BREATHING ASSISTANCE SYSTEM WITH MULTIPLE PRESSURE SENSORS

• US 20100078024A1
• Filed: 09/30/2008
• Published: 04/01/2010
• Est. Priority Date: 09/30/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Jourdain, Cedric, Andrieux, Claude
• Granted Patent: US 8,302,602 B2
• Time in Patent Office: Days
• US Class Current: 128/204.210
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/1015 using a gas flush valve, e.g. oxygen flush valve
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/201 Controlled valves
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2205/16 with back-up system in case of failure
• CPC Class Codes: A61M 2205/17 with redundant control systems
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/8206 : battery-operated
• CPC Class Codes: A61M 2205/8212 : with means or measures taken for minimising energy consumption

Abstract

A method for managing pressure in a breathing assistance system configured to provide breathing assistance to a patient via a patient connection system is provided. The method may include receiving one or more first pressure sensor signals from a first pressure sensor, and analyzing the one or more first pressure sensor signals. Based at least on the analysis of the one or more first pressure sensor signals, either the first pressure sensor or the second pressure sensor may be selected for use in controlling the breathing assistance provided to the patient, and the breathing assistance provided to the patient may be controlled based at least on signals from the to selected pressure sensor.

Claims

1. A method for managing pressure in a breathing assistance system configured to provide breathing assistance to a patient via a patient connection system, the method comprising:

receiving one or more first pressure sensor signals from a first pressure sensor;

analyzing the one or more first pressure sensor signals;

based at least on the analysis of the one or more first pressure sensor signals, selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient; and

controlling the breathing assistance provided to the patient based at least on signals from the selected pressure sensor.

2. A method according to claim 1, wherein:

the first pressure sensor is configured to measure gas pressure at a first location relative to the patient connection system; and

the second pressure sensor is configured to measure gas pressure at a different, second location relative to the patient connection system.

3. A method according to claim 2, wherein the first location is downstream toward the patient relative to the second location.

4. A method according to claim 1, wherein:

the first pressure sensor is configured to measure gas pressure at a location proximate a patient end of the patient connection system; and

the second pressure sensor is configured to measure gas pressure at a location proximate a delivery device end of the patient connection system generally opposite the patient end of the patient connection system.

5. A method according to claim 1, further comprising receiving one or more second pressure sensor signals from the second pressure sensor;

and

wherein analyzing the one or more first pressure signals comprises comparing the one or more first pressure signals with the one or more second pressure signals.

6. A method according to claim 13 wherein selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient based at least on the analysis of the one or more first pressure sensor signals comprises:

selecting the first pressure sensor if the one or more first pressure sensor signals indicate a pressure level above a threshold pressure level; and

selecting the second pressure sensor if the one or more first pressure sensor signals indicate a pressure level below the threshold pressure level.

7. A method according to claim 1, comprising:

receiving one or more second pressure sensor signals from the second pressure sensor; and

wherein analyzing the one or more first pressure sensor signals comprises;

making a first comparison of the one or more first pressure sensor signals with the one or more second pressure sensor signals; and

making a first comparison of the one or more first pressure signals with a threshold pressure level; and

selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient based at least on the first comparison and the second comparison.

8. A method according to claim 1, comprising:

receiving one or more second pressure sensor signals from the second pressure sensor; and

wherein analyzing the one or more first pressure sensor signals comprises comparing the one or more first pressure sensor signals with the one or more second pressure sensor signals; and

selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient based at least on the analysis of the one or more first pressure sensor signals comprises;

selecting the first pressure sensor if the one or more first pressure sensor signals differ from the one or more second pressure sensor signals by less than a threshold amount; and

selecting the second pressure sensor if the one or more first pressure sensor signals differ from the one or more second pressure sensor signals by more than the threshold amount.

9. A method according to claim 1, wherein selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient based at least on the analysis of the one or more first pressure sensor signals comprises:

determining whether a proximal pressure line is communicatively connected to the first pressure sensor based at least on the analysis of the one or more first pressure sensor signals;

selecting the first pressure sensor in response to determining that a proximal pressure line is communicatively connected to the first pressure sensor; and

selecting the second pressure sensor in response to determining that a proximal pressure line is not communicatively connected to the first pressure sensor.

10. A method according to claim 1, wherein controlling the breathing assistance provided to the patient comprises adjusting at least one of the pressure and flow rate of gas delivered toward the patient.

11. A method according to claim 1, wherein:

analyzing the one or more first pressure sensor signals comprises detecting a connection of a proximal pressure line configured for communication with the first pressure sensor; and

selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient based at least on the analysis of the one or more first pressure sensor signals comprises automatically switching from the second pressure sensor to the first pressure sensor in response to detecting the connection of a proximal pressure line.

12. A method according to claim 1, wherein:

analyzing the one or more first pressure sensor signals comprises detecting a disconnection of a proximal pressure line configured for communication with the first pressure sensor; and

selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient based at least on the analysis of the one or more first pressure sensor signals comprises automatically switching from the first pressure sensor to the second pressure sensor in response to detecting the disconnection of a proximal pressure line.

13. A method according to claim 1, wherein selecting either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient comprises switching from the first pressure sensor to the second pressure sensor or from the second pressure sensor to the first pressure sensor while providing breathing assistance to the patient.

14. A method according to claim 1, further comprising disallowing initiation or continuation of at least one breathing assistance mode in response to the second pressure sensor being selected for use in controlling the breathing assistance provided to the patient.

15. A method according to claim 1, further comprising disallowing user selection of at least one breathing assistance mode in response to the second pressure sensor being selected for use in controlling the breathing assistance provided to the patient.

16. A method according to claim 1, further comprising automatically generating a user notification indicating whether the first or second pressure sensor is selected for use in controlling the breathing assistance provided to the patient.

17. A method according to claim 1, comprising:

automatically detecting an over-pressure condition in the patient connection system based on pressure sensor signals from the selected pressure sensor; and

in response to detecting the over-pressure condition in the patient connection system, automatically controlling the breathing assistance system to reduce the pressure in the patient connection system.

18. A method according to claim 1, comprising:

comparing pressure sensor signals from the selected pressure sensor to a pressure threshold; and

detecting an over-pressure condition in the patient connection system based at least on the comparison of the pressure sensor signals from the selected pressure sensor to the pressure threshold.

19. A method according to claim 1, comprising:

automatically detecting an over-pressure condition in the patient connection system based on pressure sensor signals from the non-selected pressure sensor; and

in response to detecting the over-pressure condition in the patient connection system, automatically controlling the breathing assistance system to reduce the pressure in the patient connection system.

20. A method according to claim 1, comprising:

comparing pressure sensor signals from the non-selected pressure sensor to a pressure threshold;

detecting an over-pressure condition in the patient connection system based at least on the comparison of the pressure sensor signals from the non-selected pressure sensor to the pressure threshold.

21. A breathing assistance system configured to provide breathing assistance to a patient via a patient connection system, the breathing assistance system comprising:

a first pressure sensor;

a second pressure sensor; and

a control system configured to;

receive first pressure sensor signals from the first pressure sensor and second pressure sensor signals from the second pressure sensor;

analyze one or more first pressure sensor signals;

based at least on the analysis of the one or more first pressure sensor signals, select either the first pressure sensor or the second pressure sensor for use in controlling the breathing assistance provided to the patient; and

control the breathing assistance provided to the patient based at least on signals from the selected pressure sensor.

22. A method for managing pressure in a breathing assistance system including a gas delivery system for delivering gas toward a patient via a patient connection system between the gas delivery system and the patient, the method comprising:

receiving first pressure sensor signals from a first pressure sensor configured to measure gas pressure at a first location relative to the patient connection system;

receiving second pressure sensor signals from a second pressure sensor configured to measure gas pressure at a different, second location relative to the patient connection system;

controlling the gas delivery system based on at least one of the first pressure sensor signals and the second pressure sensor signals;

automatically detecting an over-pressure condition in the patient connection system based on one or more first pressure sensor signals and one or more second pressure sensor signals; and

in response to detecting the over-pressure condition in the patient connection system, automatically controlling the gas delivery system to reduce the pressure in the patient connection system.

23. A method according to claim 22, wherein automatically detecting an over-pressure condition in the patient connection system based on one or more first pressure sensor signals and one or more second pressure sensor signals comprises automatically detecting an over-pressure condition in the patient connection system if either the one or more first pressure sensor signals or the one or more second pressure sensor signals indicate an over-pressure condition.

24. A method according to claim 22, wherein automatically detecting an over-pressure condition in the patient connection system based on one or more first pressure sensor signals and one or more second pressure sensor signals comprises automatically detecting an over-pressure condition in the patient connection system if both the one or more first pressure sensor signals and the one or more second pressure sensor signals indicate an over-pressure condition.

25. A method according to claim 22, further comprising:

comparing the first pressure sensor signals to a first pressure threshold;

comparing the second pressure sensor signals to a second pressure threshold; and

detecting an over-pressure condition in the patient connection system based on at least one of (a) the comparison of the first pressure sensor signals to the first pressure threshold and (b) the comparison of the second pressure sensor signals to the second pressure threshold.

26. A breathing assistance system for providing breathing assistance to a patient, comprising:

a gas delivery system for delivering gas toward a patient via a patient connection system between the gas delivery system and the patient;

a first pressure sensor configured to measure gas pressure at a first location relative to the patient connection system;

a second pressure sensor configured to measure gas pressure at a different, second location relative to the patient connection system; and

a control system configured to;

receive first pressure sensor signals from the first pressure sensor;

receive second pressure sensor signals from the second pressure sensor;

control the gas delivery system based on at least one of the first pressure sensor signals and the second pressure sensor signals;

automatically detect an over-pressure condition in the patient connection system based on one or more first pressure sensor signals and one or more second pressure sensor signals; and

in response to detecting the over-pressure condition in the patient connection system, automatically control the gas delivery system to reduce the pressure in the patient connection system.