METHODS AND SYSTEMS FOR MIMICKING FLUCTUATIONS IN DELIVERED FLOW AND/OR PRESSURE DURING VENTILATION

• US 20140000606A1
• Filed: 07/02/2012
• Published: 01/02/2014
• Est. Priority Date: 07/02/2012
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Doyle, Peter R., Kimm, Gardner
• Application Number:
  US13/539,716
• Publication Number:
  US 20140000606A1
• Time in Patent Office: Days
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0063 Compressors
• 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 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0027 pressure meter
• 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 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3348 Pressure measurement using a water column

Abstract

This disclosure describes systems and methods for a ventilator-derived CPAP system that mimics the flow and/or pressure oscillations or fluctuations of the B-CPAP system creating a breath type referred to herein as a mimicked-bubble-CPAP (M-CPAP) mode. Further, the disclosure describes systems and methods for delivery of other breath types with flow and/or pressure oscillations or fluctuations that mimic the oscillation observed during ventilation with the B-CPAP system, referred to herein as adjusted breath types.

Claims

1. A method for ventilating a patient with a ventilator, comprising:

receiving a user selected Continuous Positive Airway Pressure (CPAP) level;

generating a control signal for controlling breathing gas delivery and an exhalation valve to implement the user selected CPAP level;

generating a normalized bubble signal;

adding the control signal and the normalized bubble signal to form a mimic signal; and

delivering the user selected CPAP level to the patient with fluctuations in at least one of flow and pressure based on the mimic signal.

2. The method of claim 1, further comprising monitoring at least one of the flow and the pressure during ventilation.

3. The method of claim 2, further comprising executing an alarm when at least one of the monitored flow and the monitored pressure exceed a predetermined threshold.

4. The method of claim 2, further comprising monitoring leakage based on the step of monitoring flow and the monitored pressure.

5. The method of claim 2, further comprising:

switching to a spontaneous mode from a mandatory.

6. The method of claim 1, wherein the normalized bubble signal is based on at least one of recorded flow fluctuations and recorded pressure fluctuations during ventilation of a prior patient utilizing a bubble Continuous Positive Airway Pressure (B-CPAP) system at a predetermined CPAP level for a set time period which is looped.

7. The method of claim 1, wherein the normalized bubble signal is based on at least one of theoretical flow fluctuations and theoretical pressure fluctuations caused by mathematically estimated bubbles for set time period which is randomized.

8. The method of claim 1, wherein gas exchange exhibited by the patient is similar to the gas exchange exhibited by a different patient ventilated with a bubble Continuous Positive Airway Pressure (B-CPAP) system.

9. The method of claim 1, wherein the patient exhibits at least one of a decrease in respiration rate, a decrease in pH, a decrease in PaO₂, an increase in PaCO₂, and an increase in HCO₃ compared to a different patient ventilated with a ventilator-derived Continuous Positive Airway Pressure (V-CPAP) system that does not utilize a mimic signal.

10. A method for ventilating a patient with a ventilator, comprising:

receiving a breath type;

generating a control signal for controlling breathing gas delivery and an exhalation valve to implement the breath type;

generating a normalized bubble signal;

adding the control signal and the normalized bubble signal to form a mimic signal; and

delivering the breath type to the patient with fluctuations in at least one of flow and pressure based on the mimic signal.

11. The method of claim 10, wherein the normalized bubble signal is based on at least one of recorded flow fluctuations and recorded pressure fluctuations during ventilation of a prior patient utilizing a bubble Continuous Positive Airway Pressure (B-CPAP) system at a predetermined Continuous Positive Airway Pressure (CPAP) level for a set time period which is looped.

12. The method of claim 10, wherein the normalized bubble signal is based on at least one of theoretical flow fluctuations and theoretical pressure fluctuations caused by mathematically estimated bubbles for set time period which is randomized.

13. The method of claim 10, wherein the patient exhibits at least one of a decrease in respiration rate, a decrease in pH, a decrease in PaO₂, an increase in PaCO₂, and an increase in HCO₃ compared to a different patient ventilated with a ventilator-derived Continuous Positive Airway Pressure (V-CPAP) system that does not utilize a mimic signal.

14. The method of claim 10, wherein the breath type is at least one of pressure support, pressure control, pressure assist, volume control, volume-targeted-pressure-control, and volume support breath types.

15. The method of claim 10, wherein the breath type is at least one of a mandatory mode, a spontaneous mode, and a weaning mode.

16. A ventilator system comprising:

a pressure generating system adapted to generate a flow of breathing gas;

the pressure generating system includes an exhalation valve, the exhalation valve controls release of respiratory gases from a patient to the atmosphere;

a ventilation tubing system including a patient interface for connecting the pressure generating system to the patient; and

a bubble mimic module, the bubble mimic module generates a normalized bubble signal and adds the normalized bubble signal to a control signal for a breath type to form a mimic signal,

wherein the pressure generating system delivers the breath type to the patient with fluctuations in at least one of flow and pressure based on the mimic signal from the bubble mimic module.

17. The ventilator system of claim 16, further comprising:

at least one sensor operatively coupled to at least one of the pressure generating system, the patient, and the ventilation tubing system, wherein the at least one sensor is capable of monitoring flow,

wherein the monitored flow is utilized to determine at least one of an alarm based on a predetermined threshold and an amount of breathing gas leaking from the ventilator system.

18. The ventilator system of claim 17, further comprising a controller, wherein the controller filters out the delivered flow oscillations from the monitor flow based on data received from the mimic module.

19. The ventilator system of claim 16, further comprising:

a display in communication with at least one of the pressure generating system, the display illustrates at least one of the normalized bubble signal, a use of the normalized bubble signal, a mimicked-bubble Continuous Positive Airway Pressure (M-CPAP) mode, an adjusted breath type, a delivered pressure graph, and a delivered flow graph.

20. The ventilator system of claim 16, wherein the breath type is at least one of a pressure support, pressure control, pressure assist, volume control, volume-targeted-pressure-control, and volume support.

21. The ventilator system of claim 16, wherein the normalized bubble signal is based on at least one of recorded flow fluctuations and recorded pressure fluctuations during ventilation of a prior patient utilizing a bubble Continuous Positive Airway Pressure (B-CPAP) system at a predetermined Continuous Positive Airway Pressure (CPAP) level for a set time period which is looped.

22. The ventilator system of claim 16, further comprising:

at least one sensor operatively coupled to at least one of the pressure generating system, the patient, and the ventilation tubing system, wherein the at least one sensor is capable of monitoring pressure,

wherein the monitored pressure is utilized to determine at least one of an alarm based on a predetermined threshold and an amount of breathing gas leaking from the ventilator system.

23. The ventilator system of claim 22, further comprising a controller, wherein the controller filters out the delivered pressure oscillations from the monitor pressure based on data received from the mimic module.

24. A computer-readable medium having computer-executable instructions for performing a method of ventilating a patient with a ventilator, the method comprising:

receiving a breath type;

repeatedly generating a control signal for operating at least one of an exhalation valve and a pressure generating system to provide the breath type;

generating a normalized bubble signal for operating the at least one of the exhalation valve and the pressure generating system;

repeatedly adding the control signal and the normalized bubble signal to form a mimic signal;

repeatedly sending the mimic signal to the at least one of the exhalation valve and the pressure generating system; and

repeatedly delivering the breath type to the patient with fluctuations in at least one of flow and pressure based on the mimic signal.

25. A ventilator system, comprising:

means for receiving a breath type;

means for generating a control signal for operating at least one of an exhalation valve and a pressure generating system to provide the breath type;

means for generating a normalized bubble signal for operating the at least one of the exhalation valve and the pressure generating system;

means for adding the control signal and the normalized bubble signal to form a mimic signal;

means for sending the mimic signal to the at least one of the exhalation valve and the pressure generating system; and

means for delivering the breath type to a patient with fluctuations in at least one of flow and pressure based on the mimic signal.