System and method of controlling the delivery of medical gases to a patient

• US 10,398,870 B2
• Filed: 11/24/2015
• Issued: 09/03/2019
• Est. Priority Date: 01/10/2011
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Chapman, Philip E., Tham, Robert Q., Foulis, Michael, Moreau, Wesley
• Primary Examiner(s): Douglas, Steven O
• Application Number:
  US14/950,849
• Publication Number:
  US 20160121070A1
• Time in Patent Office: 1,379 Days
• CPC Class Codes: A61M 16/0045 Means for re-breathing exhaled gases, e.g. for hyperventilation treatment
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• CPC Class Codes: A61M 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 16/0891 Closed circuit, e.g. for anaesthesia
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 16/122 with dilution
• CPC Class Codes: A61M 16/125 Diluting primary gas with ambient air
• CPC Class Codes: A61M 16/18 Vaporising devices for anaesthetic preparations
• CPC Class Codes: A61M 16/208 Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
• CPC Class Codes: A61M 16/209 Relief valves
• CPC Class Codes: A61M 16/22 Carbon dioxide-absorbing devices ; Other means for removing carbon dioxidecartridges with absorbing substances for respiratory apparatus A62B19/00
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2016/1035 the anaesthetic agent concentration
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/0241 Anaesthetics; Analgesics
• CPC Class Codes: A61M 2202/025 Helium
• CPC Class Codes: A61M 2202/0283 Nitrous oxide (N2O)
• CPC Class Codes: A61M 2202/0291 Xenon
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3334 : Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/50 : with microprocessors or computers
• CPC Class Codes: A61M 2205/502 : User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient

Abstract

A system for controlling the delivery of medical gases includes a digital signal processor that receives at least one ventilation parameter value change, calculates a fresh oxygen flow rate, total fresh gas flow rate into the breathing circuit, and a reference oxygen flow rate representative of a predetermined oxygen concentration delivered to a patient. A graphical display presents the calculated fresh oxygen flow rate, total fresh gas flow rate, and reference oxygen flow rate. A method of controlling the delivery of medical gases to a patient includes calculating a total fresh gas flow rate into the breathing circuit, calculating a fresh oxygen flow rate into the breathing circuit, calculating a reference oxygen flow rate representative of a predetermined oxygen concentration delivered to the patient and presenting the total fresh gas flow rate, the fresh oxygen flow rate, and reference oxygen flow rate on a graphical display.

Claims

1. A system for controlling the delivery of medical gases to a patient, the system comprising:

a breathing circuit including a patient connection;

a mixer pneumatically connected to the breathing circuit, the mixer receives at least oxygen and a balance gas and provides a combined gas comprising at least oxygen and the balance gas to the breathing circuit;

a digital signal processor communicatively connected to the mixer, the digital signal processor receives at least one ventilation parameter value change, calculates a fresh oxygen flow rate into the breathing circuit and a total fresh gas flow rate into the breathing circuit with the at least one ventilation parameter value, and calculates a reference oxygen flow rate representative of a predetermined oxygen concentration delivered to the patient with at least the total fresh gas flow rate; and

a graphical display communicatively connected to the digital signal processor, wherein the graphical display presents the calculated fresh oxygen flow rate, the total fresh gas flow rate, and the reference oxygen flow rate.

2. The system of claim 1, further comprising:

a mechanical ventilator pneumatically connected to the breathing circuit, the mechanical ventilator configured to create fluid pressure waveforms within the breathing circuit to provide respiratory support to the patient; and

an input device operable by a clinician to input the at least one ventilation parameter change.

3. The system of claim 1, further comprising:

a vaporizer pneumatically connected to the breathing circuit;

wherein the digital signal processor calculates an anesthetic agent consumption rate at least in part from the total fresh gas flow rate, calculates an estimated cost from the anesthetic agent consumption rate, and operates the graphical display to present the estimated cost.

4. The system of claim 3, wherein the digital signal processor calculates an anesthetic vapor flow rate based upon the difference of the fresh gas flow rate and a product of a fraction of expired agent and an expired minute volume from a product of a fraction of inspired agent and an inspired minute volume and the digital signal processor operates the graphical display to present the calculated anesthetic vapor flow rate.

5. The system of claim 3, wherein the digital signal processor calculates the anesthetic vapor flow rate based upon a product of a fraction of inspired agent and the fresh gas flow rate and the digital signal processor operates the graphical display to present the calculated anesthetic vapor flow rate.

6. The system of claim 1, wherein the predetermined oxygen concentration is a predetermined hypoxic concentration threshold.

7. The system of claim 1, further comprising:

a respiratory gas monitor pneumatically connected to the breathing circuit, the respiratory gas monitor produces signals indicative of an oxygen concentration inhaled and exhaled by the patient;

wherein the digital signal processor calculates the predetermined minimum oxygen requirement threshold using at least one of the signals indicative of oxygen concentration inhaled and exhaled by the patient.

8. A ventilation system that provides respiratory support to a patient, the system comprising:

a breathing circuit with a patient connection;

an input device operable by a clinician to input at least one ventilation parameter value;

a mixer pneumatically connected to the breathing circuit, the mixer receives at least oxygen and a balance gas and provides a combined gas comprising at least oxygen and the balance gas to the breathing circuit;

a digital signal processor communicatively connected to the input device, the digital signal processor receives the at least one ventilation parameter value, calculates a fresh oxygen flow rate into the breathing circuit, calculates total fresh gas flow rate into the breathing circuit, calculates a predicted oxygen concentration delivered to the patient, and compares the predicted oxygen concentration to a predetermined minimum oxygen requirement threshold of the patient; and

a graphical display communicatively connected to the digital signal processor, the graphical display presents the calculated fresh oxygen flow rate and total fresh gas flow rate;

wherein if the predicted oxygen concentration is above the predetermined minimum oxygen requirement threshold, the digital signal processor accepts the at least one ventilation parameter value.

9. The system of claim 8, wherein if the predicted oxygen concentration delivered to the patient is below the predetermined minimum oxygen requirement threshold, the digital signal processor calculates at least one additional parameter value such that the predicted oxygen concentration is above the predetermined minimum oxygen requirement threshold, and the digital signal processor accepts the at least one ventilation parameter value and at least one additional parameter value.

10. The system of claim 8, further comprising:

a vaporizer pneumatically connected to the breathing circuit;

wherein the digital signal processor further calculates a predicted anesthetic vapor flow rate at least in part from the total fresh gas flow rate, the digital signal processor further converts the predicted anesthetic vapor flow rate to an anesthetic agent consumption cost and the graphical display presents the anesthetic agent consumption cost.

11. The system of claim 10, further comprising:

a respiratory gas monitor pneumatically connected to the breathing circuit, the respiratory gas monitor produces signals indicative of at least an anesthetic agent concentration inhaled exhaled by the patient;

wherein the digital signal processor calculates the anesthetic vapor flow rate from at least the indicated inhaled and exhaled anesthetic agent concentrations and the total fresh gas flow rate.

12. The system of claim 8, wherein the digital signal processor calculates an anesthetic vapor flow rate based upon a difference of the fresh gas flow rate and a product of an exhaled anesthetic agent concentration and an exhaled minute volume from a product of an inhaled anesthetic agent concentration and an inhaled minute volume and the digital signal processor operates the graphical display to present the calculated anesthetic vapor flow rate.

13. The system of claim 8, wherein the digital signal processor calculates an anesthetic vapor flow rate based upon a product of an inspired anesthetic agent concentration and the fresh gas flow rate, and the digital signal processor operates the graphical display to present the calculated anesthetic vapor flow rate.

14. A method of controlling the delivery of medical gases to a patient receiving ventilatory support from a low-flow mechanical ventilator, the method comprising:

providing ventilatory support to the patient through a breathing circuit pneumatically connected to the low-flow mechanical ventilator;

receiving, with a mixer pneumatically connected to the breathing circuit, a flow of medical gas comprising oxygen;

receiving, with a digital signal processor, a ventilation parameter value change;

calculating, with the digital signal processor and based upon the received ventilation parameter value change, at least one of;

a total fresh gas flow rate into the breathing circuit; and

a fresh oxygen flow rate into the breathing circuit; and

presenting the total fresh gas flow rate, and the fresh oxygen flow rate on a graphical display.

15. The method of claim 14, further comprising:

calculating, with the digital signal processor, a reference oxygen flow rate into the breathing circuit that achieves a predetermined oxygen concentration as delivered to the patient based upon the total fresh gas flow rate; and

presenting the reference oxygen flow rate into the breathing circuit on the graphical display.

16. The method of claim 14, further comprising:

calculating a predicted oxygen concentration delivered to the patient with the digital signal processor based upon the ventilation parameter value change;

comparing the predicted oxygen concentration to the predetermined oxygen concentration with the digital signal processor;

accepting, with the digital signal processor, the ventilation parameter value if the predicted oxygen concentration is above the predetermined oxygen concentration; and

rejecting, with the digital signal processor, the ventilation parameter value if the predicted oxygen concentration is below the predetermined oxygen concentration.

17. The method of claim 14, further comprising:

providing anesthetic agent from a vaporizer to the patient through the breathing circuit;

obtaining an expired minute volume; and

comparing the expired minute volume to the fresh gas flow rate.

18. The method of claim 17 wherein the expired minute volume is greater than or equal to the fresh gas flow rate and further comprising:

calculating an anesthetic agent vapor flow rate provided by the vaporizer based upon a difference of the fresh gas flow rate and a product of an exhaled anesthetic agent concentration and an exhaled minute volume from a product of an inhaled anesthetic agent concentration and an inhaled minute volume; and

presenting the calculated anesthetic agent vapor flow rate on the graphical display.

19. The method of claim 17 wherein the expired minute volume is less than the fresh gas flow rate and further comprising:

calculating an anesthetic agent vapor flow rate provided by the vaporizer based upon a product of an inspired anesthetic agent concentration and the fresh gas flow rate; and

presenting the calculated anesthetic agent vapor flow rate on the graphical display.

20. The method of claim 17, further comprising:

calculating an anesthetic agent vapor flow rate provided by the vaporizer based at lease upon a product of an inspired anesthetic agent concentration and the fresh gas flow rate;

presenting the calculated anesthetic agent vapor flow rate on the graphical display;

calculating, with the digital signal processor, an equivalent cost for the consumed anesthetic agent based upon the anesthetic agent vapor flow rate; and

presenting the calculated equivalent cost on the graphical display.