CONFIGURING THE OPERATION OF AN ALTERNATING PRESSURE VENTILATION MODE

• US 20090205663A1
• Filed: 02/06/2009
• Published: 08/20/2009
• Est. Priority Date: 02/19/2008
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Vandine, Joseph Douglas, Milne, Gary Scott
• Application Number:
  US12/367,332
• Publication Number:
  US 20090205663A1
• Time in Patent Office: Days
• US Class Current: 128/204.230
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/025 Helium
• 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

Systems and methods for configuring the operation of an alternating pressure ventilation mode are provided. According to one embodiment a configuration method includes monitoring gas flow between a patient and a ventilation system. Based on the monitoring, a peak expiratory flow rate (PEFR) is determined Information indicative of values of parameters of the ventilation mode are received, including a higher pressure setting, a lower pressure setting and a duration of the higher pressure setting. User input is also received indicative of a target percentage of PEFR at which the ventilation system should cycle from the lower pressure setting to the higher pressure setting. Based on the target percentage, a duration of the lower pressure setting is programmatically determined. Finally, the ventilation system is configured to automatically cycle between the higher and lower pressure setting at a predetermined flow based on the parameters and the duration of the lower pressure setting.

Claims

1. A method of controlling a ventilation system comprising:

monitoring a flow of gas between a patient and the ventilation system;

determining a peak expiratory flow rate (PEFR) based on said monitoring;

receiving information indicative of values of a plurality of parameters of an alternating pressure ventilation mode of the ventilation system, the plurality of parameters including at least a higher pressure setting, a lower pressure setting and a duration of the higher pressure setting;

receiving user input indicative of a desired percentage of the PEFR at which the ventilator system should cycle from the lower pressure setting to the higher pressure setting;

programmatically determining a duration of the lower pressure setting based on the desired percentage of the PEFR; and

configuring the ventilation system to automatically cycle between the higher pressure setting and the lower pressure setting at a predetermined flow based on the plurality of parameters and the duration of the lower pressure setting.

2. The method of claim 1, wherein the alternating pressure ventilation mode comprises an Airway Pressure Release Ventilation (APRV) mode in which a ratio of the duration of the higher pressure setting to the duration of the lower pressure setting is such that all spontaneous breathing by the patient takes place during the higher pressure setting.

3. The method of claim 1, wherein the alternating pressure ventilation mode comprises a ventilation mode in which a ratio of the duration of the higher pressure setting to the duration of the lower pressure setting is configured to allow spontaneous breathing by the patient during both the lower pressure setting and the higher pressure setting.

4. The method of claim 1, wherein said monitoring a flow of gas between a patent and the ventilation system comprises:

metering a flow of breathing gas delivered to the patient from the ventilation system via a first flow sensor; and

metering expiratory gas flow returning from the patient to the ventilation system via a second flow sensor.

5. The method of claim 1, wherein said monitoring a flow of gas between a patent and the ventilation system comprises metering, via a single sensor positioned at a port defining an entry to an airway of the patient, both a flow of breathing gas delivered to the patient by the ventilation system and a flow of gas returning from the patient to the ventilation system.

6. The method of claim 1, wherein said receiving information indicative of values of a plurality of parameters comprises receiving predefined default parameter values from a ventilation mode profile.

7. The method of claim 1, wherein said receiving information indicative of a plurality of parameters comprises:

receiving a first subset of parameter values as user input via a user interface of the ventilation system; and

receiving a second subset of parameter values from predefined default parameter values associated with a ventilation mode profile.

8. The method of claim 1, wherein said receiving user input indicative of a desired percentage of the PEFR comprises receiving a touch screen input associated with an inspiratory and expiratory gas flow versus time tracing depicted on a user interface of the ventilation system.

9. The method of claim 1, wherein said receiving user input indicative of a desired percentage of the PEFR comprises receiving a user selection from a predefined set or range of PEFR percentages displayed to the user via a user interface of the ventilation system.

10. The method of claim 9, wherein the predefined set of PEFR percentages are limited to values between approximately 20% of PEFR and approximately 75% of PEFR.

11. The method of claim 1, wherein said receiving user input indicative of a desired percentage of the PEFR comprises receiving a numerical input.

12. The method of claim 11, further comprising a user interface of the ventilation system alerting the user when the numerical input is outside a range of approximately 20 to approximately 75.

13. A ventilation system comprising:

a gas flow path to deliver breathing gas from a gas source to a patient;

a pressure controller located along the gas flow path and configured to cycle the ventilation system among a plurality of pressure settings;

one or more flow sensors located along the gas flow path, the one or more flow sensors configured to monitor a flow of gas between the patient and the ventilation system;

a user interface configured to display information to an end user of the ventilation system regarding airway pressure of the patient and the flow of gas and to receive information from the end user indicative of one or more values of parameters associated with an alternating pressure ventilation mode of the ventilation system or from which the one or more values can be derived;

a processor; and

a computer-readable medium having stored thereon instructions executable by the processor, which cause the processor to;

receive information from the one or more flow sensors regarding the flow of gas;

determine a peak expiratory flow rate (EFR) based on the information regarding the flow of gas;

receive values for a subset of the parameters associated with the alternating pressure ventilation mode) the subset of the parameters including a higher pressure setting, a lower pressure setting and a duration of the higher pressure setting;

receive user input via the user interface indicative of a desired percentage of the PEFR at which the ventilator system should cycle from the lower pressure setting to the higher pressure setting;

programmatically determine a duration of the lower pressure setting based on the desired percentage of the PEFR; and

cause the ventilation system to automatically cycle between the higher pressure setting and the lower pressure setting at a predetermined flow by conveying the higher pressure setting, the lower pressure setting, the duration of the higher pressure setting and the duration of the lower pressure setting to the pressure controller.

14. The ventilation system of claim 13, wherein the ventilation system comprises a critical care ventilator.

15. The ventilation system of claim 13, wherein the alternating pressure ventilation mode comprises an Airway Pressure Release Ventilation (APRV) mode.

16. The ventilation system of claim 13) wherein the alternating pressure ventilation mode comprises a BiLevel ventilation mode.

17. The ventilation system of claim 13, wherein said one or more flow sensors comprise:

a first sensor configured to meter a flow of breathing gas delivered to the patient from the ventilation system; and

a second sensor configured to meter expiratory gas flow returning from the patient to the ventilation system.

18. The ventilation system of claim 13, wherein said one or more flow sensors comprise a single flow sensor positioned at a port defining an entry to an airway of the patient, and wherein the single flow sensor is configured to meter both a flow of breathing gas delivered to the patient by the ventilation system and a flow of gas returning from the patient to the ventilation system.

19. A method of controlling a ventilation system comprising:

a step for monitoring a flow of gas between a patient and the ventilation system;

a step for determining a peak expiratory flow rate (PEFR) based on said monitoring;

a step for receiving information indicative of values of a plurality of parameters of an alternating pressure ventilation mode of the ventilation system, the plurality of parameters including at least a higher pressure setting, a lower pressure setting and a duration of the higher pressure setting;

a step for programmatically determining a duration of the lower pressure setting based on user input indicative of a percentage of the PEFR at which the user desires the ventilation system to transition from the lower pressure setting to the higher pressure setting; and

a step for configuring the ventilation system to automatically cycle between the higher pressure setting and the lower pressure setting at a pre-determined flow based on the plurality of parameters and the duration of the lower pressure setting.

20. The method of claim 19, wherein the alternating pressure ventilation mode is selected from a plurality of supported alternating pressure ventilation modes including one or more of an Airway Pressure Release Ventilation (APRV) mode and a BiLevel ventilation mode.