CONTROL UNIT, METHOD AND COMPUTER-READABLE MEDIUM FOR OPERATING A VENTILATOR

• US 20110000489A1
• Filed: 12/20/2007
• Published: 01/06/2011
• Est. Priority Date: 12/20/2007
• Status: Abandoned Application

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Maquet Critical Care AB (Getinge AB)
• Inventors: Laksov, Joakim, Lagerborg, Johan
• Application Number:
  US12/809,691
• Publication Number:
  US 20110000489A1
• Time in Patent Office: Days
• US Class Current: 128/204.23
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2230/00 Measuring parameters of the user
• CPC Class Codes: A61M 2230/08 Other bio-electrical signals

Abstract

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.

Claims

1-16. -16. (canceled)

17. A computer-readable medium encoded with programming instructions, said medium being loaded into a computerized control unit of a ventilator that provides breathing support in a support mode to a patient, said programming instructions causing said computerized control unit to:

obtain a measurement value of a bioelectric signal representative of the breathing function of the patient;

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 said at least one point in time;

determine a trigger condition for the inspiration phase based on said measurement value; and

use said trigger condition to initiate inspiration when ventilating the patient in said support mode.

18. A computer-readable medium as claimed in claim 17 wherein said programming instructions cause said control unit to determine said trigger condition based on a plurality of measurement values, each obtained at a point-in-time when said patient begins inhalation for respectively different breaths.

19. A computer-readable medium as claimed in claim 17 wherein said programming instructions cause said control unit to adjust said trigger condition by an amount determined dependent on said measurement value.

20. A computer-readable medium as claimed in claim 17 wherein said programming instructions cause said control unit, after determining the start of inhalation and before obtaining said measurement value, to determine whether an inspiration phase was triggered in the ventilator before said start of inhalation and, if so, to delay said initiating of inspiration until a spontaneous attempt by the patient to breath is detected.

21. A computer-readable medium as claimed in claim 17 wherein said programming instructions cause said control unit to adjust said trigger condition incrementally to reduce a time difference between a start of an inspiration phase of said ventilator and the start of inspiration by the patient.

22. A computer-readable medium as claimed in claim 21 wherein said programming instructions cause said control unit to adjust said trigger condition in fixed increments.

23. A computer-readable medium as claimed in claim 21 wherein said programming instructions case said control unit to adjust said trigger condition in increments determined from a difference between said measurement value and said trigger condition.

24. A control unit for a ventilator operated by a computer-readable medium comprising programming instructions, said programming instructions configuring said control unit to:

obtain a measurement value of a bioelectric signal representative of the breathing function of the patient;

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 said at least one point in time;

determine a trigger condition for the inspiration phase based on said measurement value; and

use said trigger condition to initiate inspiration when ventilating the patient in said support mode.

25. A ventilator comprising:

a breathing circuit adapted for connection to a patient, said breathing circuit being operable in a support mode to assist breathing by the patient;

a control unit that operates said breathing circuit, said control unit being configured to obtain a measurement value of a bioelectric signal representative of the breathing function of the patient, 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 said at least one point in time, determine a trigger condition for the inspiration phase based on said measurement value, and use said trigger condition to initiate inspiration when ventilating the patient in said support mode.

26. A method for operating a computerized control unit of a ventilator that provides breathing support in a support mode to a patient, said method comprising the steps of:

obtaining a measurement value of a bioelectric signal representative of the breathing function of the patient;

in a processor, determining, based on the bioelectric signal, at least one point in time at which the patient starts inhalation;

obtaining a measurement value to be used for triggering an inspiration phase in the ventilator during said at least one point in time;

in said processor, determining a trigger condition for the inspiration phase based on said measurement value; and

from said processor, using said trigger condition to initiate inspiration when ventilating the patient in said support mode.

27. A method as claimed in claim 26 comprising determining said trigger condition based on a plurality of measurement values, each obtained at a point-in-time when said patient begins inhalation for respectively different breaths.

28. A method as claimed in claim 26 comprising, in said processor, adjusting said trigger condition by an amount determined dependent on said measurement value.

29. A method as claimed in claim 26 comprising, after determining the start of inhalation and before obtaining said measurement value, determining whether an inspiration phase was triggered in the ventilator before said start of inhalation and, if so, delaying said initiating of inspiration until a spontaneous attempt by the patient to breath is detected.

30. A method as claimed in claim 26 comprising, in said processor, adjusting said trigger condition incrementally to reduce a time difference between a start of an inspiration phase of said ventilator and the start of inspiration by the patient.

31. A method as claimed in claim 30 comprising adjusting said trigger condition in fixed increments.

32. A method as claimed in claim 30 comprising adjusting said trigger condition in increments determined from a difference between said measurement value and said trigger condition.