公开(公告)号：US08695595B2

公开(公告)日：2014-04-15

申请号：US13529163

申请日：2012-06-21

申请人： Michael Thomas Kane ,  Susan L. Bann ,  Rochelle E. Siirola ,  Winslow K. Duff ,  Leonardo A. Baloa

发明人： Michael Thomas Kane ,  Susan L. Bann ,  Rochelle E. Siirola ,  Winslow K. Duff ,  Leonardo A. Baloa

IPC分类号： A61M16/00 ,  A62B7/00 ,  F16K31/02

CPC分类号： A61M16/0069 ,  A61M16/0003 ,  A61M16/0051 ,  A61M16/026 ,  A61M16/0883 ,  A61M16/101 ,  A61M2016/0039 ,  A61M2205/15 ,  A61M2205/16

摘要： A system and method for delivering a flow of breathing gas to an airway of a patient. The system monitors a characteristic that varies based on variations of the flow of the breathing gas and determines a Target Flow for the gas to be delivered to the patient based on the monitored characteristic. The Target Flow is set to a level sufficient to treat Cheyne-Stokes respiration or a sleep disordered breathing event. The system also alters the Target Flow based on a determination that the patient is experiencing a sleep disordered breathing event. The system further determines a pressure relief component and controls the flow of gas delivered to the patient based on the Target Flow and the pressure relief component.

摘要翻译： 一种用于将呼吸气体流传送到患者气道的系统和方法。 该系统监测基于呼吸气体的流量变化而变化的特性，并且基于所监测的特性确定要传送给患者的气体的目标流量。 目标流量设定为足以治疗切尼 - 斯托克斯呼吸或睡眠呼吸紊乱事件的水平。 该系统还根据确定患者正在经历睡眠呼吸障碍的事件来改变目标流。 该系统进一步确定压力释放部件并且基于目标流量和压力释放部件控制输送到患者的气体流量。

公开(公告)号：US08220456B2

公开(公告)日：2012-07-17

申请号：US12751081

申请日：2010-03-31

申请人： Michael Thomas Kane ,  Susan L. Bann ,  Rochelle E. Siirola ,  Winslow K. Duff ,  Leonardo A. Baloa

发明人： Michael Thomas Kane ,  Susan L. Bann ,  Rochelle E. Siirola ,  Winslow K. Duff ,  Leonardo A. Baloa

IPC分类号： F16K31/02

CPC分类号： A61M16/0069 ,  A61M16/0003 ,  A61M16/0051 ,  A61M16/026 ,  A61M16/0883 ,  A61M16/101 ,  A61M2016/0039 ,  A61M2205/15 ,  A61M2205/16

摘要： A system and method for delivering a flow of breathing gas to an airway of a patient. The system monitors a characteristic that varies based on variations of the flow of the breathing gas and determines a Target Flow for the gas to be delivered to the patient based on the monitored characteristic. The Target Flow is set to a level sufficient to treat Cheyne-Stokes respiration or a sleep disordered breathing event. The system also alters the Target Flow based on a determination that the patient is experiencing a sleep disordered breathing event. The system further determines a pressure relief component and controls the flow of gas delivered to the patient based on the Target Flow and the pressure relief component.

摘要翻译： 一种用于将呼吸气体流传送到患者气道的系统和方法。 该系统监测基于呼吸气体的流量变化而变化的特性，并且基于所监测的特性确定要传送给患者的气体的目标流量。 目标流量设定为足以治疗切尼 - 斯托克斯呼吸或睡眠呼吸紊乱事件的水平。 该系统还根据确定患者正在经历睡眠呼吸障碍的事件来改变目标流。 该系统进一步确定压力释放部件并且基于目标流量和压力释放部件控制输送到患者的气体流量。

公开(公告)号：US07717110B2

公开(公告)日：2010-05-18

申请号：US11235520

申请日：2005-09-26

申请人： Michael T. Kane ,  Susan L. Bann ,  Rochelle Siirola ,  Winslow K. Duff ,  Leonardo A. Baloa

发明人： Michael T. Kane ,  Susan L. Bann ,  Rochelle Siirola ,  Winslow K. Duff ,  Leonardo A. Baloa

IPC分类号： F16K31/02

CPC分类号： A61M16/0069 ,  A61M16/0003 ,  A61M16/0051 ,  A61M16/026 ,  A61M16/0883 ,  A61M16/101 ,  A61M2016/0039 ,  A61M2205/15 ,  A61M2205/16

摘要： A system and method for delivering a flow of breathing gas to an airway of a patient. A characteristic that varies based on variations of the flow of the breathing gas is monitored and used to determine a Target Flow for the gas delivered to the patient. The Target Flow is set to a level sufficient to treat Cheyne-Stokes respiration or a sleep disordered breathing event. The Target Flow is altered if the patient experiences a sleep disordered breathing event. In a further embodiment, the system determines an apnea detection time (Tapnea) as Tinsp plus a constant, and delivers a machine triggered breath if an amount since the start of inspiration reaches Tapnea. Yet another embodiment monitors the characteristic during an inspiratory phase of a respiratory cycle, and controls the flow of gas during the inspiratory phase of the respiratory cycle based on a result of this comparison.

摘要翻译： 一种用于将呼吸气体流传送到患者气道的系统和方法。 监测基于呼吸气体的流量变化而变化的特征，并用于确定输送给患者的气体的目标流量。 目标流量设定为足以治疗切尼 - 斯托克斯呼吸或睡眠呼吸紊乱事件的水平。 如果患者经历睡眠呼吸障碍，则目标流量会发生变化。 在另一实施例中，系统将呼吸暂停检测时间（Tapnea）确定为Tinsp加常数，并且如果从启动开始到达Tapnea的量，则传送机器触发呼吸。 另一个实施例在呼吸循环的吸气阶段期间监测特征，并且基于该比较的结果来控制呼吸周期的吸气阶段期间的气体流。

公开(公告)号：US07011091B2

公开(公告)日：2006-03-14

申请号：US10243016

申请日：2002-09-13

申请人： Peter D. Hill ,  Michael H. Kissel ,  John Frank ,  Michael T. Kane ,  Susan L. Bann ,  Winslow K. Duff

发明人： Peter D. Hill ,  Michael H. Kissel ,  John Frank ,  Michael T. Kane ,  Susan L. Bann ,  Winslow K. Duff

IPC分类号： A62M16/00

CPC分类号： A61M16/026 ,  A61M2016/0021 ,  A61M2016/0027 ,  A61M2016/0039 ,  A61M2205/15 ,  A61M2230/60

摘要： A ventilator supplies a plurality of volumes of fluid to a patient during a like plurality of inhalations by the patient. Each volume of fluid is supplied at an inspiratory positive airway pressure during a corresponding inhalation by the patient. A volume of fluid received by the patient is determined for each of the plurality of inhalations by the patient and an average volume of fluid received by the patient during each of the plurality of inhalations is determined. The average volume of fluid received by the patient during each inhalation is compared to a predetermined target volume and the inspiratory positive airway pressure each volume of fluid is supplied to the patient is adjusted as a function of the comparison.

公开(公告)号：US20110209706A1

公开(公告)日：2011-09-01

申请号：US13123970

申请日：2009-10-09

申请人： William A. Truschel ,  Andrew L. Shissler ,  Winslow K. Duff ,  Mark C. McDermott ,  Michael H. Kissel

发明人： William A. Truschel ,  Andrew L. Shissler ,  Winslow K. Duff ,  Mark C. McDermott ,  Michael H. Kissel

IPC分类号： A61M16/00

CPC分类号： A61M16/0051 ,  A61M16/0063 ,  A61M16/024 ,  A61M2016/0027 ,  A61M2016/0039 ,  A61M2016/0042 ,  A61M2205/16 ,  A61M2205/17 ,  A61M2205/3358

摘要： A method of operating a ventilator that includes steps of (a) providing a specified ventilation therapy to a patient through a ventilator according to a specification; (b) determining and storing a backup parameter relating to the operation of the ventilator or the breathing of the patient during the step of providing the specified ventilation therapy; (c) determining that an alarm condition exists that indicates a problem with the ventilator that would prevent the ventilator from providing the specified ventilation therapy to the patient according to the specification; and (d) responsive to determining that the alarm condition exists, providing backup ventilation therapy to the patient through the ventilator that is based at least partially on the stored backup parameter. Also, a ventilator that is adapted to perform the method just described.

摘要翻译： 一种操作呼吸机的方法，包括以下步骤：（a）根据说明书通过呼吸机向患者提供特定的通气治疗; （b）在提供指定的通气治疗的步骤期间确定和存储与呼吸机的操作有关的备用参数或患者的呼吸; （c）确定存在指示呼吸机有问题的报警状况，该呼吸机将根据说明书防止通气机向患者提供指定的通气治疗; 以及（d）响应于确定所述警报状况存在，通过至少部分地基于所存储的备份参数的通气机向患者提供备用通气治疗。 而且，适于执行刚刚描述的方法的呼吸机。

公开(公告)号：US06644311B1

公开(公告)日：2003-11-11

申请号：US10027487

申请日：2001-12-19

申请人： Patrick W. Truitt ,  Winslow K. Duff

发明人： Patrick W. Truitt ,  Winslow K. Duff

IPC分类号： A61M1600

CPC分类号： A61M16/0069 ,  A61M16/024 ,  A61M16/0858 ,  A61M16/107 ,  A61M2016/0021 ,  A61M2016/0027 ,  A61M2016/0039 ,  A61M2205/12 ,  A61M2205/42

摘要： The present invention pertains to a pressure support system in which a flow or volume of gas is measured without using a dedicated flow element used in a conventional flow meter. Instead, the present invention provides a tortuous gas flow path in which a pressure differential is created between two points in the tortuous path. This pressure differential created by the gas flow path provides the necessary pressure drop for measuring the gas flow and/or gas volume passing through the pressure support system.

摘要翻译： 本发明涉及一种压力支持系统，其中在不使用常规流量计中使用的专用流量元件的情况下测量气体的流量或体积。 相反，本发明提供了曲折的气体流动路径，其中在曲折路径中的两个点之间产生压力差。 由气体流动路径产生的压力差提供了用于测量通过压力支撑系统的气体流量和/或气体体积所需的压力降。

公开(公告)号：US08061355B2

公开(公告)日：2011-11-22

申请号：US12503196

申请日：2009-07-15

申请人： Marcel Douglas Jaffre ,  Zachary Dean Paul ,  Winslow K. Duff ,  Michael Bobeck ,  Lance Ranard Busch

发明人： Marcel Douglas Jaffre ,  Zachary Dean Paul ,  Winslow K. Duff ,  Michael Bobeck ,  Lance Ranard Busch

IPC分类号： A61M11/00

CPC分类号： A61M16/208 ,  A61M16/06 ,  A61M16/0633 ,  A61M16/08 ,  A61M16/0816 ,  A61M2205/42 ,  A61M2230/60 ,  A61M2230/63

摘要： An exhaust port assembly comprising a conduit carries a flow of gas. A vent assembly having a fixed exhaust area is provided on the conduit for venting a flow of exhaust gas from within the conduit to ambient atmosphere. The vent assembly is configured so as to minimize noise associated with the flow of exhaust gas passing to atmosphere, diffuse the flow of exhaust gas passing to ambient atmosphere over a relatively large area, and minimize the area occupied by the venting assembly on the conduit.

摘要翻译： 包括导管的排气口组件承载气流。 具有固定排气区域的通风组件设置在导管上，用于将排气流从导管内排出至周围环境。 通气组件被配置为使与通过大气的废气流相关联的噪声最小化，使在大气区域内通过环境大气的废气流扩散，并使通气组件在导管上所占的面积最小化。

公开(公告)号：US07827988B2

公开(公告)日：2010-11-09

申请号：US10788507

申请日：2004-02-27

申请人： Greg Matthews ,  Michael T. Kane ,  Winslow K. Duff ,  Rochelle Siirola ,  Daniel Martin ,  Heather Ressler ,  Uday Shankar

发明人： Greg Matthews ,  Michael T. Kane ,  Winslow K. Duff ,  Rochelle Siirola ,  Daniel Martin ,  Heather Ressler ,  Uday Shankar

IPC分类号： A61M16/00 ,  A62B7/00

CPC分类号： A61M16/026 ,  A61M16/0063 ,  A61M2016/0021 ,  A61M2016/0027 ,  A61M2016/0039 ,  A61M2205/15 ,  A61M2205/50 ,  G06F19/00

摘要： A pressure support system and method of treating disordered breathing that optimizes the pressure delivered to the patient to treat the disordered breathing while minimizing the delivered pressure for patient comfort. The controller in the pressure support system operates as a set of prioritized control layers, wherein each control layer competes for control of the pressure generating system to implement a unique pressure control process. The pressure support system also controls the pressure provided to the patient based on the variability of the monitored data and a trend analysis of this data, including an indication of the skewness of the patient's inspiratory waveform.

摘要翻译： 一种压力支持系统和治疗无序呼吸的方法，其优化输送给患者的压力以治疗无序呼吸，同时最小化输送的患者舒适压力。 压力支持系统中的控制器作为一组优先级控制层进行操作，其中每个控制层竞争压力产生系统的控制以实现独特的压力控制过程。 压力支持系统还基于所监视的数据的可变性以及该数据的趋势分析来控制提供给患者的压力，包括对患者吸气波形的偏度的指示。

公开(公告)号：US06340211B1

公开(公告)日：2002-01-22

申请号：US08922426

申请日：1997-09-03

申请人： Michael J. Joyce, Jr. ,  Charles L. Crawford ,  Daniel J. Wolf ,  David J. Pcsolar ,  Winslow K. Duff

发明人： Michael J. Joyce, Jr. ,  Charles L. Crawford ,  Daniel J. Wolf ,  David J. Pcsolar ,  Winslow K. Duff

IPC分类号： B60T832

CPC分类号： B60T13/665

摘要： A method of changing between two operator stations in a cab of a locomotive for controlling the brakes of the locomotive and of a train of railway cars connected to the locomotive. The stations each have at least one brake handle and an associated selector switch, with each of the switches being electrically connected to a brake control computer. The method includes stopping the train if the train is in motion and placing the brake valve handles of the stations in a position to apply the brakes at full service. One of the operator stations is selected as an active station for braking the train while the other station is selected to be inactive. Signals are directed from the selector switches at the operator stations to the computer, the signals indicating which of the two stations is active and inactive. The computer is provided with the software that accepts a valid transition to the station selected by the operator as the active station.

摘要翻译： 一种在机车驾驶室中的两个操作员站之间进行变换的方法，用于控制机车和连接到机车的铁路车辆的制动器。 各车站各具有至少一个制动手柄和相关的选择开关，其中每个开关电连接到制动控制计算机。 该方法包括如果火车在运动中停止列车，并将车站的制动阀把手放置在一个适当的位置上，以适用于制动器。 选择其中一个操作员站作为用于制动列车的活动站，而另一个站被选择为不活动。 信号从操作员站的选择器开关指向计算机，指示两个站中哪一个处于活动状态和无效状态的信号。 计算机具有接受由作为活动站的操作者所选择的站的有效转换的软件。

公开(公告)号：US20110197884A1

公开(公告)日：2011-08-18

申请号：US13124149

申请日：2009-10-09

申请人： Winslow K. Duff ,  William A. Truschel ,  Mark C. Mcdermott ,  Cheryl L. Needham ,  Christopher W. Mcdaniel ,  Ljubisa Milojevic ,  Ronald Cyprowski

发明人： Winslow K. Duff ,  William A. Truschel ,  Mark C. Mcdermott ,  Cheryl L. Needham ,  Christopher W. Mcdaniel ,  Ljubisa Milojevic ,  Ronald Cyprowski

IPC分类号： A61M16/00

CPC分类号： A61M16/205 ,  A61M16/0069 ,  A61M16/024 ,  A61M16/08 ,  A61M16/0841 ,  A61M16/107 ,  A61M16/208 ,  A61M2016/0027 ,  A61M2016/0039 ,  A61M2016/0042 ,  A61M2205/12 ,  A61M2205/17 ,  A61M2205/3358 ,  A61M2205/505 ,  A61M2205/8206 ,  A61M2205/8237

摘要： A ventilator that is small, lightweight, and portable, yet capable of being quickly adapted to operate in a plurality of different modes and configurations to deliver a variety of therapies to a patient. A porting system having a plurality of sensors structured to monitor a number of parameters with respect to the flow of gas, and a number of porting blocks is used to reconfigure the ventilator so that it operates as a single-limb or dual limb ventilator. In the single-limb configuration, an active or passive exhaust assembly can be provided proximate to the patient. The ventilator is capable of operate in a volume or pressure support mode, even in a single-limb configuration. In addition, a power control mechanism controls the supply of power to the ventilator from an AC power source, a lead acid battery, an internal rechargeable battery pack, and a detachable battery pack.

摘要翻译： 一种呼吸机，其体积小，重量轻且便于携带，但能够快速适应于以多种不同的模式和配置运行，以向患者传送各种疗法。 具有多个传感器的移植系统，其被构造成监测关于气体流动的多个参数，并且使用多个移植块来重新配置呼吸机，使得其作为单肢或双肢呼吸机操作。 在单肢配置中，可以靠近患者提供主动或被动排气组件。 呼吸机能够在体积或压力支持模式下工作，即使在单肢配置中也是如此。 此外，功率控制机构控制从AC电源，铅酸电池，内部可充电电池组和可拆卸电池组向通气机供电。