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公开(公告)号：US09498589B2
公开(公告)日：2016-11-22
申请号：US13341957
申请日：2011-12-31
IPC分类号： A61M16/00
CPC分类号： A61M16/0003 , A61M16/00 , A61M16/0051 , A61M16/0063 , A61M16/026 , A61M16/0833 , A61M16/0875 , A61M2016/0018 , A61M2016/0021 , A61M2016/0027 , A61M2016/0033 , A61M2016/0036 , A61M2016/0039 , A61M2016/0042 , A61M2205/15 , A61M2205/505 , A61M2205/583 , A61M2230/40
摘要： This disclosure describes systems and methods for providing adaptive base flow scheduling during ventilation of a patient to optimize patient-machine synchrony and accuracy of estimated exhaled as well as inhaled tidal volumes. Further, this disclosure describes systems and methods for providing adaptive inspiratory trigger threshold scheduling during the adaptive base flow scheduling. Further still, this disclosure describes systems and methods for determining an estimated leak flow and adjusting the adaptive base flow scheduling and the adaptive inspiratory trigger threshold scheduling based on the estimated leak flow. Moreover, this disclosure describes systems and methods for determining a change in the estimated leak flow and adjusting the adaptive base flow scheduling and the adaptive inspiratory trigger threshold scheduling based on the change in the estimated leak flow.
摘要翻译： 本公开描述了用于在患者通气期间提供适应性基本流程调度以优化患者机器同步和估计的呼出以及吸入潮气量的准确性的系统和方法。 此外，本公开描述了在自适应基本流调度期间提供自适应吸气触发阈值调度的系统和方法。 此外，本公开内容描述了用于基于估计的泄漏流量来确定估计泄漏流量并调整自适应基本流程调度和自适应吸气触发阈值调度的系统和方法。 此外，本公开描述了基于估计的泄漏流的变化来确定估计的泄漏流量的变化并调整自适应基本流程调度和自适应吸气触发阈值调度的系统和方法。
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2.发明申请METHODS AND SYSTEMS FOR MODEL-BASED TRANSFORMED PROPORTIONAL ASSIST VENTILATION 审中-公开基于模型变换比例辅助通气的方法和系统公开(公告)号：US20130025596A1
公开(公告)日：2013-01-31
申请号：US13191709
申请日：2011-07-27
申请人： Mehdi M. Jafari , Peter R. Doyle , Rhomere S. Jimenez , Jeffrey K. Aviano , Edward R. McCoy , Gail F. Upham
发明人： Mehdi M. Jafari , Peter R. Doyle , Rhomere S. Jimenez , Jeffrey K. Aviano , Edward R. McCoy , Gail F. Upham
IPC分类号： A61M16/00
CPC分类号： A61M16/0051 , A61M16/0063 , A61M16/026 , A61M16/0833 , A61M2016/0021 , A61M2016/0027 , A61M2016/003 , A61M2205/50 , A61M2205/505
摘要： This disclosure describes systems and methods for providing a model-based transformed proportional assist breath type during ventilation of a patient. The disclosure describes a novel breath type that delivers a target pressure calculated based on a predetermined trajectory and a support setting to a triggering patient.
摘要翻译： 本公开描述了在患者通气期间提供基于模型的变换比例辅助呼吸类型的系统和方法。 本公开描述了一种新颖的呼吸类型，其将基于预定轨迹计算的目标压力和支撑设置传递给触发患者。
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公开(公告)号：US20130146055A1
公开(公告)日：2013-06-13
申请号：US13313128
申请日：2011-12-07
IPC分类号： A61M16/00
CPC分类号： A61M16/0057 , A61M16/00 , A61M16/0063 , A61M16/026 , A61M16/04 , A61M16/06 , A61M16/0833 , A61M16/0875 , A61M2016/0015 , A61M2016/0021 , A61M2016/0027 , A61M2016/0039 , A61M2016/0042 , A61M2205/15 , A61M2205/3334 , A61M2205/50 , A61M2205/505 , A61M2230/40
摘要： This disclosure describes systems and methods for providing novel adaptive base flow scheduling during ventilation of a patient to optimize the accuracy of estimated exhaled tidal volume. Further, this disclosure describes systems and methods for providing novel adaptive inspiratory trigger threshold scheduling during the novel adaptive base flow scheduling.
摘要翻译： 本公开描述了用于在患者通气期间提供新的适应性基流调度以优化估计的呼出潮气量的准确度的系统和方法。 此外，本公开描述了在新型自适应基本流调度期间提供新颖的自适应吸气触发阈值调度的系统和方法。
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公开(公告)号：US09364624B2
公开(公告)日：2016-06-14
申请号：US13313128
申请日：2011-12-07
IPC分类号： A61M16/00
CPC分类号： A61M16/0057 , A61M16/00 , A61M16/0063 , A61M16/026 , A61M16/04 , A61M16/06 , A61M16/0833 , A61M16/0875 , A61M2016/0015 , A61M2016/0021 , A61M2016/0027 , A61M2016/0039 , A61M2016/0042 , A61M2205/15 , A61M2205/3334 , A61M2205/50 , A61M2205/505 , A61M2230/40
摘要： This disclosure describes systems and methods for providing novel adaptive base flow scheduling during ventilation of a patient to optimize the accuracy of estimated exhaled tidal volume. Further, this disclosure describes systems and methods for providing novel adaptive inspiratory trigger threshold scheduling during the novel adaptive base flow scheduling.
摘要翻译： 本公开描述了用于在患者通气期间提供新的适应性基流调度以优化估计的呼出潮气量的准确度的系统和方法。 此外，本公开描述了在新型自适应基本流调度期间提供新颖的自适应吸气触发阈值调度的系统和方法。
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公开(公告)号：US20090241962A1
公开(公告)日：2009-10-01
申请号：US12414419
申请日：2009-03-30
IPC分类号： A61M16/00
CPC分类号： A61M16/0057 , A61M16/0051 , A61M16/0063 , A61M16/026 , A61M16/04 , A61M16/06 , A61M16/0666 , A61M16/0875 , A61M2016/0021 , A61M2016/0027 , A61M2016/0033 , A61M2205/15 , A61M2205/502 , A61M2205/52 , A61M2230/46
摘要： A ventilator including a pneumatic system for providing and receiving breathing gas, and a controller operatively coupled with the pneumatic system. The controller is operable to control circulation by the pneumatic system of breathing gas to and from a patient, and to adjust at least one of a volume and pressure of breathing gas delivered to the patient, such adjustment being based upon elastic properties of a component used to fluidly couple the pneumatic system to a patient.
摘要翻译： 一种呼吸机，包括用于提供和接收呼吸气体的气动系统，以及与所述气动系统可操作地连接的控制器。 控制器可操作以控制气动系统向患者和从患者呼吸气体的循环，并且调节输送到患者的呼吸气体的体积和压力中的至少一个，所述调整基于所使用的组件的弹性特性 将气动系统流体地联接到患者身上。
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6.发明申请公开(公告)号：US20100218765A1
公开(公告)日：2010-09-02
申请号：US12394899
申请日：2009-02-27
CPC分类号： A61M16/12 , A61M16/0057 , A61M16/06 , A61M16/0816 , A61M16/0875 , A61M2016/0042 , G01F1/68 , G01F1/6965
摘要： Systems and methods are described for application of a transitory corrective modification to a hot-wire anemometer flow voltage and/or calculated flow rate to compensate for transient thermal response of the anemometer during a change in mixture of a mixed gas being measured. According to one embodiment a method of applying the transitory corrective modification is provided. An output signal of an exhalation flow sensor of a medical ventilator is received. The flow sensor includes a hot-wire anemometer. The output signal is indicative of a rate of flow of expired gas by a patient. Transient thermal response of the hot-wire anemometer is compensated for by applying a corrective modification to the output signal or a value based thereon. The corrective modification is based at least in part on a fraction of inspired oxygen (FiO2) being supplied by the medical ventilator to the patient.
摘要翻译： 描述了系统和方法，用于对热线风速计流量电压和/或计算流量进行暂时校正修改，以补偿在测量的混合气体的混合物的变化期间风速计的瞬时热响应。 根据一个实施例，提供了应用短暂校正修改的方法。 接收医用呼吸机的呼气流量传感器的输出信号。 流量传感器包括热线风速计。 输出信号表示患者呼气气体的流速。 通过对输出信号进行校正修改或基于其的值来补偿热线风速计的瞬态热响应。 校正修改至少部分地基于医疗呼吸机向患者提供的一部分吸气氧（FiO2）。
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7.发明申请公开(公告)号：US20130220324A1
公开(公告)日：2013-08-29
申请号：US13408375
申请日：2012-02-29
IPC分类号： A61M16/00
CPC分类号： A61M16/0006 , A61M16/0063 , A61M16/024 , A61M16/04 , A61M2016/0024 , A61M2016/0027 , A61M2016/0033 , A61M2202/0208 , A61M2202/025 , A61M2205/505 , A61M2230/60
摘要： A method for ventilating a patient with a ventilator includes receiving a target pressure input for a breathing phase, receiving at least one oscillation parameter, imposing an oscillatory waveform on the target pressure, the oscillatory waveform having characteristics defined by the at least one oscillation parameter and configured to oscillate substantially about the target pressure for at least a portion of the breathing phase, and delivering an amount of flow sufficient to achieve an oscillatory target pressure based on the imposed oscillatory waveform.
摘要翻译： 一种用呼吸机对患者进行通气的方法包括接收呼吸相位的目标压力输入，接收至少一个振荡参数，对目标压力施加振荡波形，所述振荡波形具有由所述至少一个振荡参数定义的特性，以及 配置成基本上围绕呼吸相的至少一部分的目标压力振荡，并且基于施加的振荡波形输送足以实现振荡目标压力的流量。
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公开(公告)号：US20130167842A1
公开(公告)日：2013-07-04
申请号：US13341957
申请日：2011-12-31
IPC分类号： A61M16/00
CPC分类号： A61M16/0003 , A61M16/00 , A61M16/0051 , A61M16/0063 , A61M16/026 , A61M16/0833 , A61M16/0875 , A61M2016/0018 , A61M2016/0021 , A61M2016/0027 , A61M2016/0033 , A61M2016/0036 , A61M2016/0039 , A61M2016/0042 , A61M2205/15 , A61M2205/505 , A61M2205/583 , A61M2230/40
摘要： This disclosure describes systems and methods for providing adaptive base flow scheduling during ventilation of a patient to optimize patient-machine synchrony and accuracy of estimated exhaled as well as inhaled tidal volumes. Further, this disclosure describes systems and methods for providing adaptive inspiratory trigger threshold scheduling during the adaptive base flow scheduling. Further still, this disclosure describes systems and methods for determining an estimated leak flow and adjusting the adaptive base flow scheduling and the adaptive inspiratory trigger threshold scheduling based on the estimated leak flow. Moreover, this disclosure describes systems and methods for determining a change in the estimated leak flow and adjusting the adaptive base flow scheduling and the adaptive inspiratory trigger threshold scheduling based on the change in the estimated leak flow.
摘要翻译： 本公开描述了用于在患者通气期间提供适应性基本流程调度以优化患者机器同步和估计的呼出以及吸入潮气量的准确性的系统和方法。 此外，本公开描述了在自适应基本流调度期间提供自适应吸气触发阈值调度的系统和方法。 此外，本公开内容描述了用于基于估计的泄漏流量来确定估计泄漏流量并调整自适应基本流程调度和自适应吸气触发阈值调度的系统和方法。 此外，本公开描述了基于估计的泄漏流的变化来确定估计的泄漏流量的变化并调整自适应基本流程调度和自适应吸气触发阈值调度的系统和方法。
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公开(公告)号：US08434480B2
公开(公告)日：2013-05-07
申请号：US12414419
申请日：2009-03-30
IPC分类号： F16K31/02
CPC分类号： A61M16/0057 , A61M16/0051 , A61M16/0063 , A61M16/026 , A61M16/04 , A61M16/06 , A61M16/0666 , A61M16/0875 , A61M2016/0021 , A61M2016/0027 , A61M2016/0033 , A61M2205/15 , A61M2205/502 , A61M2205/52 , A61M2230/46
摘要： A ventilator including a pneumatic system for providing and receiving breathing gas, and a controller operatively coupled with the pneumatic system. The controller is operable to control circulation by the pneumatic system of breathing gas to and from a patient, and to adjust at least one of a volume and pressure of breathing gas delivered to the patient, such adjustment being based upon elastic properties of a component used to fluidly couple the pneumatic system to a patient.
摘要翻译： 一种呼吸机，包括用于提供和接收呼吸气体的气动系统，以及与所述气动系统可操作地连接的控制器。 控制器可操作以控制气动系统向患者和从患者呼吸气体的循环，并且调节输送到患者的呼吸气体的体积和压力中的至少一个，所述调整基于所使用的组件的弹性特性 将气动系统流体地联接到患者身上。
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10.发明授权公开(公告)号：US08434479B2
公开(公告)日：2013-05-07
申请号：US12394899
申请日：2009-02-27
IPC分类号： F16K31/02
CPC分类号： A61M16/12 , A61M16/0057 , A61M16/06 , A61M16/0816 , A61M16/0875 , A61M2016/0042 , G01F1/68 , G01F1/6965
摘要： Systems and methods are described for application of a transitory corrective modification to a hot-wire anemometer flow voltage and/or calculated flow rate to compensate for transient thermal response of the anemometer during a change in mixture of a mixed gas being measured. According to one embodiment a method of applying the transitory corrective modification is provided. An output signal of an exhalation flow sensor of a medical ventilator is received. The flow sensor includes a hot-wire anemometer. The output signal is indicative of a rate of flow of expired gas by a patient. Transient thermal response of the hot-wire anemometer is compensated for by applying a corrective modification to the output signal or a value based thereon. The corrective modification is based at least in part on a fraction of inspired oxygen (FiO2) being supplied by the medical ventilator to the patient.
摘要翻译： 描述了系统和方法，用于对热线风速计流量电压和/或计算流量进行暂时校正修改，以补偿在测量的混合气体的混合物的变化期间风速计的瞬时热响应。 根据一个实施例，提供了应用短暂校正修改的方法。 接收医用呼吸机的呼气流量传感器的输出信号。 流量传感器包括热线风速计。 输出信号表示患者呼气气体的流速。 通过对输出信号进行校正修改或基于其的值来补偿热线风速计的瞬态热响应。 校正修改至少部分地基于医疗呼吸机向患者提供的一部分吸气氧（FiO2）。
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