118 results about "Inspiratory phase" patented technology

A method of treating a patient, comprising: sensing a biological parameter indicative of respiration; analyzing the biological parameter to identify a respiratory cycle; identifying an inspiratory phase of the respiratory cycle; and delivering stimulation to a hypoglossal nerve of the patient, wherein stimulation is delivered if a duration of the inspiratory phase of the respiratory cycle is greater than a predetermined portion of a duration of the entire respiratory cycle.

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. 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.

A method of operating a ventilator assembly having inhalation and exhalation passages communicating with one another, and a respiration assembly that can perform repetitive respiratory cycles. The method includes (a) connecting the conduit with an open end of an endotracheal tube positioned within the trachea so that the open end leads into the airway below the vocal cords, (b) repetitively cycling the respiration assembly so that during the inhalation phase, gas in the inhalation passage flows through the endotracheal tube and into the airway, and during the exhalation phase, an exhalation valve is maintained relatively closed and the exhaled gases flow pass the vocal cords and out of the mouth thereby facilitating the patient's ability to speak, and (c) monitoring ring the pressure within at least one of the passages during both phases for determining the pressure within the patient for use in operating the ventilator assembly.

A method and system for ventilating a patient that compensates for leaks occurring within the patient breathing circuit while limiting the volume of breathing gas delivered to the patient. During the operation of a ventilator to supply breathing gases to a patient, the ventilator monitors for leak volumes occurring during the inspiratory phase and expiratory phase of the breathing cycle. Based upon the leak volumes sensed, the volume of breathing gas delivered by the ventilator is increased such that the tidal volume delivered to the patient is the desired tidal volume set by a clinician. The ventilator operates to generate a leak alarm when the leak volume exceeds an alarm threshold. If the leak alarm is generated, the tidal volume delivered to the patient is limited to the tidal volume being delivered prior to generation of the leak alarm. During compensation of the breathing gases delivered to the patient, the system and method determines whether the compensated tidal volume exceeds a maximum tidal volume threshold and limits the compensated tidal volume to the maximum tidal volume threshold.

A system and method for assessing pulmonary performance through transthoracic impedance monitoring is described. Transthoracic impedance measures are directly collected through an implantable medical device. The transthoracic impedance measures are correlated to pulmonary functional measures relative to performance of at least one respiration cycle. The transthoracic impedance measures are grouped into at least one measures set corresponding to one of an inspiratory phase and an expiratory phase. The at least one transthoracic impedance measures set are evaluated to identify a respiratory pattern relative to the inspiratory phase or the expiratory phase to represent pulmonary performance.

A method of operating a ventilator assembly having inhalation and exhalation passages communicating with one another, and a respiration assembly that can perform repetitive respiratory cycles. The method includes (a) repetitively cycling the respiration assembly so that during the inhalation phase, gas in the inhalation passage flows to the patient, and during the exhalation phase, an exhalation valve is maintained relatively closed and the exhaled gases flow pass the vocal cords and out of the mouth thereby facilitating the patient's ability to speak, (c) monitoring the pressure within at least one of the passages during the exhalation phase, and (d) determining whether a circuit disconnect or an occlusion exists based on the pressure monitoring.

A pressure reducing valve for use in a system adapted to deliver a breathing gas to a patient. The pressure reducing valve is structured to communicate a flow of breathing gas to such a patient's airway during an inspiratory phase. The pressure reducing valve is structured to isolate the flow of breathing gas from the patient's airway and to “dump” the flow of breathing gas and a flow of exhalation gas to atmosphere during the expiratory phase. The flow of breathing gas is dumped to atmosphere through a first number of ports; whereas a flow of exhalation gas is dumped to atmosphere through a second number of ports. Because the flow of breathing gas remains isolated from the flow of exhalation gas, less effort is required by a patient during the expiratory phase.

To set trigger conditions correctly in pneumatic mode, a ventilator is controlled to obtain a measurement value of a bioelectric signal representative of the patient's breathing function, determine, based on the bioelectric signal, at least one point in time at which the patient starts inhalation, obtain a measurement value to be used for triggering an inspiration phase in the ventilator during the at least one point in time, determine a trigger condition for the inspiration phase on the basis of the measurement value, and use the trigger condition for initiating inspiration when ventilating the patient in support mode.

A ventilator apparatus, method, system, and computer program for determining leakage in a flow circuit providing pressurized gas to a patient having breathing disorder. The present invention determines the leakage by calculating a ratio between a measured flow of gas and a determined flow of gas related to a standard leakage. The determined standard leak flow may be calculated from a formula derived from Bernoulli's theorem. The invention may further be arranged to use a volume difference between inspiration and expiration phases in the compensation process.

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.

A ventilator includes first and second pathways, a conduit and a controller. The first pathway (120) is configured to supply a first gas and the second pathway (140) is configured to supply a second gas, where the second gas is mixed with the first gas to produce mixed gas having a predetermined percentage of the second gas. The conduit (166) is configured to provide the mixed gas from the first and second pathways to an access port during an inspiratory phase, and to provide discharged gas from the access port to the first pathway during an expiratory phase. The controller (180) is configured to delay supply of the second gas from the second pathway for a delay time in order to maintain the predetermined percentage of the second gas in the mixed gas provided to the access port during a subsequent inspiratory phase.

A method of treating a patient, comprising: sensing a biological parameter indicative of respiration; analyzing the biological parameter to identify a respiratory cycle; identifying an inspiratory phase of the respiratory cycle; and delivering stimulation to a hypoglossal nerve of the patient, wherein stimulation is delivered if a duration of the inspiratory phase of the respiratory cycle is greater than a predetermined portion of a duration of the entire respiratory cycle.

Medical devices and methods for providing breathing therapy (e.g., for treating heart failure, hypertension, etc.) may determine at least the inspiration phase of one or more breathing cycles based on the monitored physiological parameters and control delivery of a plurality of breathing therapy sessions (e.g., each of the breathing therapy sessions may be provided during a defined time period). Further, each of the plurality of breathing therapy sessions may include delivering stimulation after the start of the inspiration phase of each of a plurality of breathing cycles to prolong diaphragm contraction during the breathing cycle.

A continuous positive airway pressure (CPAP) apparatus for respiratory assistance of a pattern is disclosed. There is a blower having an output connectible to a ventilation mask wearable by the patient. A first pressure sensor measures blower pressure at the output of the blower, and a second pressure sensor that is connectible to the ventilation mask measures mask pressure therein. A pressure controller is connected to the first pressure sensor and the second pressure sensor, and a patient inspiratory phase and a patient expiratory phase is be detectable by the pressure controller to regulate therapeutic pressure at the patient mask, based upon pressure differentials between the mask pressure and the blower pressure.

As a unit which functions to prevent variations in the respiration phases of a user, erroneous recognition due to disturbances such as vibrations of the supply unit and wind, discomfort to the user due to unnecessary supply of oxygen and wasteful supply of oxygen, there is provided a respiration-synchronizing gas supply unit characterized by comprising means for recognizing the inspiration phase initial point and the expiration phase initial point, and by carrying out automatic on-off valve control with recognition means that does not recognize the next inspiration phase initial point during the time between recognition of the inspiration phase initial point and recognition of the expiration phase initial point, and between recognition of the expiration phase initial point and elapse of a predetermined time period.

A method of providing pressure support to a patient that includes determining a measure associated with an inspiratory time of the patient during therapy, delivering a flow of breathing gas to the patient at an inspiratory positive airway pressure (IPAP) level during at least a portion of an inspiratory phase of the patient, delivering the flow of breathing gas to the patient at an expiratory positive airway pressure (EPAP) level that is less than the IPAP level during at least a portion of an expiratory phase of the patient, and automatically setting a rise time associated with a transition from the EPAP level to the IPAP level based on the measure associated with the inspiratory time of the patient. Also provided is a pressure support system adapted to perform the method.

A patient ventilator secretion management system is disclosed. The system has a valve with an input in pneumatic communication with a therapeutic breathing gas source. The valve has variable positions, each of which corresponds to a specific flow rate of gas being output therefrom. A patient ventilation interface is in pneumatic communication with the valve over a gas delivery circuit. A controller in communication with the valve regulates the position thereof. The controller sequentially switches the valve from one of the variable positions to another to output a first range of fluctuating flow rates of gas for delivery to the patient ventilation interface during at least a selected one of patient expiratory and inspiratory phases.

A respiratory assistance device is disclosed. There is a variable speed blower with an output, and a patient ventilation interface configured for fitment on a patient respiratory passageway. A gas passage conduit couples the output of the blower to the patient ventilation interface. A pilot line from the gas passage conduit is coupled to a piloted exhalation valve of the patient ventilation interface. A pressure sensor measures a mask pressure in the patient ventilation interface, and a blower speed sensor measures a speed of the blower. A pressure controller in communication with the pressure sensor and the blower speed sensor detects a patient inspiratory phase and a patient expiratory phase from at least one of the measured speed of the blower and a set speed of the blower. The pressure controller adjusts an operating speed of the blower and actuates the piloted exhalation valve based upon the measured mask pressure.

The present invention pertains generally to a monitoring system for a resuscitator which detects operation of the resuscitator and a controller unit for a supply of therapeutic gas to a resuscitator, and more specifically, a flow controller for a supply a therapeutic gas to an automatic resuscitator which is triggered by a single point pressure signal provided by the cycling of the automatic resuscitator from a controlled inhalation phase to a controlled exhalation phase. The monitoring aspect of the system detects single point low pressure signals which are sequentially compared against a time clock. Failure of the resuscitator system itself to generate a low pressure signal against the integrated time clock causes an alarm condition. Further, gas management is effected by a flow controller integrated into the monitor, a gas management system which responds to the single point low pressure signal and operate a primary gas control valve attached between a gas supply and an automatic resuscitator such that gas is allowed to flow to the resuscitator when the resuscitator is in an inhalation mode and gas flow is interrupted when the resuscitator is in an exhalation mode. A secondary gas control valve is integrated into the gas management system in parallel to the primary gas control valve. The flow controller includes a low threshold pressure sensor which is actuated by means of a recurrent low pressure pulse generated by the automatic resuscitator itself through the cycling of the resuscitator and remains essentially unaffected by the respiratory cycling of the patient, thus preventing false triggers and greatly simplifying the flow controller operation and format. The low threshold pressure sensor is coupled to a processor wherein the processor reads the occurrence of a pressure event at the pressure sensor and which then closes the primary gas control valve and starts a clock. As the pressure is decreased in the gas management system resulting from the primary gas control being moved to a closed position, the secondary gas control valve moves to open state, thus allowing the gas management system to vent to atmosphere during exhalation, reducing the pressure of the system to an operator defined positive level. Once the clock reaches a pre-defined duration, the primary gas control valve is reopened, the pressure in the gas management system increases thus closing the secondary gas control valve, the automatic resuscitator continues into an inhalation mode, and the process repeats.

The invention relates to a device for controlling and guiding gas flow in atomizers, in breathing and rebreathing regions of a respiratory appliance. A first embodiment comprises a bypass device; and a said second embodiment comprises a valve which is timed by the respiratory appliance, such that the dead space is not filled with aerosol. Both embodiments provide for an application of aerosol only in the inspiration phase, reduction of the applied medication quantity by reducing the atomization of the dead space, reduction of the side effects of the medications, and sufficient moisturizing of the airways.

The invention discloses an identification device and identification method for a breathe state of a bi-level breathing machine. An interaction module and a collection module are respectively connected with a comparison module. The collection module comprises a pressure collection module, a flow collection module and a time recording module. The interaction module is used for receiving information set by a user and determining a trigger value. The comparison module is used for comparing a gas pressure value, a gas flow value and an operation time with the trigger value determined by the interaction module, and transmitting a comparison result to a regulation module, wherein the gas pressure value, the gas flow value and the operation time are collected by the collection module. The regulation module confirms the breathe state and regulates the breathing machine to meet the needs of the breathe state. Flow and pressure are used as double judgment conditions, detection on an expiratory phase, an inspiratory phase and a breathing holding state can be achieved, the situation that a breathe state which does not occur is detected out by mistake can be effectively avoided, a breathe scheme for a patient is provided according to actual conditions of the patient, and the accuracy of detection on the breathe state is improved.

A method of providing a breath to a human patient having a patient connection connected by a patient circuit to a ventilator device. The method includes delivering both a bolus of oxygen and breathing gases including air to the patient circuit. The patient circuit conducts the bolus of oxygen and the breathing gases to the patient connection. The breathing gases are delivered before an end of the inspiratory phase of the breath. The bolus may be delivered at or before a beginning of an inspiratory phase of the breath, and the delivery of the bolus may be terminated before the end of the inspiratory phase of the breath. The bolus and breathing gases are delivered to the patient circuit via different ventilator connections that isolate the bolus from the breathing gases before they enter the patient circuit.

A patient ventilation apparatus is disclosed. The apparatus includes an inlet port connectible to an oxygen source with pressurized oxygen enriched gas. An outlet port is connectible over a gas delivery conduit to a patient interface configured for fitment on a patient respiratory passageway. A valve is in pneumatic communication with the inlet port and with the outlet port. A first pressure sensor measures a patient interface pressure, which is connectible to the first pressure sensor over a pressure sensor line. A second pressure sensor measures a valve output pressure. A controller is in communication with the first pressure sensor, the second pressure sensor, and the flow sensor, to detect a patient inspiratory phase and a patient expiratory phase based upon a combination of measurements of the first pressure sensor and the second pressure sensor and to regulate the valve to selectively deliver pressurized oxygen enriched gas to the patient interface.

A pressure reducing valve for use in a system adapted to deliver a breathing gas to a patient. The pressure reducing valve is structured to communicate a flow of breathing gas to such a patient's airway during an inspiratory phase. The pressure reducing valve is structured to discharge the flow of breathing gas and a flow of exhaled gas to atmosphere during the expiratory phase. The flow of breathing gas and flow of exhaled gas are discharged to atmosphere through a number of exhaust ports. Because the flow of breathing gas and flow of exhalation gas are discharged through the exhaust ports, less effort is required by a patient during the expiratory phase.

The invention relates to the field of medical instruments and particularly discloses a mechanical ventilation control method of a positive pressure respirator and the respirator. According to the mechanical ventilation control method of the positive pressure respirator, the respiration state is judged by a microcontroller according to air pressure and air flow, the pressure information is used as the input parameter of a PID controller, a control voltage is obtained after the pressure information is input into the PID controller, then an air supply device is controlled, and pressure is provided for a respiration catheter; a next inspiration time is predicted during the expiratory phase, the respirator is controlled to release pressure in advance during the inspiratory phase, and the respirator is controlled to generate positive pressure support at the tail stage of expiration. The mechanical ventilation control method of the positive pressure respirator and the respirator have the advantages that predetermined respiration pressure can be obtained fast, and pressure fluctuation is reduced; due to the fact that the pressure is released in advance before the inspiratory phase, man-machine synchronism is improved; in addition, due to the fact that the positive pressure support is added at the tail stage of expiration, the respirator can better conform with human body respiration physiological characteristics, and the problem that an air passage is closed again due to over low pressure support is solved.

The invention discloses a method for measuring the tidal volume of an anaesthetic machine, which can effectively improve the measurement accuracy of medical anaesthetic machine in measuring the tidal volume breathed in or out by patients. The method comprises the following steps: (1) the average value measured by a flow sensor at the prior breathing-out or breathing-in stage is calculated; (2) the flow value of patients at the current breathing-out or breathing-in stage are collected; (3) the flow value of patients at the current breathing-out or breathing-in stage deducts the average value measured by the flow sensor at the prior breathing-out or breathing-in stage and the integration are accumulated in the whole breathing-out or breathing-in stage, thereby obtaining breathing-out or breathing-in tidal volume value; all factors interfering the flow measurement are compensated in real time so as to prevent the measurement results from being affected by the component, the pressure, the temperature, atmospheric pressure and environmental temperature thus achieving the purpose of correctly measuring the breathing-out or breathing-in tidal volume, greatly improving the controllability of anaesthetic effect and realizing the purpose of the method.

A pressure reducing valve for use in a system adapted to deliver a breathing gas to a patient. The pressure reducing valve is structured to communicate a flow of breathing gas to such a patient's airway during an inspiratory phase. The pressure reducing valve is structured to isolate the flow of breathing gas from the patient's airway and to “dump” the flow of breathing gas and a flow of exhalation gas to atmosphere during the expiratory phase. The flow of breathing gas is dumped to atmosphere through a first number of ports; whereas a flow of exhalation gas is dumped to atmosphere through a second number of ports. Because the flow of breathing gas remains isolated from the flow of exhalation gas, less effort is required by a patient during the expiratory phase.

Cuff pressure modulation results in decreased severity of injury to the subglottic region and upper trachea. A simple device is capable of modulating the pressure in the cuff of a regular endotracheal tube, by coordinating the pressure level to be maximal during the inspiratory phase and minimal during the expiratory phase. This allowed for regular positive airway pressure ventilation as during inspiration the seal was maintained between the ETT and the tracheal mucosa by the inflated cuff, but during expiration cuff deflation allowed the cuff pressure to drop in the subglottic and tracheal area.