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134 results about "Positive end-expiratory pressure" patented technology

Positive end-expiratory pressure (PEEP) is the pressure in the lungs (alveolar pressure) above atmospheric pressure (the pressure outside of the body) that exists at the end of expiration. The two types of PEEP are extrinsic PEEP (PEEP applied by a ventilator) and intrinsic PEEP (PEEP caused by an incomplete exhalation). Pressure that is applied or increased during an inspiration is termed pressure support.

Aerosol delivery apparatus with positive expiratory pressure capacity

An apparatus and method for performing positive pressure (PP) therapy alone or in combination with an aerosol delivery apparatus. The positive pressure apparatus includes a positive pressure valve having a continuously variable respiratory window. The PP valve may be associated with a patient respiratory system interface alone, such as, but not limited to, a mask or mouthpiece, or in combination with an aerosol delivery apparatus.
Owner:TRUDELL MEDICAL INT INC

Methods and devices for maintaining an open airway

Methods and devices are provided that are effective to remove an obstruction in a human airway and / or maintain an open airway. The methods and devices are particularly useful for patients suffering from snoring and / or OSA, and / or preventing upper airway obstructions in patients undergoing anesthesia. In one embodiment, the device includes a mouthpiece that is adapted to form a substantially sealed cavity within a human mouth, and a hollow elongate member having a first end that is coupled to the mouthpiece and that is in communication with the substantially sealed cavity, and a second end that is adapted to be coupled to a negative pressure generator. In use, a negative pressure generator can be attached to the hollow elongate member to create a negative pressure in a human mouth in response to an obstructed airway, thereby removing the obstruction. In particular, this device is effective to counteract the collapse of a patient's soft tissues of the upper airway to reopen the airway. The mouthpiece can also be used in combination with a nasal mask. In another embodiment, the oral appliance above also comprises a nasal mask, wherein the nasal mask provides a means of ventilation support, including but not limited to total mechanical ventilation, positive-end expiratory pressure, or continuous positive airway pressure. In use, such a device can provide complete patient ventilation and maintain an open upper airway.
Owner:THE GENERAL HOSPITAL CORP

Method and apparatus for non-invasive prediction of intrinsic positive end-expiratory pressure (PEEPi) in patients receiving ventilator support

ActiveUS7562657B2Accurate detection and quantificationBetter informed of patient statusRespiratorsOperating means/releasing devices for valvesAir volumeTrapping
The present invention describes a method and apparatus for non-invasive prediction of the “intrinsic positive end-expiratory pressure” (PEEPi) which is secondary to a trapping of gas, over and above that which is normal in the lungs; the presence of PEEPi imposes an additional workload upon the spontaneously breathing patient. Several indicators or markers are presented to detect and quantify PEEPi non-invasively The markers may include an expiratory air flow versus expiratory air volume trajectory, an expiratory carbon dioxide flow versus expiratory air volume trajectory, an expiratory carbon dioxide volume to expiratory air volume ratio, an expiratory air flow at onset of inhalation, a model of an expiratory waveform, a peak to mid-exhalation airflow ratio, duration of reduced exhaled airflow, and a Capnograph waveform shape.
Owner:CONVERGENT ENG

Positive expiratory pressure device with bypass

A multi-use, hand held, single patient oscillatory positive expiratory pressure respiratory therapy device which is easily assembled and disassembled for cleaning, and which is not position dependent during therapy, but operable through a wide range of device orientation.
Owner:SMITHS MEDICAL ASD INC

Mechanical ventilation system utilizing bias valve

A portable mechanical ventilator having a Roots blower is configured to provide a desired gas flow and pressure to a patient circuit. The mechanical ventilator includes a flow meter operative to measure gas flow produced by the Roots blower and an exhalation control module configured to operate an exhalation valve connected to the patient circuit. A bias valve connected between the Roots blower and the patient circuit is specifically configured to generate a bias pressure relative to the patient circuit pressure at the exhalation control module. The bias valve is further configured to attenuate pulsating gas flow produced by the Roots blower such that gas flowing to the mass flow meter exhibits a substantially constant pressure characteristic. The bias pressure facilitates closing of the exhalation valve at the start of inspiration, regulates positive end expiratory pressure during exhalation, and purges sense lines via a pressure transducer module.
Owner:VYAIRE MEDICAL 203 INC

Method and apparatus to counterbalance intrinsic positive end expiratory pressure

The invention prevents dynamic airway compression during ventilatory support of a patient. The respiratory airflow is determined by measurement or calculation, and a measure of the degree of dynamic airway compression is derived from the determined airflow. This measure is servo-controlled to be zero by increasing expiratory pressure if the measure of the degree of dynamic airway compression is large or increasing, and by reducing expiratory pressure if the measure of the degree of dynamic airway compression is small or zero.
Owner:RESMED LTD

Mechanical ventilation system utilizing bias valve

A portable mechanical ventilator having a ROOTS® blower is configured to provide a desired gas flow and pressure to a patient circuit. The mechanical ventilator includes a flow meter operative to measure gas flow produced by the ROOTS® blower and an exhalation control module configured to operate an exhalation valve connected to the patient circuit. A bias valve connected between the ROOTS® blower and the patient circuit is specifically configured to generate a bias pressure relative to the patient circuit pressure at the exhalation control module. The bias valve is further configured to attenuate pulsating gas flow produced by the ROOTS® blower such that gas flowing to the mass flow meter exhibits a substantially constant pressure characteristic. The bias pressure facilitates closing of the exhalation valve at the start of inspiration, regulates positive end expiratory pressure during exhalation, and purges sense lines via a pressure transducer module.
Owner:VYAIRE MEDICAL 203 INC

Oscillating positive respiratory pressure device

An oscillating positive respiratory pressure apparatus and a method of performing oscillating positive respiratory pressure therapy. The apparatus includes a housing having an interior chamber, a chamber inlet, a chamber outlet, an exhalation flow path defined between the inlet and the outlet, and a restrictor member rotatably mounted within the interior chamber. The restrictor member has an axis of rotation that is substantially perpendicular to the flow path at the inlet, and includes at least one blocking segment. Rotation of the restrictor member moves the at least one blocking segment between an open position and a closed position. Respiratory pressure at the chamber inlet oscillates between a minimum when the at least one blocking segment is in the open position and a maximum when the at least one blocking segment is in the closed position. By exhaling into the apparatus, oscillating positive expiratory pressure therapy is administered.
Owner:TRUDELL MEDICAL INT INC

Oscillating positive expiratory pressure device

An oscillating positive expiratory pressure apparatus having a housing defining a chamber, a chamber inlet, a chamber outlet, a deformable restrictor member positioned in an exhalation flow path between the chamber inlet and the chamber outlet, and an oscillation member disposed within the chamber. The deformable restrictor member and the oscillation member are moveable between an engaged position, where the oscillation member is in contact with the deformable restrictor member and an disengaged position, where the oscillation member is not in contact with the deformable restrictor member. The deformable restrictor member and the oscillation member move from the engaged position to the disengaged position in response to a first exhalation pressure at the chamber inlet, and move from the disengaged position to an engaged position in response to a second exhalation pressure at the chamber inlet.
Owner:TRUDELL MEDICAL INT INC

Oscillating positive expiratory pressure device

An oscillating positive expiratory pressure device comprising a housing enclosing at least one chamber, a chamber inlet configured to receive exhaled air into the at least one chamber, and a chamber outlet configured to permit exhaled air to exit the at least one chamber. A channel is positioned in an exhalation flow path between the chamber inlet and the chamber outlet, with the channel being moveably connected to a chamber of the at least one chamber. An air flow regulator is moveable with respect to the channel between a first position, where the flow of air through the channel is restricted and a second position, where the flow of air through the channel is less restricted, the air flow regulator being configured to repeatedly move between the first position and the second position in response to a flow of exhaled air.
Owner:TRUDELL MEDICAL INT INC

Method and apparatus for non-invasive prediction of intrinsic positive end-expiratory pressure (PEEPi) in patients receiving ventilator support

The present invention describes a method and apparatus for non-invasive prediction of the “intrinsic positive end-expiratory pressure” (PEEPi) which is secondary to a trapping of gas, over and above that which is normal in the lungs; the presence of PEEPi imposes an additional workload upon the spontaneously breathing patient. Several indicators or markers are presented to detect and quantify PEEPi non-invasively The markers may include an expiratory air flow versus expiratory air volume trajectory, an expiratory carbon dioxide flow versus expiratory air volume trajectory, an expiratory carbon dioxide volume to expiratory air volume ratio, an expiratory air flow at onset of inhalation, a model of an expiratory waveform, a peak to mid-exhalation airflow ratio, duration of reduced exhaled airflow, and a Capnograph waveform shape.
Owner:CONVERGENT ENG

Oscillating positive expiratory pressure device

An oscillating positive expiratory pressure apparatus having a housing defining a chamber, a chamber inlet, a chamber outlet, a deformable restrictor member positioned in an exhalation flow path between the chamber inlet and the chamber outlet, and an oscillation member disposed within the chamber. The deformable restrictor member and the oscillation member are moveable between an engaged position, where the oscillation member is in contact with the deformable restrictor member and an disengaged position, where the oscillation member is not in contact with the deformable restrictor member. The deformable restrictor member and the oscillation member move from the engaged position to the disengaged position in response to a first exhalation pressure at the chamber inlet, and move from the disengaged position to an engaged position in response to a second exhalation pressure at the chamber inlet.
Owner:TRUDELL MEDICAL INT INC

Method and apparatus to counterbalance intrinsic positive end expiratory pressure

The invention prevents dynamic airway compression during ventilatory support of a patient. The respiratory airflow is determined by measurement or calculation, and a measure of the degree of dynamic airway compression is derived from the determined airflow. This measure is servo-controlled to be zero by increasing expiratory pressure if the measure of the degree of dynamic airway compression is large or increasing, and by reducing expiratory pressure if the measure of the degree of dynamic airway compression is small or zero.
Owner:RESMED LTD

System and method for circuit compliance compensated volume control in a patient respiratory ventilator

A circuit compliance compensated volume control system in a patient respiratory ventilation system and method, including: a circuit compliance estimator, to provide a relationship between a circuit volume and a differential pressure between a circuit pressure and a positive end-expiratory pressure (PEEP) of the respiratory circuit, a circuit volume estimator, operative to provide an estimated circuit volume based on the relationship between the circuit volume and the differential pressure, a patient volume observer, operative to provide an estimated patient volume by subtracting the estimated circuit volume from a measured machine delivered net volume, and a volume delivery controller, operative to update the machine delivered net volume based on the estimated patient volume and a set tidal volume.
Owner:VYAIRE MEDICAL 211 INC

Endotracheal tube using leak hole to lower dead space

A tracheal tube ventilation apparatus to more effectively remove expired gases. In one preferred embodiment, one or more leak holes are created in the side walls of an endotracheal tube so that expired gases can leak out of the endotracheal tube above the larynx, such as into the back of the mouth (i.e., oropharynx). Each leak hole might advantageously have a diameter between 0.5 and 4.0 mm. In another preferred embodiment, a tube is attached to a proportionately larger leak hole (e.g., up to 8.0 mm) so that the expired gases can be directed away from the leak hole to a specific location, such as directed out of the mouth. In the case of mechanically controlled ventilation, a positive end expiratory pressure can be applied to this tube to mechanically assist with the process of exhaling. In each of these embodiments, it is preferred, but not required, that the endotracheal tube be an ultra-thin walled, two stage tube so as to further assist in the reduction of resistance to the flow of oxygen / air.
Owner:HEALTH & HUMAN SERVICES THE GOVERNMENT OF THE US SEC THE DEPT OF

Oscillating Positive Respiratory Pressure Device

An oscillating positive respiratory pressure apparatus and a method of performing oscillating positive respiratory pressure therapy. The apparatus includes a housing having an interior chamber, a chamber inlet, a chamber outlet, an exhalation flow path defined between the inlet and the outlet, and a restrictor member rotatably mounted within the interior chamber. The restrictor member has an axis of rotation that is substantially perpendicular to the flow path at the inlet, and includes at least one blocking segment. Rotation of the restrictor member moves the at least one blocking segment between an open position and a closed position. Respiratory pressure at the chamber inlet oscillates between a minimum when the at least one blocking segment is in the open position and a maximum when the at least one blocking segment is in the closed position. By exhaling into the apparatus, oscillating positive expiratory pressure therapy is administered.
Owner:TRUDELL MEDICAL INT INC

Exhalation valve for use in an underwater breathing device

An underwater breathing device, such as a snorkel, may include an exhalation valve. The exhalation valve is configured to produce positive end-expiratory pressure in the airway of a user of the underwater breathing device in order to reduce the overall work of underwater breathing. The exhalation valve includes a plate defining an exhalation port. The exhalation valve also includes a flexible membrane that is sealable against a surface of the plate and is sized and positioned to be capable of sealing the exhalation port. The flexible membrane is configured to have a sealed position in which the flexible membrane seals the exhalation port such that substantially no exhaled air escapes the snorkel. The flexible membrane is also configured to have an unsealed position in which exhaled air escapes the snorkel.
Owner:JOHNSON MARK

Method and apparatus for ventilation assistance

A mask interface device is provided for a protective mask of the type having a mask filter and a mask expiratory port, the mask expiratory port having an expiratory port valve of the type that is normally closed and openable upon expiration, the mask filter having an inspiratory air inlet, the mask interface device comprising: a mask interface assembly mountable to the mask and having a mounting interface for mounting an air pressure generator in fluid communication with the inspiratory inlet of the mask filter; and an expiratory port interface assembly mountable to the mask expiratory port and comprising at least one opening for venting expired gas to atmosphere and a one-way valve that is positioned to control the flow of expired gas out through the at least one opening, and wherein the one-way valve is set to an opening pressure that provides positive end expiratory pressure or PEEP. Optionally, this opening pressure is between 2.5 and 20 cm H2O. Optionally, the mask interface device interface directly with the mask filter. In one embodiment of the invention, this interface does not require the filter to have a mating connection and is therefore is universal for a broad class of filters, for example cylindrical filters that project from the mask.
Owner:FEDORKO LUDWIK +1

Respiratory valve

ActiveUS20120048274A1Reduce the possibilityWithout any supportRespiratorsMultiple way valvesLung CollapseEndotracheal tube
A respiratory valve apparatus with a housing having an inner chamber, an endotracheal tube connection port, a respirator connection port and a resuscitation bag connection port. A valve positioned within the inner chamber can switch the flow between a manual resuscitation bag port and a ventilator port enabling the patient to be treated without having to disconnect the respirator support system to thereby connect the resuscitation bag. This prevents the loss of positive end expiratory pressure (PEEP) in the lungs and guards against lung collapse and hemodynamic compromise. The valve includes preloaded seals that will create minimal dragging during valve actuation and work under both positive and negative pressure. The apparatus includes a tethered cover for closure of the resuscitation bag port for sealably covering the port when a bag is not attached or the ventilator connector during patient transport. A sealing arrangement within the resuscitator bag port insures that PEEP in maintained when the resuscitator bag adapter is inserted into the housing.
Owner:BAYWIN

Vacuum and positive pressure ventilation systems and methods for intrathoracic pressure regulation

ActiveUS8967144B2Facilitates breath controlEasy to controlTracheal tubesOperating means/releasing devices for valvesPositive pressureIntra-aortic balloon pump
Medical techniques include systems and methods for administering a positive pressure ventilation, a positive end expiratory pressure, and a vacuum to a person. Approaches also include treating a person with an intrathoracic pressure regulator so as to modulate or upregulate the autonomic system of the person, and treating a person with a combination of an intrathoracic pressure regulation treatment and an intra-aortic balloon pump treatment.
Owner:ZOLL MEDICAL CORPORATION

Oscillating positive expiratory pressure device

A respiratory treatment device comprising at least one chamber, a chamber inlet configured to receive exhaled air into the at least one chamber, at least one chamber outlet configured to permit exhaled air to exit the at least one chamber, and an exhalation flow path defined between the chamber inlet and the at least one chamber outlet. A restrictor member positioned in the exhalation flow path is moveable between a closed position, where a flow of exhaled air along the exhalation flow path is restricted, and an open position, where the flow of exhaled air along the exhalation flow path is less restricted. A vane in fluid communication with the exhalation flow path is operatively connected to the restrictor member and is configured to reciprocate between a first position and a second position in response to the flow of exhaled air along the exhalation flow path.
Owner:TRUDELL MEDICAL INT INC

Method of performing surgical procedures on patients suffering from hiatal hernia

The invention is a method of lowering the gastroesophageal junction below the diaphragm of a patient with a hiatal hernia during the performance of surgical procedures performed via natural orifices. The method comprises applying positive pressure ventilation with positive end expiratory pressure (PEEP) to the patient.
Owner:MEDIGUS LTD

Underwater breathing devices and methods

A swim and skin-dive snorkel for providing positive end-expiratory pressure for pressure-balanced exhalation.The snorkel may include inhalation and exhalation conduits. Air can be exhaled into a chamber and released when exhalation pressure within the chamber exceeds a threshold pressure. The threshold pressure that must be overcome to achieve exhalation may be balanced against the compressive forces of the ambient water pressure acting against the user's chest and lungs, which may greatly reduce the resting expiratory flow rate, the minute respiratory rate, and therefore the overall work of breathing. The exhalation pressure may be linearly matched to the ambient water pressure as a function of dive depth, thereby discouraging exhalation while diving. A purge valve may also be placed at the lower aspect of the snorkel.
Owner:LIFETIME PRODUCTS

Control system and method for implementing double horizontal pressures in air passage, breathing machine and anaesthetic machine

The invention discloses a control method and control system for implementing double horizontal pressures in an air passage. The control method comprises the following steps of: enabling the air inlet end of the air passage to be in a cut-off state or conducting state; enabling the air outlet end of the air passage to be in a cut-off state or conducting state with the external atmosphere by means of an expiratory valve; communicating a control air channel at the control end of the expiratory valve with an air supply source, and keeping the control air channel in a throttling state or full-conducting state, wherein the low-level pressure of the air passage can be set by regulating the throttling quantity of the control air channel in the throttling state; and controlling the state of the air inlet end of the air passage and the state of the control air channel of the expiratory valve in accordance with breath settings and the detected pressure of the air passage. The invention also discloses an anaesthetic machine and breathing machine with the control system. By using the method and system, the invention can completely achieve the functions which can be realized by adopting a proportional valve, an electronic PEEP (Positive End Expiratory Pressure) valve and closed-loop control, and has the advantages of simple design and low cost.
Owner:BEIJING AEONMED

Exhalation valve for use in a breathing device

An underwater breathing device, such as a snorkel, may include an exhalation valve. The exhalation valve is configured to produce positive end-expiratory pressure in the airway of a user of the underwater breathing device in order to reduce the overall work of underwater breathing. The exhalation valve includes a plate defining an exhalation port. The exhalation valve also includes a flexible membrane that is sealable against a surface of the plate and is sized and positioned to be capable of sealing the exhalation port. The flexible membrane is configured to have a sealed position in which the flexible membrane seals the exhalation port such that substantially no exhaled air escapes the snorkel. The flexible membrane is also configured to have an unsealed position in which exhaled air escapes the snorkel.
Owner:JOHNSON MARK

Mechanical ventilation system utilizing bias valve

A portable mechanical ventilator having a Roots blower is configured to provide a desired gas flow and pressure to a patient circuit. The mechanical ventilator includes a flow meter operative to measure gas flow produced by the Roots blower and an exhalation control module configured to operate an exhalation valve connected to the patient circuit. A bias valve connected between the Roots blower and the patient circuit is specifically configured to generate a bias pressure relative to the patient circuit pressure at the exhalation control module. The bias valve is further configured to attenuate pulsating gas flow produced by the Roots blower such that gas flowing to the mass flow meter exhibits a substantially constant pressure characteristic. The bias pressure facilitates closing of the exhalation valve at the start of inspiration, regulates positive end expiratory pressure during exhalation, and purges sense lines via a pressure transducer module.
Owner:VYAIRE MEDICAL 203 INC

Method for improving control and detection precision of tidal volume by a calculation introduced with r value

The present invention discloses a method for improving control and detection precision of tidal volume by introducing R value, comprising the steps of: a plateau pressure Pplate is used to calculate a system compliance C with C=ΔV / (Pplate−PEEP); VT, the tidal volume obtained currently at patient terminal, is calculated with VT=ΔV×(C−Ctube) / C, wherein ΔV is the variation of tidal volume, PEEP is the positive end expiratory pressure and Ctube is the compliance C of the line. Depending on the calculated VT, the tidal volume which is actually obtained by the patients during this period, the processing unit calculates the tidal volume VT′, which the airway is intended to reach during the next expiration period, by VT′=VT+ΔVT×K wherein K is a scaling factor for control and adjustment, VT is the tidal volume obtained by the patient during the current period, VTset is the presetted tidal volume, ΔVT=VTset−VT. And the processing unit accordingly controls the opening position of the inspiratory valve during the next inspiration period, so as to achieve the purpose of improving control and detection of precision tidal volume.
Owner:BEIJING AEONMED
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