效的方式制造之后，一方面电缆在防潮的情况下提供足够的防短路保护，另一方面适应弯曲和不规则形状的结构。 电缆纺织复合材料（1）可弹性变形而不破坏，其中至少一条电线（4）通过绝缘体（5）与承载层（2）和覆盖层（3）电绝缘。
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公开(公告)号：US20090229039A1
公开(公告)日：2009-09-17
申请号：US12369963
申请日：2009-02-12
CPC分类号： A61B5/00 , A41D13/1254 , A41D13/1281 , A41F9/00 , A61B5/01 , A61B5/0408 , A61B5/0537 , A61B5/11 , A61B5/1455 , A61B5/6831
摘要： A stretchable belt (1) provided for medical purposes for use on the body of a patient has at least one sensor (8) for detecting at least one parameter of the patient's body. An adaptation to different body sizes and motions of the patient is provided without separate length adjusting members being necessary or without the need to stock different belt sizes. Furthermore, the belt is able to be manufactured at a low cost and makes possible simple and reliable handling, even for patients. The belt material (1) has at least one material area (2) with a lower spring rate in the longitudinal extension than at least one material area (3) with a higher spring rate of the belt (1).
摘要翻译： 提供用于医疗用途以用于患者身体的可拉伸带（1）具有用于检测患者身体的至少一个参数的至少一个传感器（8）。 提供对患者的不同身体尺寸和运动的适应性，而不需要单独的长度调节构件，或者不需要存储不同的皮带尺寸。 此外，该带能够以低成本制造，并且使得即使对于患者也可以简单和可靠地处理。 所述带材料（1）具有至少一个材料区域（2），所述材料区域（2）在纵向延伸中具有比具有较高弹性系数（1）的至少一个材料区域（3）更低的弹簧刚度。
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公开(公告)号：US20080171946A1
公开(公告)日：2008-07-17
申请号：US11953341
申请日：2007-12-10
CPC分类号： A61B5/0809 , A61B5/024 , A61B5/053
摘要： A process for determining the respiration rate of a patient by means of vessel plethysmography. Provisions are made according to the present invention for determining the electric impedance between at least two electrodes by means of a control and analysis unit connected to the body via a plurality of electrodes, for which the control and analysis unit is set up to send an alternating voltage through the body and to determine an indicator of the impedance between at least two electrodes, and to automatically record and evaluate the determined value for the indicator of the impedance as a function of the time in order to determine the respiration rate therefrom.
摘要翻译： 通过血管体积描记法确定患者的呼吸速率的方法。 根据本发明提供了通过经由多个电极连接到身体的控制和分析单元来确定至少两个电极之间的电阻抗的装置，其中控制和分析单元被设置为发送交替 电压通过身体并确定至少两个电极之间的阻抗的指示器，并且根据时间来自动地记录和评估阻抗指示符的确定值以确定其呼吸速率。
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公开(公告)号：US20080139955A1
公开(公告)日：2008-06-12
申请号：US11877910
申请日：2007-10-24
申请人： Hans-Ullrich HANSMANN , Tilman von BLUMENTHAL , Peter TSCHUNCKY , Andreas HENGSTENBERG , Frank METT , Uwe KUHN , Frank FRANZ , Kai KUCK , Steffen SCHMITT
发明人： Hans-Ullrich HANSMANN , Tilman von BLUMENTHAL , Peter TSCHUNCKY , Andreas HENGSTENBERG , Frank METT , Uwe KUHN , Frank FRANZ , Kai KUCK , Steffen SCHMITT
IPC分类号： A61B5/08
CPC分类号： A61B5/0816 , A61B5/0535 , A61B5/0809 , A61B5/0823 , A61B5/6817 , A61B5/721 , A61B7/003
摘要： A device (1) and a corresponding method are provided for determining and/or monitoring the respiration rate based on measurement with more than one sensor (5, 7, 9, 13, 15). The device may be part of a monitor for determining and/or monitoring the respiration rate. The second and/or additional sensors are different form the first sensor and have a different manor of operation from the first sensor.
摘要翻译： 提供了一种装置（1）和相应的方法，用于基于具有多于一个传感器（5,7,9,13,15）的测量来确定和/或监测呼吸速率。 该装置可以是用于确定和/或监测呼吸速率的监视器的一部分。 第二传感器和/或附加传感器与第一传感器不同，并具有与第一传感器不同的操作方式。
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公开(公告)号：US20090312661A1
公开(公告)日：2009-12-17
申请号：US12469907
申请日：2009-05-21
CPC分类号： A61M16/208 , A61B5/0876 , A61M16/0063 , A61M16/022 , A61M16/209 , A61M2016/0021 , A61M2016/0039 , A61M2205/3317
摘要： A device for detecting the condition of flow in a respiration system combines the function of a nonreturn valve with the function of flow measurement in a common device. The device includes a valve arrangement (1) with a valve disk (9) and with a valve body (8), wherein the position of a valve disk (9) in relation to a valve seat (11) is detected. An indicator for a flow and a direction of flow (5), (6) is determined from the position of the valve disk (9). The position of the valve disk (9) can be determined inductively, electrically, electromechanically or optically. The flow and direction of flow (5), (6) determined can be used to control the respiration in a medical device.
摘要翻译： 用于检测呼吸系统中的流动状态的装置将非返回阀的功能与通用装置中的流量测量功能相结合。 该装置包括具有阀盘（9）和阀体（8）的阀装置（1），其中检测到阀盘（9）相对于阀座（11）的位置。 从阀盘（9）的位置确定流量指示器（5），（6）。 阀盘（9）的位置可以感应地，电动地，机电地或光学地确定。 确定的流量（5），（6）的流量和方向可用于控制医疗设备中的呼吸。
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