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：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：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：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：US20100224189A1

公开(公告)日：2010-09-09

申请号：US12687503

申请日：2010-01-14

申请人： Ralf LORENZEN ,  Hans-Joachim KOHL ,  Tobias GLAW ,  Tilman von BLUMENTHAL

发明人： Ralf LORENZEN ,  Hans-Joachim KOHL ,  Tobias GLAW ,  Tilman von BLUMENTHAL

IPC分类号： A61M16/20

CPC分类号： A61M16/0096 ,  A61M16/0012 ,  A61M16/12 ,  A61M16/204 ,  A61M16/205 ,  A61M2016/0027 ,  A61M2016/0039 ,  A61M2205/3317

摘要： A process for controlling a respirator with reduced gas excess, wherein a load situation (37) of an expiration valve is polled in a continuous sequence and a flow value (36) is reduced step by step from a preset starting flow value (41) and wherein the flow value (36) is again increased when a predetermined value (44) is exceeded.

摘要翻译： 一种用于控制具有减少的气体过量的呼吸器的方法，其中以连续的顺序轮询呼气阀的负载情况（37），并且流量值（36）从预设起动流量值（41）逐步减小，并且 其中当超过预定值（44）时，所述流量值（36）再次增加。

公开(公告)号：US20080295838A1

公开(公告)日：2008-12-04

申请号：US12101287

申请日：2008-04-11

申请人： Tobias GLAW

发明人： Tobias GLAW

IPC分类号： A61M16/01 ,  A61M16/00

CPC分类号： A61M16/0051 ,  A61B5/0871 ,  A61M16/01 ,  A61M16/024 ,  A61M2016/0021 ,  A61M2016/0036

摘要： A process for operating a respirator and/or an anesthesia device with measurement of a set percent Peak Expiratory Flow (% PEF) (15) or percent Peak Inspiratory Flow (% PIF) and regulation ofthe measured % PEF (15) or % PIF to the set % PEF (15) or % PIF. Furthermore, a suitable respirator and/or anesthesia device are provided.

摘要翻译： 用于操作呼吸器和/或麻醉装置的方法，其具有设定百分比峰值呼气流量（％PEF）（15）或百分比峰值吸气流量（％PIF）和测量的％PEF（15）或％PIF的调节 设定％PEF（15）或％PIF。 此外，提供合适的呼吸器和/或麻醉装置。

公开(公告)号：US20080295840A1

公开(公告)日：2008-12-04

申请号：US12131277

申请日：2008-06-02

申请人： Tobias GLAW

发明人： Tobias GLAW

IPC分类号： A61M16/00

CPC分类号： A61M16/01 ,  A61B5/0871 ,  A61M16/024 ,  A61M2016/0021 ,  A61M2016/0036

摘要： A process for operating a respirator and/or anesthesia device in the APRV mode with the % PEF criterion which includes a detection of a spontaneous expiratory effort by the patient and initiation of a pressure release phase when the detected spontaneous expiratory effort by the patient falls within a predetermined trigger window (Tfreg). A device is provided that is operated correspondingly.

摘要翻译： 一种用APRV模式操作呼吸器和/或麻醉装置的方法，其具有％PEF标准，其包括当患者检测到的自发呼气努力落入其中时检测患者的自发呼气努力和开始压力释放阶段 预定的触发窗口（Tfreg）。 提供相应地操作的装置。

公开(公告)号：US20080087284A1

公开(公告)日：2008-04-17

申请号：US11840551

申请日：2007-08-17

申请人： Thomas Krueger ,  Tobias GLAW

发明人： Thomas Krueger ,  Tobias GLAW

IPC分类号： A61M16/00

CPC分类号： A61M16/0096 ,  A61M16/0012 ,  A61M2016/0036

摘要： A device is provided for respirating a patient by means of high-frequency ventilation, which has at least one device for setting a desired tidal volume by a user, and which has at least one regulating device for regulating an amplitude of the respiration pressure and/or at least one regulating device for regulating the oscillation frequency on the basis of the tidal volume determined. A corresponding method is provided for regulating a device for respirating a patient by high-frequency ventilation and a method is provided for respirating a patient.

摘要翻译： 提供了一种用于通过高频通气来呼吸患者的装置，其具有至少一个用户设定所需潮气量的装置，并且具有至少一个调节装置，用于调节呼吸压力的幅度和/ 或至少一个调节装置，用于根据确定的潮气量来调节振荡频率。 提供了相应的方法来调节用于通过高频通气来呼吸患者的装置，并且提供了一种用于呼吸病人的方法。